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CPT code 76825: Fetal echocardiogram, complete cardiac study2026 Medicare rate & RVUs in New Mexico

Reports a comprehensive ultrasound assessment of the fetal heart, commonly performed when screening findings or clinical risk raise concern about fetal cardiac structure or function.

CMS RVU26DEffective Oct 1, 2026One payment locality704 Medicare services in 2024

In New Mexico, Medicare pays $245.50 for 76825 in the office.

$245.50Office (non-facility)
Not available in this settingHospital or facility
−6.2%vs the national office rate ($261.86)

Check a contract rate as a % of Medicare · 76825 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 76825 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 76825 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 76825 covers

This service is a detailed ultrasound assessment of the fetal heart, using real-time two-dimensional imaging with image documentation; M-mode recording may also be used. Maternal-fetal medicine specialists, pediatric cardiologists, and other qualified imaging physicians commonly perform or interpret it. A typical reason is an abnormality or concern on an obstetric screening ultrasound that warrants a focused evaluation of fetal cardiac anatomy and function.

Report 76825 for the complete fetal cardiac study, rather than a repeat or follow-up examination. The record should support the clinical reason for the study and include the images and interpretation of the fetal heart. CMS recognizes a professional component for interpretation and a technical component for the equipment and staff used to acquire the study. Report modifier 26 for the professional service or TC for the technical service when those components are billed separately; without either modifier, the code represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 76825

Across 109 of 109 payment localities, the office rate for 76825 runs from $231.58 in Arkansas to $356.81 in San Benito County, CA. New Mexico pays $245.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

76825 in New Mexico vs other payment areas
  1. New Mexico · this page$245.50
  2. Los Angeles, CA · California$300.49+$54.99
  3. Washington, DC area · District of Columbia$301.53+$56.03
  4. Miami, FL · Florida$274.84+$29.34
  5. Chicago, IL · Illinois$267.16+$21.66
  6. Manhattan, NY · New York$300.22+$54.72
  7. Alaska · Alaska$301.02+$55.52

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

76825 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$235.01—
ArkansasArkansas$231.58—
ArizonaArizona$255.09—
Bakersfield, CACalifornia$281.35—
Chico, CACalifornia$281.02—
El Centro, CACalifornia$281.03—
Fresno, CACalifornia$281.02—
Hanford, CACalifornia$281.02—

76825 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$231.58

$318.91

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76825 office rate range by state
State / territoryOffice rate rangeLocalities
AK$301.021
AL$235.011
AR$231.581
AZ$255.091
CA$281.02–$356.8129
CO$274.941
CT$279.321
DC$301.531
DE$259.381
FL$254.38–$274.843
GA$240.36–$265.902
GU$288.601
HI$288.601
IA$242.681
ID$243.931
IL$245.77–$270.084
IN$245.401
KS$240.751
KY$238.921
LA$238.23–$250.212
MA$272.96–$303.422
MD$264.61–$301.533
ME$244.37–$258.912
MI$244.47–$256.772
MN$265.671
MO$233.58–$252.063
MS$232.661
MT$261.861
NC$247.081
ND$260.081
NE$244.251
NH$269.871
NJ$283.14–$298.202
NM$245.501
NV$261.571
NY$250.75–$306.565
OH$244.101
OK$239.321
OR$260.15–$284.652
PA$244.94–$271.802
PR$264.071
RI$269.321
SC$245.881
SD$259.871
TN$241.871
TX$243.25–$273.498
UT$249.291
VA$257.50–$301.532
VI$264.071
VT$258.331
WA$272.69–$310.442
WI$251.201
WV$236.381
WY$261.081

See 76825 in every payment locality

How the 76825 rate is calculated

Each of 76825’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 76825

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.63

1.63 RVUs× 1.000 GPCI

Practice expense6.12

6.12 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

7.8400

Conversion factor

$33.4009

Medicare rate

$261.86

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,808

Code
76825
Physician work
1.63
Practice expense
6.12
Malpractice
0.09

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 76825 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.63× 1.0001.6300
Practice expense6.12× 0.9175.6120
Malpractice0.09× 1.2010.1081
Total RVUs7.3501
Conversion factor× 33.4009

Office rate, New Mexico$245.50

Office: (1.63 × 1 + 6.12 × 0.917 + 0.09 × 1.201) × $33.4009 = $245.50

Open 76825 in the RVU calculator

Payment rules and modifiers for 76825

The CMS indicators that decide how 76825 is paid alongside other services.

CMS payment indicators · 76825

Fetal echocardiogram, complete cardiac study

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76825 without 26 · national office

$261.86

Fetal echocardiogram, complete cardiac study

76825-26 · Professional component

$78.83

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76825

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 76825
CodeHow it relatesOffice range, New Mexico
Same family
76826Fetal echo, follow-up or repeat studyFollow-up or repeat fetal cardiac examination, rather than the complete study.$147.90
76828Fetal echo, follow-up DopplerFollow-up or repeat Doppler fetal echocardiography.$47.14
Often billed with
76827Fetal echocardiography, complete Doppler studyIdentifies fetal Doppler echocardiography when that study is also performed.$65.88

How 76825 has changed in New Mexico

76825 · Office / nonfacility

$245.50

Effective 2026-10-01

The base rate is $14.66 higher than on 2025-10-01, moving from $230.84 to $245.50 (6.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $230.84changed to$245.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.67 changed to 1.63
    • Practice expense RVU 5.93 changed to 6.12
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $243.00changed to$230.84

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.11 changed to 5.93

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $239.03changed to$243.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.83changed to$239.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.12 changed to 6.11
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $252.43changed to$246.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.16 changed to 6.12
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $259.21changed to$252.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.31 changed to 6.16

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $258.95changed to$259.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.97 changed to 6.31
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $264.73changed to$258.95

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.00 changed to 5.97
    • Malpractice RVU 0.12 changed to 0.07
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $269.08changed to$264.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.14 changed to 6.00

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $267.85changed to$269.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $263.85changed to$267.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.05 changed to 6.14
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $265.48changed to$263.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.02 changed to 6.05
    • Malpractice RVU 0.16 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $264.16changed to$265.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $259.40changed to$264.16

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.01 changed to 6.02
    • Malpractice RVU 0.05 changed to 0.16
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $208.11changed to$259.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.80 changed to 6.01
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $208.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$245.50Not available in this settingRVU26D
2026-07-01$245.50Not available in this settingRVU26C
2026-04-01$245.50Not available in this settingRVU26B
2026-01-01$245.50Not available in this settingRVU26A
2025-10-01$230.84Not available in this settingRVU25D
2025-07-01$230.84Not available in this settingRVU25C
2025-04-01$230.84Not available in this settingRVU25B
2025-01-01$230.84Not available in this settingRVU25A
2024-10-01$243.00Not available in this settingRVU24D
2024-07-01$243.00Not available in this settingRVU24C
2024-04-01$243.00Not available in this settingRVU24B
2024-03-09$243.00Not available in this settingRVU24AR
2024-01-01$239.03Not available in this settingRVU24A
2023-10-01$246.83Not available in this settingRVU23D
2023-07-01$246.83Not available in this settingRVU23C
2023-04-01$246.83Not available in this settingRVU23B
2023-01-01$246.83Not available in this settingRVU23A
2022-10-01$252.43Not available in this settingRVU22D
2022-07-01$252.43Not available in this settingRVU22C
2022-04-01$252.43Not available in this settingRVU22B
2022-01-01$252.43Not available in this settingRVU22A
2021-10-01$259.21Not available in this settingRVU21D
2021-07-01$259.21Not available in this settingRVU21C
2021-04-01$259.21Not available in this settingRVU21B
2021-01-01$259.21Not available in this settingRVU21A
2020-10-01$258.95Not available in this settingRVU20D
2020-07-01$258.95Not available in this settingRVU20C
2020-04-01$258.95Not available in this settingRVU20B
2020-01-01$258.95Not available in this settingRVU20A
2019-10-01$264.73Not available in this settingRVU19D
2019-07-01$264.73Not available in this settingRVU19C
2019-04-01$264.73Not available in this settingRVU19B
2019-01-01$264.73Not available in this settingRVU19A
2018-10-01$269.08Not available in this settingRVU18D
2018-07-01$269.08Not available in this settingRVU18C
2018-04-01$269.08Not available in this settingRVU18B
2018-01-01$269.08Not available in this settingRVU18AR1
2017-10-01$267.85Not available in this settingRVU17D
2017-07-01$267.85Not available in this settingRVU17C
2017-04-01$267.85Not available in this settingRVU17B
2017-01-01$267.85Not available in this settingRVU17A
2016-10-01$263.85Not available in this settingRVU16D
2016-07-01$263.85Not available in this settingRVU16C
2016-04-01$263.85Not available in this settingRVU16B
2016-01-01$263.85Not available in this settingRVU16A
2015-10-01$265.48Not available in this settingRVU15D
2015-07-01$265.48Not available in this settingRVU15C
2015-04-01$264.16Not available in this settingRVU15B
2015-01-01$264.16Not available in this settingRVU15A
2014-10-01$259.40Not available in this settingRVU14D
2014-07-01$259.40Not available in this settingRVU14C
2014-04-01$259.40Not available in this settingRVU14B
2014-01-01$259.40Not available in this settingRVU14A
2013-10-01$208.11Not available in this settingRVU13D
2013-07-01$208.11Not available in this settingRVU13C
2013-04-01$208.11Not available in this settingRVU13B
2013-01-01$208.11Not available in this settingRVU13AR

Price 76825 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

76825 billing questions

How does 76825 differ from 76826?

76825 is for the complete fetal cardiac examination. Use 76826 for a follow-up or repeat fetal cardiac examination.

Can Doppler fetal echocardiography be reported with 76825?

When a fetal Doppler echocardiographic study is also performed and documented, 76827 identifies that Doppler service. The record should support each service reported.

When should modifier 26 or TC be used?

Use modifier 26 when billing only the physician's interpretation, or TC when billing only the technical service, including equipment and staff. Without either modifier, 76825 represents the global service.

What documentation supports reporting 76825?

Document the clinical reason for the focused fetal heart evaluation, the imaging performed, the findings, and the interpretation. Retain image documentation supporting the examination.

Is 76825 for a routine obstetric anatomy scan?

No. It reports a focused fetal cardiac ultrasound; a detailed obstetric anatomy examination is a different service, reported with 76811 when that examination is performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 76825PPRRVU2026_Oct_nonQPP.csv, line 8,808 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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