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CMS RVU26D · Effective 2026-10-01

76856 in Austin

Office / nonfacility

$109.77

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Diagnostic imaging

About 76856: Complete nonobstetric pelvic ultrasound

Report this code for a complete nonobstetric pelvic ultrasound assessing pelvic organs, commonly for pelvic pain, abnormal bleeding, or a suspected mass.

This service is a complete ultrasound examination of the nonpregnant pelvis, most often performed transabdominally by a sonographer and interpreted by a physician. Common reasons include pelvic pain, abnormal uterine bleeding, suspected fibroids or ovarian cysts, and evaluation of a pelvic mass. The study typically assesses the uterus, endometrium, ovaries, adnexa, and other relevant pelvic structures, with saved images and a written interpretation.

Select the complete study when the examination evaluates the relevant pelvic structures rather than only a limited question or region. The report should identify the structures assessed and document findings supporting the medical need. A separately performed transvaginal nonobstetric examination may be reported with 76830 when the documentation supports both services. CMS recognizes professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

CMS billing rules for 76856

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.

Where the value comes from

  • Work RVU0.67 · 21%
  • Practice expense (office) RVU2.43 · 77%
  • Malpractice RVU0.05 · 2%

364.1K

Medicare services in 2024 · #276 by national volume

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.

76856 compared with similar codes

Office rates for Austin, from the same CMS release.

76857

Pelvic ultrasound

Limited or follow-up

$52.92

76856 represents a complete pelvic examination; 76857 is for a limited study addressing a focused question or selected structures.

76830

Pelvic ultrasound

Transvaginal, nonobstetric

$122.79

76830 describes nonobstetric transvaginal imaging. It may accompany 76856 when both the transabdominal complete study and transvaginal examination are performed.

76817

OB ultrasound

Transvaginal approach

$96.59

76817 is for transvaginal obstetric ultrasound. Use 76856 for a complete nonobstetric pelvic study.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 76856 is $97.79—$11.98 lower than the $109.77 rate in Austin. Both use the same code, release and participation basis.

76856 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $109.77

  2. Beaumont

    $97.79

    $11.98 lower than Austin

  3. Brazoria

    $104.29

    $5.48 lower than Austin

  4. Dallas

    $104.85

    $4.92 lower than Austin

  5. Fort Worth

    $104.06

    $5.71 lower than Austin

  6. Galveston

    $104.54

    $5.23 lower than Austin

  7. Houston

    $105.45

    $4.32 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 76856 ranges from $92.96 in Arkansas to $142.77 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 76856

    Office

    $100.91

    Facility

    Unavailable

    $8.86 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 76856

    Office

    $120.42

    Facility

    Unavailable

    $10.65 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76856

    Office

    $121.06

    Facility

    Unavailable

    $11.29 higher than Austin for the office setting.

  • Miami

    Florida · 76856

    Office

    $111.09

    Facility

    Unavailable

    $1.32 higher than Austin for the office setting.

  • Chicago

    Illinois · 76856

    Office

    $107.94

    Facility

    Unavailable

    $1.83 lower than Austin for the office setting.

  • Manhattan

    New York · 76856

    Office

    $120.77

    Facility

    Unavailable

    $11.00 higher than Austin for the office setting.

  • Alaska*

    Alaska · 76856

    Office

    $120.93

    Facility

    Unavailable

    $11.16 higher than Austin for the office setting.

  • Alabama

    Alabama · 76856

    Office

    $94.34

    Facility

    Unavailable

    $15.43 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 76856

    Office

    $92.96

    Facility

    Unavailable

    $16.81 lower than Austin for the office setting.

  • Arizona

    Arizona · 76856

    Office

    $102.46

    Facility

    Unavailable

    $7.31 lower than Austin for the office setting.

  • Bakersfield

    California · 76856

    Office

    $112.78

    Facility

    Unavailable

    $3.01 higher than Austin for the office setting.

  • Chico

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • El Centro

    California · 76856

    Office

    $112.62

    Facility

    Unavailable

    $2.85 higher than Austin for the office setting.

  • Fresno

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Madera

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Merced

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Modesto

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Napa

    California · 76856

    Office

    $131.61

    Facility

    Unavailable

    $21.84 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76856

    Office

    $119.98

    Facility

    Unavailable

    $10.21 higher than Austin for the office setting.

  • Redding

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Rest Of California

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76856

    Office

    $113.16

    Facility

    Unavailable

    $3.39 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76856

    Office

    $118.47

    Facility

    Unavailable

    $8.70 higher than Austin for the office setting.

  • Salinas

    California · 76856

    Office

    $118.04

    Facility

    Unavailable

    $8.27 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76856

    Office

    $121.03

    Facility

    Unavailable

    $11.26 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76856

    Office

    $139.71

    Facility

    Unavailable

    $29.94 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 76856

    Office

    $139.66

    Facility

    Unavailable

    $29.89 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 76856

    Office

    $142.77

    Facility

    Unavailable

    $33.00 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 76856

    Office

    $142.54

    Facility

    Unavailable

    $32.77 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76856

    Office

    $116.10

    Facility

    Unavailable

    $6.33 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 76856

    Office

    $122.36

    Facility

    Unavailable

    $12.59 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 76856

    Office

    $118.54

    Facility

    Unavailable

    $8.77 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 76856

    Office

    $123.61

    Facility

    Unavailable

    $13.84 higher than Austin for the office setting.

  • Stockton

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Vallejo

    California · 76856

    Office

    $131.53

    Facility

    Unavailable

    $21.76 higher than Austin for the office setting.

  • Visalia

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Yuba City

    California · 76856

    Office

    $112.61

    Facility

    Unavailable

    $2.84 higher than Austin for the office setting.

  • Colorado

    Colorado · 76856

    Office

    $110.31

    Facility

    Unavailable

    $0.54 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 76856

    Office

    $112.26

    Facility

    Unavailable

    $2.49 higher than Austin for the office setting.

  • Delaware

    Delaware · 76856

    Office

    $104.18

    Facility

    Unavailable

    $5.59 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 76856

    Office

    $107.62

    Facility

    Unavailable

    $2.15 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 76856

    Office

    $102.48

    Facility

    Unavailable

    $7.29 lower than Austin for the office setting.

  • Atlanta

    Georgia · 76856

    Office

    $106.91

    Facility

    Unavailable

    $2.86 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 76856

    Office

    $96.77

    Facility

    Unavailable

    $13.00 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 76856

    Office

    $115.63

    Facility

    Unavailable

    $5.86 higher than Austin for the office setting.

  • Iowa

    Iowa · 76856

    Office

    $97.31

    Facility

    Unavailable

    $12.46 lower than Austin for the office setting.

  • Idaho

    Idaho · 76856

    Office

    $97.84

    Facility

    Unavailable

    $11.93 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 76856

    Office

    $100.41

    Facility

    Unavailable

    $9.36 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 76856

    Office

    $99.09

    Facility

    Unavailable

    $10.68 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 76856

    Office

    $108.85

    Facility

    Unavailable

    $0.92 lower than Austin for the office setting.

  • Indiana

    Indiana · 76856

    Office

    $98.43

    Facility

    Unavailable

    $11.34 lower than Austin for the office setting.

  • Kansas

    Kansas · 76856

    Office

    $96.59

    Facility

    Unavailable

    $13.18 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 76856

    Office

    $96.06

    Facility

    Unavailable

    $13.71 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 76856

    Office

    $100.65

    Facility

    Unavailable

    $9.12 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 76856

    Office

    $95.81

    Facility

    Unavailable

    $13.96 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 76856

    Office

    $121.69

    Facility

    Unavailable

    $11.92 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76856

    Office

    $109.53

    Facility

    Unavailable

    $0.24 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76856

    Office

    $111.89

    Facility

    Unavailable

    $2.12 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 76856

    Office

    $106.27

    Facility

    Unavailable

    $3.50 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 76856

    Office

    $98.09

    Facility

    Unavailable

    $11.68 lower than Austin for the office setting.

  • Southern Maine

    Maine · 76856

    Office

    $103.87

    Facility

    Unavailable

    $5.90 lower than Austin for the office setting.

  • Detroit

    Michigan · 76856

    Office

    $103.52

    Facility

    Unavailable

    $6.25 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 76856

    Office

    $98.37

    Facility

    Unavailable

    $11.40 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 76856

    Office

    $106.39

    Facility

    Unavailable

    $3.38 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 76856

    Office

    $100.22

    Facility

    Unavailable

    $9.55 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 76856

    Office

    $101.32

    Facility

    Unavailable

    $8.45 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 76856

    Office

    $93.97

    Facility

    Unavailable

    $15.80 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 76856

    Office

    $93.50

    Facility

    Unavailable

    $16.27 lower than Austin for the office setting.

  • Montana**

    Montana · 76856

    Office

    $105.21

    Facility

    Unavailable

    $4.56 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 76856

    Office

    $99.17

    Facility

    Unavailable

    $10.60 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 76856

    Office

    $104.22

    Facility

    Unavailable

    $5.55 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 76856

    Office

    $97.92

    Facility

    Unavailable

    $11.85 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 76856

    Office

    $108.33

    Facility

    Unavailable

    $1.44 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 76856

    Office

    $119.72

    Facility

    Unavailable

    $9.95 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 76856

    Office

    $113.74

    Facility

    Unavailable

    $3.97 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 76856

    Office

    $98.81

    Facility

    Unavailable

    $10.96 lower than Austin for the office setting.

  • Nevada**

    Nevada · 76856

    Office

    $105.02

    Facility

    Unavailable

    $4.75 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76856

    Office

    $123.42

    Facility

    Unavailable

    $13.65 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76856

    Office

    $114.28

    Facility

    Unavailable

    $4.51 higher than Austin for the office setting.

  • Queens

    New York · 76856

    Office

    $122.16

    Facility

    Unavailable

    $12.39 higher than Austin for the office setting.

  • Rest Of New York

    New York · 76856

    Office

    $100.66

    Facility

    Unavailable

    $9.11 lower than Austin for the office setting.

  • Ohio

    Ohio · 76856

    Office

    $98.16

    Facility

    Unavailable

    $11.61 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 76856

    Office

    $96.16

    Facility

    Unavailable

    $13.61 lower than Austin for the office setting.

  • Portland

    Oregon · 76856

    Office

    $114.15

    Facility

    Unavailable

    $4.38 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 76856

    Office

    $104.39

    Facility

    Unavailable

    $5.38 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76856

    Office

    $109.27

    Facility

    Unavailable

    $0.50 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76856

    Office

    $98.47

    Facility

    Unavailable

    $11.30 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 76856

    Office

    $106.08

    Facility

    Unavailable

    $3.69 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 76856

    Office

    $108.14

    Facility

    Unavailable

    $1.63 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 76856

    Office

    $98.79

    Facility

    Unavailable

    $10.98 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 76856

    Office

    $104.10

    Facility

    Unavailable

    $5.67 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 76856

    Office

    $97.05

    Facility

    Unavailable

    $12.72 lower than Austin for the office setting.

  • Utah

    Utah · 76856

    Office

    $100.17

    Facility

    Unavailable

    $9.60 lower than Austin for the office setting.

  • Virginia

    Virginia · 76856

    Office

    $103.34

    Facility

    Unavailable

    $6.43 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76856

    Office

    $106.08

    Facility

    Unavailable

    $3.69 lower than Austin for the office setting.

  • Vermont

    Vermont · 76856

    Office

    $103.58

    Facility

    Unavailable

    $6.19 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 76856

    Office

    $109.41

    Facility

    Unavailable

    $0.36 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 76856

    Office

    $124.45

    Facility

    Unavailable

    $14.68 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 76856

    Office

    $100.65

    Facility

    Unavailable

    $9.12 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 76856

    Office

    $95.30

    Facility

    Unavailable

    $14.47 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 76856

    Office

    $104.78

    Facility

    Unavailable

    $4.99 lower than Austin for the office setting.

See how rates vary across the country

76856 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$92.96

$127.69

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$120.931
AL$94.341
AR$92.961
AZ$102.461
CA$112.61–$142.7729
CO$110.311
CT$112.261
DC$121.061
DE$104.181
FL$102.48–$111.093
GA$96.77–$106.912
GU$115.631
HI$115.631
IA$97.311
ID$97.841
IL$99.09–$108.854
IN$98.431
KS$96.591
KY$96.061
LA$95.81–$100.652
MA$109.53–$121.692
MD$106.27–$121.063
ME$98.09–$103.872
MI$98.37–$103.522
MN$106.391
MO$93.97–$101.323
MS$93.501
MT$105.211
NC$99.171
ND$104.221
NE$97.921
NH$108.331
NJ$113.74–$119.722
NM$98.811
NV$105.021
NY$100.66–$123.425
OH$98.161
OK$96.161
OR$104.39–$114.152
PA$98.47–$109.272
PR$106.081
RI$108.141
SC$98.791
SD$104.101
TN$97.051
TX$97.79–$109.778
UT$100.171
VA$103.34–$121.062
VI$106.081
VT$103.581
WA$109.41–$124.452
WI$100.651
WV$95.301
WY$104.781

Explore 76856 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76856 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$120.75

$109.77 × 110% = $120.75

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 76856 in Austin.

PPRRVU2026_Oct_nonQPP.csv

8,826

Code
76856
Physician work
0.67
Practice expense
2.43
Malpractice
0.05

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 76856 in Austin
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0020.6713
Practice expense2.43× 1.0582.5709
Malpractice0.05× 0.8860.0443
Total RVUs3.2866
Conversion factor× 33.4009

Office / nonfacility rate, Austin$109.77

Open 76856 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.671.002
Practice expense2.431.058
Malpractice0.050.886

(0.67 × 1.002 + 2.43 × 1.058 + 0.05 × 0.886) × $33.4009 = $109.77

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

76856 · Office / nonfacility

$109.77

Effective 2026-10-01

The base rate is $4.77 higher than on 2025-10-01, moving from $105.00 to $109.77 (4.5%).

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

    $105.00changed to$109.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Practice expense RVU 2.40 changed to 2.43
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $105.00

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$109.77Not available in this settingRVU26D
2026-07-01$109.77Not available in this settingRVU26C
2026-04-01$109.77Not available in this settingRVU26B
2026-01-01$109.77Not available in this settingRVU26A
2025-10-01$105.00Not available in this settingRVU25D
2025-07-01$105.00Not available in this settingRVU25C
2025-04-01$105.00Not available in this settingRVU25B
2025-01-01$105.00Not available in this settingRVU25A

76856 billing questions

Can 76856 and 76830 be reported for the same encounter?

They may be reported together when both a complete pelvic ultrasound and a nonobstetric transvaginal examination are performed and documented. The report should support each service.

Which modifier identifies the interpretation only?

Append modifier 26 when billing only the physician's professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.

How does the imaging multiple procedure reduction affect this code?

CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.

What documentation supports a complete pelvic study?

Document the clinical reason, pelvic structures evaluated, saved images, and interpretation. The findings and scope should support a complete examination rather than a focused limited 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 76856PPRRVU2026_Oct_nonQPP.csv, line 8,826 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet