CPT code 76827: Fetal echocardiography, complete Doppler study2026 Medicare rate & RVUs in Missouri
Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.
Medicare pays $62.91–$67.42 for 76827 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$62.91 to $67.42
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $66.75 | Unavailable |
| Metropolitan St. Louis, MO | $67.42 | Unavailable |
| Rest of Missouri | $62.91 | Unavailable |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
76827 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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