CPT code 76883: Nerve ultrasound, one extremity, comprehensive2026 Medicare rate & RVUs in Puerto Rico
Report this code for a comprehensive ultrasound evaluation of peripheral nerves and associated structures in one extremity, with image documentation and interpretation.
In Puerto Rico, Medicare pays $74.80 for 76883 in the office.
Check a contract rate as a % of Medicare · 76883 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 76883 covers
This service is a comprehensive ultrasound assessment of peripheral nerves and associated structures in one extremity. The examination images clinically relevant nerves and surrounding anatomy; a qualified interpreting clinician reviews the images and documents the findings. Neurologists, radiologists, and physical medicine and rehabilitation physicians may use it when evaluating suspected focal nerve entrapment, nerve enlargement, nerve injury, or another peripheral nerve abnormality in an outpatient or hospital setting.
Select this code when the record supports a comprehensive peripheral nerve evaluation of one extremity, rather than a focused limited extremity ultrasound. Documentation should identify the side and nerves or regions examined, the clinical indication, image findings, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and an unmodified claim represents the global service. Report the component furnished and supported by the documentation.
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 Puerto Rico compares for 76883
Across 109 of 109 payment localities, the office rate for 76883 runs from $68.62 in Arkansas to $95.10 in Alaska. Puerto Rico pays $74.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$74.80
- Los Angeles, CA · California$81.13+$6.33
- Washington, DC area · District of Columbia$82.68+$7.88
- Miami, FL · Florida$79.90+$5.10
- Chicago, IL · Illinois$78.38+$3.58
- Manhattan, NY · New York$83.82+$9.02
- Alaska · Alaska$95.10+$20.30
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $69.27 | — |
| ArkansasArkansas | $68.62 | — |
| ArizonaArizona | $73.09 | — |
| Bakersfield, CACalifornia | $77.30 | — |
| Chico, CACalifornia | $77.02 | — |
| El Centro, CACalifornia | $77.04 | — |
| Fresno, CACalifornia | $77.02 | — |
| Hanford, CACalifornia | $77.02 | — |
| Madera, CACalifornia | $77.02 | — |
| Merced, CACalifornia | $77.02 | — |
| Modesto, CACalifornia | $77.02 | — |
| Napa, CACalifornia | $85.96 | — |
| Oxnard, CACalifornia | $80.48 | — |
| Redding, CACalifornia | $77.02 | — |
| Rest of CaliforniaCalifornia | $77.02 | — |
| Riverside, CACalifornia | $77.91 | — |
| Sacramento, CACalifornia | $79.94 | — |
| Salinas, CACalifornia | $79.62 | — |
| San Diego, CACalifornia | $80.79 | — |
| Marin County, CACalifornia | $90.07 | — |
| San Francisco, CACalifornia | $89.98 | — |
| San Benito County, CACalifornia | $91.90 | — |
| Santa Clara County, CACalifornia | $91.53 | — |
| San Luis Obispo, CACalifornia | $78.42 | — |
| Santa Cruz, CACalifornia | $81.04 | — |
| Santa Maria, CACalifornia | $79.73 | — |
| Santa Rosa, CACalifornia | $81.81 | — |
| Stockton, CACalifornia | $77.02 | — |
| Vallejo, CACalifornia | $85.82 | — |
| Visalia, CACalifornia | $77.02 | — |
| Yuba City, CACalifornia | $77.02 | — |
| ColoradoColorado | $76.45 | — |
| ConnecticutConnecticut | $78.33 | — |
| DelawareDelaware | $74.02 | — |
| Fort Lauderdale, FLFlorida | $77.06 | — |
| Rest of FloridaFlorida | $74.40 | — |
| Atlanta, GAGeorgia | $75.66 | — |
| Rest of GeorgiaGeorgia | $71.50 | — |
| Hawaii, Guam, HIHawaii | $77.80 | — |
| IowaIowa | $70.12 | — |
| IdahoIdaho | $70.48 | — |
| East St. Louis, ILIllinois | $74.60 | — |
| Rest of IllinoisIllinois | $73.17 | — |
| Suburban Chicago, ILIllinois | $77.70 | — |
| IndianaIndiana | $70.75 | — |
| KansasKansas | $70.05 | — |
| KentuckyKentucky | $70.66 | — |
| New Orleans, LALouisiana | $72.94 | — |
| Rest of LouisianaLouisiana | $70.65 | — |
| Metropolitan Boston, MAMassachusetts | $82.09 | — |
| Rest of MassachusettsMassachusetts | $76.29 | — |
| Baltimore area, MDMaryland | $78.11 | — |
| Rest of MarylandMaryland | $75.05 | — |
| Rest of MaineMaine | $70.88 | — |
| Southern Maine, MEMaine | $73.21 | — |
| Detroit, MIMichigan | $75.18 | — |
| Rest of MichiganMichigan | $72.01 | — |
| MinnesotaMinnesota | $73.54 | — |
| Metropolitan Kansas City, MOMissouri | $72.45 | — |
| Metropolitan St. Louis, MOMissouri | $72.93 | — |
| Rest of MissouriMissouri | $69.94 | — |
| MississippiMississippi | $69.28 | — |
| MontanaMontana | $74.48 | — |
| North CarolinaNorth Carolina | $71.35 | — |
| North DakotaNorth Dakota | $72.90 | — |
| NebraskaNebraska | $70.33 | — |
| New HampshireNew Hampshire | $75.48 | — |
| Northern New JerseyNew Jersey | $82.33 | — |
| Rest of New JerseyNew Jersey | $79.30 | — |
| New MexicoNew Mexico | $72.33 | — |
| NevadaNevada | $74.07 | — |
| NYC suburbs and Long Island, NYNew York | $85.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $79.90 | — |
| Queens, NYNew York | $84.08 | — |
| Rest of New YorkNew York | $72.07 | — |
| OhioOhio | $71.69 | — |
| OklahomaOklahoma | $70.42 | — |
| Portland, OROregon | $78.03 | — |
| Rest of OregonOregon | $73.56 | — |
| Metropolitan Philadelphia, PAPennsylvania | $77.04 | — |
| Rest of PennsylvaniaPennsylvania | $71.68 | — |
| Rhode IslandRhode Island | $76.01 | — |
| South CarolinaSouth Carolina | $71.62 | — |
| South DakotaSouth Dakota | $72.71 | — |
| TennesseeTennessee | $70.30 | — |
| Austin, TXTexas | $76.14 | — |
| Beaumont, TXTexas | $71.38 | — |
| Brazoria, TXTexas | $73.92 | — |
| Dallas, TXTexas | $74.33 | — |
| Fort Worth, TXTexas | $74.04 | — |
| Galveston, TXTexas | $74.11 | — |
| Houston, TXTexas | $75.58 | — |
| Rest of TexasTexas | $72.57 | — |
| UtahUtah | $72.27 | — |
| VirginiaVirginia | $73.15 | — |
| Virgin Islands, VIUnited States Virgin Islands | $74.80 | — |
| VermontVermont | $72.84 | — |
| Rest of WashingtonWashington | $76.07 | — |
| King County, WAWashington | $83.32 | — |
| WisconsinWisconsin | $71.27 | — |
| West VirginiaWest Virginia | $71.39 | — |
| WyomingWyoming | $73.79 | — |
76883 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$68.62
$95.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $95.10 | 1 |
| AL | $69.27 | 1 |
| AR | $68.62 | 1 |
| AZ | $73.09 | 1 |
| CA | $77.02–$91.90 | 29 |
| CO | $76.45 | 1 |
| CT | $78.33 | 1 |
| DC | $82.68 | 1 |
| DE | $74.02 | 1 |
| FL | $74.40–$79.90 | 3 |
| GA | $71.50–$75.66 | 2 |
| GU | $77.80 | 1 |
| HI | $77.80 | 1 |
| IA | $70.12 | 1 |
| ID | $70.48 | 1 |
| IL | $73.17–$78.38 | 4 |
| IN | $70.75 | 1 |
| KS | $70.05 | 1 |
| KY | $70.66 | 1 |
| LA | $70.65–$72.94 | 2 |
| MA | $76.29–$82.09 | 2 |
| MD | $75.05–$82.68 | 3 |
| ME | $70.88–$73.21 | 2 |
| MI | $72.01–$75.18 | 2 |
| MN | $73.54 | 1 |
| MO | $69.94–$72.93 | 3 |
| MS | $69.28 | 1 |
| MT | $74.48 | 1 |
| NC | $71.35 | 1 |
| ND | $72.90 | 1 |
| NE | $70.33 | 1 |
| NH | $75.48 | 1 |
| NJ | $79.30–$82.33 | 2 |
| NM | $72.33 | 1 |
| NV | $74.07 | 1 |
| NY | $72.07–$85.42 | 5 |
| OH | $71.69 | 1 |
| OK | $70.42 | 1 |
| OR | $73.56–$78.03 | 2 |
| PA | $71.68–$77.04 | 2 |
| PR | $74.80 | 1 |
| RI | $76.01 | 1 |
| SC | $71.62 | 1 |
| SD | $72.71 | 1 |
| TN | $70.30 | 1 |
| TX | $71.38–$76.14 | 8 |
| UT | $72.27 | 1 |
| VA | $73.15–$82.68 | 2 |
| VI | $74.80 | 1 |
| VT | $72.84 | 1 |
| WA | $76.07–$83.32 | 2 |
| WI | $71.27 | 1 |
| WV | $71.39 | 1 |
| WY | $73.79 | 1 |
How the 76883 rate is calculated
Each of 76883’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 · 76883
RVUs × geographic indexes × conversion factor
Work1.18
1.18 RVUs× 1.000 GPCI
Practice expense0.97
0.97 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
2.2300
Conversion factor
$33.4009
Medicare rate
$74.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,847
- Code
- 76883
- Physician work
- 1.18
- Practice expense
- 0.97
- Malpractice
- 0.08
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.18 | × 1.000 | 1.1800 |
| Practice expense | 0.97 | × 1.011 | 0.9807 |
| Malpractice | 0.08 | × 0.985 | 0.0788 |
| Total RVUs | 2.2395 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$74.80
Office: (1.18 × 1 + 0.97 × 1.011 + 0.08 × 0.985) × $33.4009 = $74.80
Payment rules and modifiers for 76883
The CMS indicators that decide how 76883 is paid alongside other services.
CMS payment indicators · 76883
Nerve ultrasound, one extremity, comprehensive
| 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
76883 without 26 · national office
$74.48
Nerve ultrasound, one extremity, comprehensive
76883-26 · Professional component
$58.12
Pays only the interpretation and report.
How 76883 has changed in Puerto Rico
76883 · Office / nonfacility
$74.80
Effective 2026-10-01
The base rate is $4.44 higher than on 2025-10-01, moving from $70.36 to $74.80 (6.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$70.36changed to$74.80
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.21 changed to 1.18
- Practice expense RVU 0.90 changed to 0.97
- Malpractice RVU 0.06 changed to 0.08
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$71.39changed to$70.36
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.86 changed to 0.90
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$70.23changed to$71.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$73.06changed to$70.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.87 changed to 0.86
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$72.86changed to$73.06
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
No ratechanged to$72.86
Held through RVU23B, RVU23C.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $74.80 | Not available in this setting | RVU26D |
| 2026-07-01 | $74.80 | Not available in this setting | RVU26C |
| 2026-04-01 | $74.80 | Not available in this setting | RVU26B |
| 2026-01-01 | $74.80 | Not available in this setting | RVU26A |
| 2025-10-01 | $70.36 | Not available in this setting | RVU25D |
| 2025-07-01 | $70.36 | Not available in this setting | RVU25C |
| 2025-04-01 | $70.36 | Not available in this setting | RVU25B |
| 2025-01-01 | $70.36 | Not available in this setting | RVU25A |
| 2024-10-01 | $71.39 | Not available in this setting | RVU24D |
| 2024-07-01 | $71.39 | Not available in this setting | RVU24C |
| 2024-04-01 | $71.39 | Not available in this setting | RVU24B |
| 2024-03-09 | $71.39 | Not available in this setting | RVU24AR |
| 2024-01-01 | $70.23 | Not available in this setting | RVU24A |
| 2023-10-01 | $73.06 | Not available in this setting | RVU23D |
| 2023-07-01 | $72.86 | Not available in this setting | RVU23C |
| 2023-04-01 | $72.86 | Not available in this setting | RVU23B |
| 2023-01-01 | $72.86 | Not available in this setting | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
76883 billing questions
Can the professional and technical services be billed separately?
Yes. Modifier 26 represents the professional interpretation, and modifier TC represents the technical service. An unmodified claim represents the global service.
What should the report document?
Document the clinical indication, side, nerves or anatomic regions examined, ultrasound findings, and interpretation. The record should support the comprehensive scope of the examination.
Can this be reported with nerve conduction testing?
It may be reported with nerve conduction testing when both services are performed and documented for the encounter. The ultrasound report should support a distinct peripheral nerve imaging service.
Does this code describe a focused examination of one nerve?
The code represents a comprehensive evaluation of peripheral nerves and associated structures in one extremity, not simply a focused limited ultrasound.
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
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