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CMS RVU26D · Effective 2026-10-01

76810 in Delaware

Office / nonfacility

$87.82

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.

Obstetric imaging

About 76810: Additional-fetus obstetric ultrasound

Reports the standard obstetric ultrasound evaluation for each additional fetus in a pregnancy at 14 weeks or later, alongside the primary study.

This add-on covers the standard obstetric ultrasound evaluation of an additional fetus at 14 weeks or later. It is used in multiple gestations when the primary study evaluates one fetus and the examination also requires evaluation of another. A sonographer typically acquires the images in an office or hospital imaging department; a physician interprets the study and documents the findings. The additional-fetus evaluation is distinct from a detailed fetal anatomic examination.

Report 76810 with the qualifying primary obstetric ultrasound, not as a stand-alone service. Documentation should identify the gestational age and number of fetuses and support the evaluation of each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier represents the global service. CMS treats this add-on payment within the primary procedure’s global period.

CMS billing rules for 76810

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
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.

Where the value comes from

  • Work RVU0.96 · 36%
  • Practice expense (office) RVU1.63 · 62%
  • Malpractice RVU0.06 · 2%

47

Medicare services in 2024 · #5396 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.

76810 compared with similar codes

Office rates for Delaware, from the same CMS release.

76805

Obstetric ultrasound

Single fetus, 14 weeks or later

$134.65

76805 reports the primary standard obstetric ultrasound at 14 weeks or later; 76810 adds evaluation of each additional fetus.

76802

Obstetric ultrasound

Additional fetus under 14 weeks

$60.07

76802 is the standard additional-fetus code for an examination before 14 weeks. Use 76810 for the corresponding additional-fetus evaluation at 14 weeks or later.

76812

Detailed OB ultrasound

Each additional fetus

$192.75

76812 is for an additional fetus in a detailed obstetric examination; 76810 is for the standard examination.

76816

Obstetric ultrasound

Follow-up, each fetus

$110.21

76816 reports a follow-up obstetric ultrasound on a per-fetus basis. Code 76810 adds an additional fetus to a standard obstetric study at 14 weeks or later.

The same code, a different location

How does Delaware compare?

76810 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $87.82

  2. $11.30 higher than Delaware

  3. $12.34 higher than Delaware

  4. Miami

    $93.81

    $5.99 higher than Delaware

  5. Chicago

    $91.60

    $3.78 higher than Delaware

  6. Manhattan

    $100.56

    $12.74 higher than Delaware

  7. Alaska*

    $107.18

    $19.36 higher than Delaware

Other payment areas listed in Delaware 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, 76810 ranges from $79.86 in Arkansas to $115.17 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
  • Alabama

    Alabama · 76810

    Office

    $80.84

    Facility

    Unavailable

    $6.98 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 76810

    Office

    $79.86

    Facility

    Unavailable

    $7.96 lower than Delaware for the office setting.

  • Arizona

    Arizona · 76810

    Office

    $86.54

    Facility

    Unavailable

    $1.28 lower than Delaware for the office setting.

  • Bakersfield

    California · 76810

    Office

    $93.56

    Facility

    Unavailable

    $5.74 higher than Delaware for the office setting.

  • Chico

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • El Centro

    California · 76810

    Office

    $93.36

    Facility

    Unavailable

    $5.54 higher than Delaware for the office setting.

  • Fresno

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Madera

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Merced

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Modesto

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Napa

    California · 76810

    Office

    $106.86

    Facility

    Unavailable

    $19.04 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76810

    Office

    $98.56

    Facility

    Unavailable

    $10.74 higher than Delaware for the office setting.

  • Redding

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Rest Of California

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76810

    Office

    $94.02

    Facility

    Unavailable

    $6.20 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76810

    Office

    $97.61

    Facility

    Unavailable

    $9.79 higher than Delaware for the office setting.

  • Salinas

    California · 76810

    Office

    $97.23

    Facility

    Unavailable

    $9.41 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76810

    Office

    $99.23

    Facility

    Unavailable

    $11.41 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76810

    Office

    $112.80

    Facility

    Unavailable

    $24.98 higher than Delaware for the office setting.

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

    California · 76810

    Office

    $112.73

    Facility

    Unavailable

    $24.91 higher than Delaware for the office setting.

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

    California · 76810

    Office

    $115.17

    Facility

    Unavailable

    $27.35 higher than Delaware for the office setting.

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

    California · 76810

    Office

    $114.90

    Facility

    Unavailable

    $27.08 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76810

    Office

    $95.70

    Facility

    Unavailable

    $7.88 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 76810

    Office

    $99.96

    Facility

    Unavailable

    $12.14 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 76810

    Office

    $97.52

    Facility

    Unavailable

    $9.70 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 76810

    Office

    $100.96

    Facility

    Unavailable

    $13.14 higher than Delaware for the office setting.

  • Stockton

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Vallejo

    California · 76810

    Office

    $106.76

    Facility

    Unavailable

    $18.94 higher than Delaware for the office setting.

  • Visalia

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Yuba City

    California · 76810

    Office

    $93.35

    Facility

    Unavailable

    $5.53 higher than Delaware for the office setting.

  • Colorado

    Colorado · 76810

    Office

    $91.94

    Facility

    Unavailable

    $4.12 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 76810

    Office

    $93.77

    Facility

    Unavailable

    $5.95 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 76810

    Office

    $90.84

    Facility

    Unavailable

    $3.02 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 76810

    Office

    $87.12

    Facility

    Unavailable

    $0.70 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 76810

    Office

    $89.88

    Facility

    Unavailable

    $2.06 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 76810

    Office

    $83.02

    Facility

    Unavailable

    $4.80 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 76810

    Office

    $95.13

    Facility

    Unavailable

    $7.31 higher than Delaware for the office setting.

  • Iowa

    Iowa · 76810

    Office

    $82.68

    Facility

    Unavailable

    $5.14 lower than Delaware for the office setting.

  • Idaho

    Idaho · 76810

    Office

    $83.10

    Facility

    Unavailable

    $4.72 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 76810

    Office

    $86.19

    Facility

    Unavailable

    $1.63 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 76810

    Office

    $84.90

    Facility

    Unavailable

    $2.92 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 76810

    Office

    $91.75

    Facility

    Unavailable

    $3.93 higher than Delaware for the office setting.

  • Indiana

    Indiana · 76810

    Office

    $83.51

    Facility

    Unavailable

    $4.31 lower than Delaware for the office setting.

  • Kansas

    Kansas · 76810

    Office

    $82.29

    Facility

    Unavailable

    $5.53 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 76810

    Office

    $82.30

    Facility

    Unavailable

    $5.52 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 76810

    Office

    $85.57

    Facility

    Unavailable

    $2.25 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 76810

    Office

    $82.17

    Facility

    Unavailable

    $5.65 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 76810

    Office

    $100.17

    Facility

    Unavailable

    $12.35 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76810

    Office

    $91.50

    Facility

    Unavailable

    $3.68 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76810

    Office

    $93.47

    Facility

    Unavailable

    $5.65 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 76810

    Office

    $89.32

    Facility

    Unavailable

    $1.50 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 76810

    Office

    $83.40

    Facility

    Unavailable

    $4.42 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 76810

    Office

    $87.28

    Facility

    Unavailable

    $0.54 lower than Delaware for the office setting.

  • Detroit

    Michigan · 76810

    Office

    $87.98

    Facility

    Unavailable

    $0.16 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 76810

    Office

    $84.03

    Facility

    Unavailable

    $3.79 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 76810

    Office

    $88.68

    Facility

    Unavailable

    $0.86 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 76810

    Office

    $85.15

    Facility

    Unavailable

    $2.67 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 76810

    Office

    $85.90

    Facility

    Unavailable

    $1.92 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 76810

    Office

    $80.95

    Facility

    Unavailable

    $6.87 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 76810

    Office

    $80.42

    Facility

    Unavailable

    $7.40 lower than Delaware for the office setting.

  • Montana**

    Montana · 76810

    Office

    $88.51

    Facility

    Unavailable

    $0.69 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 76810

    Office

    $84.14

    Facility

    Unavailable

    $3.68 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 76810

    Office

    $87.32

    Facility

    Unavailable

    $0.50 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 76810

    Office

    $83.07

    Facility

    Unavailable

    $4.75 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 76810

    Office

    $90.49

    Facility

    Unavailable

    $2.67 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 76810

    Office

    $99.38

    Facility

    Unavailable

    $11.56 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 76810

    Office

    $95.00

    Facility

    Unavailable

    $7.18 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 76810

    Office

    $84.40

    Facility

    Unavailable

    $3.42 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 76810

    Office

    $88.23

    Facility

    Unavailable

    $0.41 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76810

    Office

    $102.57

    Facility

    Unavailable

    $14.75 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76810

    Office

    $95.55

    Facility

    Unavailable

    $7.73 higher than Delaware for the office setting.

  • Queens

    New York · 76810

    Office

    $101.36

    Facility

    Unavailable

    $13.54 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 76810

    Office

    $85.20

    Facility

    Unavailable

    $2.62 lower than Delaware for the office setting.

  • Ohio

    Ohio · 76810

    Office

    $83.79

    Facility

    Unavailable

    $4.03 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 76810

    Office

    $82.24

    Facility

    Unavailable

    $5.58 lower than Delaware for the office setting.

  • Portland

    Oregon · 76810

    Office

    $94.56

    Facility

    Unavailable

    $6.74 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 76810

    Office

    $87.70

    Facility

    Unavailable

    $0.12 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76810

    Office

    $91.71

    Facility

    Unavailable

    $3.89 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76810

    Office

    $83.94

    Facility

    Unavailable

    $3.88 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 76810

    Office

    $89.08

    Facility

    Unavailable

    $1.26 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 76810

    Office

    $90.70

    Facility

    Unavailable

    $2.88 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 76810

    Office

    $84.07

    Facility

    Unavailable

    $3.75 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 76810

    Office

    $87.18

    Facility

    Unavailable

    $0.64 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 76810

    Office

    $82.63

    Facility

    Unavailable

    $5.19 lower than Delaware for the office setting.

  • Austin

    Texas · 76810

    Office

    $91.51

    Facility

    Unavailable

    $3.69 higher than Delaware for the office setting.

  • Beaumont

    Texas · 76810

    Office

    $83.47

    Facility

    Unavailable

    $4.35 lower than Delaware for the office setting.

  • Brazoria

    Texas · 76810

    Office

    $87.84

    Facility

    Unavailable

    $0.02 higher than Delaware for the office setting.

  • Dallas

    Texas · 76810

    Office

    $88.30

    Facility

    Unavailable

    $0.48 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 76810

    Office

    $87.78

    Facility

    Unavailable

    $0.04 lower than Delaware for the office setting.

  • Galveston

    Texas · 76810

    Office

    $88.04

    Facility

    Unavailable

    $0.22 higher than Delaware for the office setting.

  • Houston

    Texas · 76810

    Office

    $89.14

    Facility

    Unavailable

    $1.32 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 76810

    Office

    $85.54

    Facility

    Unavailable

    $2.28 lower than Delaware for the office setting.

  • Utah

    Utah · 76810

    Office

    $85.04

    Facility

    Unavailable

    $2.78 lower than Delaware for the office setting.

  • Virginia

    Virginia · 76810

    Office

    $87.00

    Facility

    Unavailable

    $0.82 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76810

    Office

    $89.08

    Facility

    Unavailable

    $1.26 higher than Delaware for the office setting.

  • Vermont

    Vermont · 76810

    Office

    $86.98

    Facility

    Unavailable

    $0.84 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 76810

    Office

    $91.34

    Facility

    Unavailable

    $3.52 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 76810

    Office

    $102.11

    Facility

    Unavailable

    $14.29 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 76810

    Office

    $84.84

    Facility

    Unavailable

    $2.98 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 76810

    Office

    $82.24

    Facility

    Unavailable

    $5.58 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 76810

    Office

    $87.99

    Facility

    Unavailable

    $0.17 higher than Delaware for the office setting.

See how rates vary across the country

76810 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$79.86

$107.18

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$107.181
AL$80.841
AR$79.861
AZ$86.541
CA$93.35–$115.1729
CO$91.941
CT$93.771
DC$100.161
DE$87.821
FL$87.12–$93.813
GA$83.02–$89.882
GU$95.131
HI$95.131
IA$82.681
ID$83.101
IL$84.90–$91.754
IN$83.511
KS$82.291
KY$82.301
LA$82.17–$85.572
MA$91.50–$100.172
MD$89.32–$100.163
ME$83.40–$87.282
MI$84.03–$87.982
MN$88.681
MO$80.95–$85.903
MS$80.421
MT$88.511
NC$84.141
ND$87.321
NE$83.071
NH$90.491
NJ$95.00–$99.382
NM$84.401
NV$88.231
NY$85.20–$102.575
OH$83.791
OK$82.241
OR$87.70–$94.562
PA$83.94–$91.712
PR$89.081
RI$90.701
SC$84.071
SD$87.181
TN$82.631
TX$83.47–$91.518
UT$85.041
VA$87.00–$100.162
VI$89.081
VT$86.981
WA$91.34–$102.112
WI$84.841
WV$82.241
WY$87.991

Explore 76810 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76810 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$96.60

$87.82 × 110% = $96.60

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.

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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 76810 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,772

Code
76810
Physician work
0.96
Practice expense
1.63
Malpractice
0.06

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 76810 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.96× 1.0050.9648
Practice expense1.63× 0.9881.6104
Malpractice0.06× 0.8990.0539
Total RVUs2.6292
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$87.82

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 76810 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.961.005
Practice expense1.630.988
Malpractice0.060.899

(0.96 × 1.005 + 1.63 × 0.988 + 0.06 × 0.899) × $33.4009 = $87.82

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

76810 · Office / nonfacility

$87.82

Effective 2026-10-01

The base rate is $4.22 higher than on 2025-10-01, moving from $83.60 to $87.82 (5.0%).

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

    $83.60changed to$87.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.98 changed to 0.96
    • Practice expense RVU 1.58 changed to 1.63
    • Malpractice RVU 0.03 changed to 0.06
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $83.60

    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$87.82Not available in this settingRVU26D
2026-07-01$87.82Not available in this settingRVU26C
2026-04-01$87.82Not available in this settingRVU26B
2026-01-01$87.82Not available in this settingRVU26A
2025-10-01$83.60Not available in this settingRVU25D
2025-07-01$83.60Not available in this settingRVU25C
2025-04-01$83.60Not available in this settingRVU25B
2025-01-01$83.60Not available in this settingRVU25A

76810 billing questions

Which primary code is paired with 76810?

Pair it with 76805 when the standard obstetric ultrasound is performed at 14 weeks or later and evaluates an additional fetus.

How is 76810 different from 76812?

Use 76810 for the standard additional-fetus evaluation. Code 76812 is for an additional fetus in a detailed obstetric ultrasound.

How many units should be reported?

Report one unit for each additional fetus evaluated beyond the fetus represented by the primary study. Documentation should make the number of fetuses and the additional evaluation clear.

Can 76810 be billed by itself?

No. It is an add-on code and must be reported with its qualifying primary obstetric ultrasound.

How are the professional and technical services reported?

Use modifier 26 for the physician’s interpretation or TC for the technical service. Without either modifier, the claim represents the global service.

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 76810PPRRVU2026_Oct_nonQPP.csv, line 8,772 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)