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CPT code 76827: Fetal echocardiography, complete Doppler study2026 Medicare rate & RVUs in Washington, DC area

Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.

CMS RVU26DEffective Oct 1, 2026One payment locality608 Medicare services in 2024

In Washington, DC area, Medicare pays $79.81 for 76827 in the office.

$79.81Office (non-facility)
Not available in this settingHospital or facility
+14.3%vs the national office rate ($69.81)

Check a contract rate as a % of Medicare · 76827 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 76827 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 76827 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 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.

How Washington, DC area compares for 76827

Across 109 of 109 payment localities, the office rate for 76827 runs from $62.30 in Arkansas to $93.43 in San Benito County, CA. Washington, DC area pays $79.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

76827 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$79.81
  2. Los Angeles, CA · California$79.36−$0.45
  3. Miami, FL · Florida$73.38−$6.43
  4. Chicago, IL · Illinois$71.49−$8.32
  5. Manhattan, NY · New York$79.68−$0.13
  6. Alaska · Alaska$82.11+$2.30
  7. Alabama · Alabama$63.15−$16.66

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

76827 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$62.30—
ArizonaArizona$68.12—
Bakersfield, CACalifornia$74.56—
Chico, CACalifornia$74.44—
El Centro, CACalifornia$74.45—
Fresno, CACalifornia$74.44—
Hanford, CACalifornia$74.44—
Madera, CACalifornia$74.44—

76827 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.

$62.30

$83.94

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

View every state and territory as a table
76827 office rate range by state
State / territoryOffice rate rangeLocalities
AK$82.111
AL$63.151
AR$62.301
AZ$68.121
CA$74.44–$93.4329
CO$73.001
CT$74.231
DC$79.811
DE$69.201
FL$68.12–$73.383
GA$64.63–$70.862
GU$76.201
HI$76.201
IA$64.971
ID$65.301
IL$66.04–$72.064
IN$65.661
KS$64.531
KY$64.201
LA$64.04–$67.012
MA$72.55–$80.132
MD$70.51–$79.813
ME$65.45–$68.992
MI$65.61–$68.752
MN$70.551
MO$62.91–$67.423
MS$62.631
MT$69.811
NC$66.111
ND$69.211
NE$65.351
NH$71.721
NJ$75.25–$79.042
NM$65.881
NV$69.691
NY$67.02–$81.295
OH$65.491
OK$64.261
OR$69.31–$75.382
PA$65.67–$72.382
PR$70.341
RI$71.701
SC$65.881
SD$69.141
TN$64.821
TX$65.26–$72.628
UT$66.721
VA$68.67–$79.812
VI$70.341
VT$68.821
WA$72.45–$81.872
WI$67.021
WV$63.721
WY$69.551

See 76827 in every payment locality

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.

How the rate is built · 76827

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.57

0.57 RVUs× 1.000 GPCI

Practice expense1.49

1.49 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

2.0900

Conversion factor

$33.4009

Medicare rate

$69.81

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,814

Code
76827
Physician work
0.57
Practice expense
1.49
Malpractice
0.03

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 76827 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.57× 1.0540.6008
Practice expense1.49× 1.1781.7552
Malpractice0.03× 1.1130.0334
Total RVUs2.3894
Conversion factor× 33.4009

Office rate, Washington, DC area$79.81

Office: (0.57 × 1.054 + 1.49 × 1.178 + 0.03 × 1.113) × $33.4009 = $79.81

Open 76827 in the RVU calculator

Payment rules and modifiers for 76827

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

CMS payment indicators · 76827

Fetal echocardiography, complete Doppler 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

76827 without 26 · national office

$69.81

Fetal echocardiography, complete Doppler study

76827-26 · Professional component

$27.39

Pays only the interpretation and report.

When to use modifier 26

Codes related to 76827

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

Codes related to 76827
CodeHow it relatesOffice range, Washington, DC area
Often billed with
76825Fetal echocardiogram, complete cardiac studyMay accompany the complete real-time fetal echocardiographic imaging assessment.$301.53
Same family
76826Fetal echo, follow-up or repeat studyFollow-up or repeat real-time fetal echocardiographic imaging.$183.04
76828Fetal echo, follow-up DopplerFollow-up or repeat fetal Doppler echocardiography.$55.89

How 76827 has changed in Washington, DC area

76827 · Office / nonfacility

$79.81

Effective 2026-10-01

The base rate is $2.94 higher than on 2025-10-01, moving from $76.87 to $79.81 (3.8%).

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

    $76.87changed to$79.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.58 changed to 0.57
    • Practice expense RVU 1.45 changed to 1.49
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.69changed to$76.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.49 changed to 1.45

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $79.38changed to$80.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $82.89changed to$79.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.48 changed to 1.49
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $86.66changed to$82.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.50 changed to 1.48
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $89.10changed to$86.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.54 changed to 1.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $87.68changed to$89.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.46 changed to 1.54
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $88.37changed to$87.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.49 changed to 1.46
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $90.01changed to$88.37

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.53 changed to 1.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $90.24changed to$90.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.54 changed to 1.53
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $89.67changed to$90.24

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.53 changed to 1.54
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $90.45changed to$89.67

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $90.00changed to$90.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.56changed to$90.00

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.02 changed to 0.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $69.57changed to$88.56

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.18 changed to 1.53
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $69.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$79.81Not available in this settingRVU26D
2026-07-01$79.81Not available in this settingRVU26C
2026-04-01$79.81Not available in this settingRVU26B
2026-01-01$79.81Not available in this settingRVU26A
2025-10-01$76.87Not available in this settingRVU25D
2025-07-01$76.87Not available in this settingRVU25C
2025-04-01$76.87Not available in this settingRVU25B
2025-01-01$76.87Not available in this settingRVU25A
2024-10-01$80.69Not available in this settingRVU24D
2024-07-01$80.69Not available in this settingRVU24C
2024-04-01$80.69Not available in this settingRVU24B
2024-03-09$80.69Not available in this settingRVU24AR
2024-01-01$79.38Not available in this settingRVU24A
2023-10-01$82.89Not available in this settingRVU23D
2023-07-01$82.89Not available in this settingRVU23C
2023-04-01$82.89Not available in this settingRVU23B
2023-01-01$82.89Not available in this settingRVU23A
2022-10-01$86.66Not available in this settingRVU22D
2022-07-01$86.66Not available in this settingRVU22C
2022-04-01$86.66Not available in this settingRVU22B
2022-01-01$86.66Not available in this settingRVU22A
2021-10-01$89.10Not available in this settingRVU21D
2021-07-01$89.10Not available in this settingRVU21C
2021-04-01$89.10Not available in this settingRVU21B
2021-01-01$89.10Not available in this settingRVU21A
2020-10-01$87.68Not available in this settingRVU20D
2020-07-01$87.68Not available in this settingRVU20C
2020-04-01$87.68Not available in this settingRVU20B
2020-01-01$87.68Not available in this settingRVU20A
2019-10-01$88.37Not available in this settingRVU19D
2019-07-01$88.37Not available in this settingRVU19C
2019-04-01$88.37Not available in this settingRVU19B
2019-01-01$88.37Not available in this settingRVU19A
2018-10-01$90.01Not available in this settingRVU18D
2018-07-01$90.01Not available in this settingRVU18C
2018-04-01$90.01Not available in this settingRVU18B
2018-01-01$90.01Not available in this settingRVU18AR1
2017-10-01$90.24Not available in this settingRVU17D
2017-07-01$90.24Not available in this settingRVU17C
2017-04-01$90.24Not available in this settingRVU17B
2017-01-01$90.24Not available in this settingRVU17A
2016-10-01$89.67Not available in this settingRVU16D
2016-07-01$89.67Not available in this settingRVU16C
2016-04-01$89.67Not available in this settingRVU16B
2016-01-01$89.67Not available in this settingRVU16A
2015-10-01$90.45Not available in this settingRVU15D
2015-07-01$90.45Not available in this settingRVU15C
2015-04-01$90.00Not available in this settingRVU15B
2015-01-01$90.00Not available in this settingRVU15A
2014-10-01$88.56Not available in this settingRVU14D
2014-07-01$88.56Not available in this settingRVU14C
2014-04-01$88.56Not available in this settingRVU14B
2014-01-01$88.56Not available in this settingRVU14A
2013-10-01$69.57Not available in this settingRVU13D
2013-07-01$69.57Not available in this settingRVU13C
2013-04-01$69.57Not available in this settingRVU13B
2013-01-01$69.57Not available in this settingRVU13AR

Price 76827 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

76827 billing questions

When should 76828 be used instead?

Use 76828 for a follow-up or repeat fetal Doppler echocardiographic examination. 76827 is for the complete Doppler study rather than a follow-up study.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the physician interpretation or TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 76827?

Document the reason for fetal cardiac Doppler evaluation, the spectral Doppler assessment performed, and the interpretation of the findings. The record should support a complete study rather than a limited follow-up.

Is 76827 the same as a fetal artery Doppler study?

No. 76827 evaluates fetal cardiac blood flow as part of a fetal echocardiographic study. Codes 76820 and 76821 address Doppler assessment of the umbilical artery and middle cerebral artery, respectively.

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 76827PPRRVU2026_Oct_nonQPP.csv, line 8,814 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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