CPT code 76827: Fetal echocardiography, complete Doppler study2026 Medicare rate & RVUs

Medicare pays $69.81 for 76827 nationally in the office. Local office rates run $62.30–$93.43.

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

What 76827 covers

This service evaluates blood flow through the fetal heart using pulsed-wave and/or continuous-wave Doppler with spectral display. It is commonly performed when fetal cardiac structure or function is a concern, such as suspected congenital heart disease or a suspected fetal rhythm or hemodynamic problem. A sonographer may acquire the images, with a qualified physician interpreting the study, in an imaging office or hospital setting.

Select this code for a complete Doppler echocardiographic assessment, not merely a repeat or follow-up Doppler examination. The report should support the complete study with the clinical indication, Doppler measurements or waveforms obtained, and interpretation of relevant findings. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; without either modifier, the claim 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.

Where 76827 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

76827 rates by state

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

How the 76827 rate is calculated

Each of 76827’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.

Payment rules and modifiers for 76827

The CMS indicators that decide how 76827 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

76827 compared with similar codes

How to choose

76825Fetal echocardiogramComplete cardiac study

76825 covers real-time fetal cardiac imaging; 76827 covers complete Doppler evaluation with spectral display. Both may be reported when both distinct services are performed.

76828Fetal echoFollow-up Doppler

76828 is for follow-up or repeat fetal Doppler echocardiography. Use 76827 for the complete Doppler study.

76820Umbilical artery DopplerFetal Doppler velocimetry

76820 evaluates umbilical artery blood flow, not blood flow within the fetal heart as assessed by fetal echocardiography.

Codes related to 76827

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

Open CMS sourceHow we calculate rates