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CPT code 76828: Fetal echo, follow-up Doppler2026 Medicare rate & RVUs

Reports repeat or follow-up Doppler assessment of fetal cardiac blood flow when a prior fetal echocardiographic evaluation requires reassessment.

CMS RVU26DEffective Oct 1, 2026109 payment localities217 Medicare services in 2024

Medicare pays $49.43 for 76828 nationally in the office. Local office rates run $44.71–$64.28.

Medicare rate · 76828

Fetal echo, follow-up Doppler

Office or facility?

Work RVUs
0.55
Total RVUs
1.48
Global days
XXX

National rate · 2026

$49.43

Office setting, before claim adjustments.

See every locality for 76828 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 76828 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 76828 covers

This service is a repeat or follow-up Doppler evaluation of the fetal heart, using pulsed-wave and/or continuous-wave Doppler with spectral display to assess cardiac blood-flow patterns. It may be performed by a fetal cardiologist, pediatric cardiologist, radiologist, or maternal-fetal medicine specialist in an ultrasound or hospital setting. The study addresses a previously evaluated fetal cardiac concern, rather than serving as a routine obstetric survey or a Doppler study limited to a fetal artery.

Select this code when the documented service is follow-up or repeat fetal cardiac Doppler imaging; use the complete Doppler study code for an initial complete Doppler examination. The report should identify the clinical reason for reassessment and include the Doppler findings and interpretation. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier 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 76828 pays more and less

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

109 payment localities

$44.71 to $64.28

$44.71$54.50$64.28
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

76828 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$45.24Unavailable
Alaska$60.12Unavailable
Arizona$48.36Unavailable
Arkansas$44.71Unavailable
Atlanta, GA$50.17Unavailable
Austin, TX$51.10Unavailable
Bakersfield, CA$52.28Unavailable
Baltimore area, MD$52.16Unavailable
Beaumont, TX$46.66Unavailable
Brazoria, TX$49.09Unavailable

76828 rates by state

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

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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.

$44.71

$60.12

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

View every state and territory as a table
76828 office rate range by state
State / territoryOffice rate rangeLocalities
AK$60.121
AL$45.241
AR$44.711
AZ$48.361
CA$52.17–$64.2829
CO$51.361
CT$52.331
DC$55.891
DE$49.061
FL$48.61–$52.203
GA$46.38–$50.172
GU$53.131
HI$53.131
IA$46.271
ID$46.501
IL$47.38–$51.154
IN$46.721
KS$46.051
KY$46.011
LA$45.93–$47.802
MA$51.12–$55.912
MD$49.90–$55.893
ME$46.65–$48.792
MI$46.95–$49.072
MN$49.601
MO$45.26–$47.993
MS$44.991
MT$49.431
NC$47.061
ND$48.841
NE$46.501
NH$50.541
NJ$53.03–$55.472
NM$47.141
NV$49.301
NY$47.63–$57.155
OH$46.831
OK$45.991
OR$49.02–$52.812
PA$46.91–$51.192
PR$49.751
RI$50.671
SC$47.001
SD$48.771
TN$46.231
TX$46.66–$51.108
UT$47.531
VA$48.63–$55.892
VI$49.751
VT$48.641
WA$51.03–$56.992
WI$47.481
WV$45.931
WY$49.171

How the 76828 rate is calculated

Each of 76828’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 · 76828

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.55

0.55 RVUs× 1.000 GPCI

Practice expense0.90

0.90 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.4800

Conversion factor

$33.4009

Medicare rate

$49.43

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

Payment rules and modifiers for 76828

The CMS indicators that decide how 76828 is paid alongside other services.

CMS payment indicators · 76828

Fetal echo, follow-up Doppler

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

76828 without 26 · national office

$49.43

Fetal echo, follow-up Doppler

76828-26 · Professional component

$26.72

Pays only the interpretation and report.

When to use modifier 26

76828 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 76828

    Fetal echo, follow-up Doppler0.55 wRVU

    $49.43

  • 76827

    Fetal echocardiography, complete Doppler study0.57 wRVU

    $69.81+$20.38

  • 76826

    Fetal echo, follow-up or repeat study0.81 wRVU

    $158.32+$108.89

  • 76820

    Umbilical artery Doppler, fetal Doppler velocimetry0.49 wRVU

    $45.09−$4.34

How to choose

76827Fetal echocardiographyComplete Doppler study
Use 76827 for a complete fetal Doppler echocardiographic study. Use 76828 when the Doppler fetal cardiac assessment is repeat or follow-up.
76826Fetal echoFollow-up or repeat study
76826 describes follow-up or repeat real-time fetal echocardiography with M-mode when performed; 76828 describes the follow-up Doppler portion.
76820Umbilical artery DopplerFetal Doppler velocimetry
76820 assesses umbilical artery flow. 76828 assesses fetal cardiac Doppler findings, not a Doppler examination limited to the umbilical artery.

Codes related to 76828

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

Codes related to 76828
CodeHow it relatesNational office range
Same family
76827Fetal echocardiography, complete Doppler studyComplete Doppler fetal echocardiography; 76828 is the follow-up or repeat counterpart.$62.30–$93.43
Often billed with
76826Fetal echo, follow-up or repeat studyMay accompany 76828 when follow-up imaging includes both real-time and Doppler assessment.$139.24–$217.80
76825Fetal echocardiogram, complete cardiac studyComplete real-time fetal echocardiography may be reported with Doppler assessment when both are performed.$231.58–$356.81
Used instead
76820Umbilical artery Doppler, fetal Doppler velocimetryEvaluates umbilical artery flow rather than fetal cardiac Doppler findings.$40.70–$58.68
76821Fetal Doppler, middle cerebral arteryEvaluates middle cerebral artery flow rather than fetal cardiac Doppler findings.$80.21–$121.29

76828 billing questions

How does this differ from 76827?

76828 is for repeat or follow-up fetal cardiac Doppler imaging. 76827 describes the complete Doppler fetal echocardiographic study.

How does this differ from 76826?

76826 covers follow-up or repeat fetal echocardiography using real-time imaging and M-mode when performed. 76828 identifies the follow-up Doppler assessment with spectral display.

Can 76828 be reported with 76826?

They describe different aspects of a follow-up fetal echocardiographic examination: real-time imaging and M-mode under 76826, and Doppler assessment under 76828. The documentation should support both services.

Which modifiers identify the professional and technical portions?

Append modifier 26 for the professional interpretation or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports follow-up Doppler reporting?

Document the reason for reassessment, the fetal cardiac Doppler evaluation performed, the spectral findings, and the interpretation. The record should support that this was a repeat or follow-up Doppler study.

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 76828PPRRVU2026_Oct_nonQPP.csv, line 8,817 (RVU26D)

Open CMS sourceHow we calculate rates

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