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CMS RVU26D · Effective 2026-10-01

76814 in Merced

Office / nonfacility

$78.51

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 ultrasound

About 76814: Additional gestation nuchal translucency ultrasound

Reports nuchal translucency ultrasound measurement for each gestation beyond the first in a multifetal pregnancy, alongside the primary measurement service.

This add-on represents nuchal translucency ultrasound measurement for an additional gestation in a multifetal pregnancy. The examination uses obstetric ultrasound to assess the fluid space at the back of the fetal neck as part of first-trimester screening. It may be performed by an obstetrician, maternal-fetal medicine specialist, or radiologist with appropriate ultrasound expertise in an office or imaging setting.

Report 76814 for each additional gestation measured beyond the first, with 76813 for the initial gestation. Documentation should identify the multifetal pregnancy and support the additional gestation examined, with image documentation and the measurement and interpretation recorded. CMS classifies 76814 as an add-on code, so it is reported with its primary procedure and paid within that procedure’s global period. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.

CMS billing rules for 76814

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 RVU0.97 · 43%
  • Practice expense (office) RVU1.22 · 54%
  • Malpractice RVU0.05 · 2%

12

Medicare services in 2024 · #6154 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.

76814 compared with similar codes

Office rates for Merced, from the same CMS release.

76813

Nuchal translucency

Single or first gestation

$122.32

76813 covers the nuchal translucency measurement for the first gestation. Use 76814 only for each additional gestation in the same multifetal pregnancy.

76802

Obstetric ultrasound

Additional fetus under 14 weeks

$63.37

76802 describes an additional-fetus early obstetric ultrasound, not the additional-gestation nuchal translucency service represented by 76814.

76812

Detailed OB ultrasound

Each additional fetus

$206.59

76812 is for an additional gestation in a detailed obstetric ultrasound. Choose 76814 when the additional service is nuchal translucency measurement.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 76814 is $78.69—$0.18 higher than the $78.51 rate in Merced. Both use the same code, release and participation basis.

76814 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $78.51

  2. Bakersfield

    $78.69

    $0.18 higher than Merced

  3. Chico

    $78.51

    The same base rate than Merced

  4. El Centro

    $78.51

    The same base rate than Merced

  5. Fresno

    $78.51

    The same base rate than Merced

  6. Hanford-Corcoran

    $78.51

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $83.04

    $4.53 higher than Merced

Other payment areas listed in California 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, 76814 ranges from $68.26 in Arkansas to $95.62 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

  • Madera

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 76814

    Office

    $89.00

    Facility

    Unavailable

    $10.49 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76814

    Office

    $82.51

    Facility

    Unavailable

    $4.00 higher than Merced for the office setting.

  • Redding

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76814

    Office

    $79.07

    Facility

    Unavailable

    $0.56 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76814

    Office

    $81.85

    Facility

    Unavailable

    $3.34 higher than Merced for the office setting.

  • Salinas

    California · 76814

    Office

    $81.53

    Facility

    Unavailable

    $3.02 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76814

    Office

    $83.01

    Facility

    Unavailable

    $4.50 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76814

    Office

    $93.70

    Facility

    Unavailable

    $15.19 higher than Merced for the office setting.

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

    California · 76814

    Office

    $93.64

    Facility

    Unavailable

    $15.13 higher than Merced for the office setting.

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

    California · 76814

    Office

    $95.62

    Facility

    Unavailable

    $17.11 higher than Merced for the office setting.

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

    California · 76814

    Office

    $95.39

    Facility

    Unavailable

    $16.88 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76814

    Office

    $80.26

    Facility

    Unavailable

    $1.75 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 76814

    Office

    $83.48

    Facility

    Unavailable

    $4.97 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 76814

    Office

    $81.71

    Facility

    Unavailable

    $3.20 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 76814

    Office

    $84.31

    Facility

    Unavailable

    $5.80 higher than Merced for the office setting.

  • Stockton

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 76814

    Office

    $88.91

    Facility

    Unavailable

    $10.40 higher than Merced for the office setting.

  • Visalia

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 76814

    Office

    $78.51

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76814

    Office

    $84.01

    Facility

    Unavailable

    $5.50 higher than Merced for the office setting.

  • Miami

    Florida · 76814

    Office

    $79.04

    Facility

    Unavailable

    $0.53 higher than Merced for the office setting.

  • Chicago

    Illinois · 76814

    Office

    $77.41

    Facility

    Unavailable

    $1.10 lower than Merced for the office setting.

  • Manhattan

    New York · 76814

    Office

    $84.47

    Facility

    Unavailable

    $5.96 higher than Merced for the office setting.

  • Alaska*

    Alaska · 76814

    Office

    $92.92

    Facility

    Unavailable

    $14.41 higher than Merced for the office setting.

  • Alabama

    Alabama · 76814

    Office

    $69.00

    Facility

    Unavailable

    $9.51 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 76814

    Office

    $68.26

    Facility

    Unavailable

    $10.25 lower than Merced for the office setting.

  • Arizona

    Arizona · 76814

    Office

    $73.31

    Facility

    Unavailable

    $5.20 lower than Merced for the office setting.

  • Colorado

    Colorado · 76814

    Office

    $77.45

    Facility

    Unavailable

    $1.06 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 76814

    Office

    $78.95

    Facility

    Unavailable

    $0.44 higher than Merced for the office setting.

  • Delaware

    Delaware · 76814

    Office

    $74.32

    Facility

    Unavailable

    $4.19 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 76814

    Office

    $76.70

    Facility

    Unavailable

    $1.81 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 76814

    Office

    $73.87

    Facility

    Unavailable

    $4.64 lower than Merced for the office setting.

  • Atlanta

    Georgia · 76814

    Office

    $75.90

    Facility

    Unavailable

    $2.61 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 76814

    Office

    $70.74

    Facility

    Unavailable

    $7.77 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 76814

    Office

    $79.70

    Facility

    Unavailable

    $1.19 higher than Merced for the office setting.

  • Iowa

    Iowa · 76814

    Office

    $70.35

    Facility

    Unavailable

    $8.16 lower than Merced for the office setting.

  • Idaho

    Idaho · 76814

    Office

    $70.68

    Facility

    Unavailable

    $7.83 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 76814

    Office

    $73.25

    Facility

    Unavailable

    $5.26 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 76814

    Office

    $72.21

    Facility

    Unavailable

    $6.30 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 76814

    Office

    $77.43

    Facility

    Unavailable

    $1.08 lower than Merced for the office setting.

  • Indiana

    Indiana · 76814

    Office

    $70.98

    Facility

    Unavailable

    $7.53 lower than Merced for the office setting.

  • Kansas

    Kansas · 76814

    Office

    $70.08

    Facility

    Unavailable

    $8.43 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 76814

    Office

    $70.15

    Facility

    Unavailable

    $8.36 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 76814

    Office

    $72.64

    Facility

    Unavailable

    $5.87 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 76814

    Office

    $70.06

    Facility

    Unavailable

    $8.45 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 76814

    Office

    $83.87

    Facility

    Unavailable

    $5.36 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76814

    Office

    $77.16

    Facility

    Unavailable

    $1.35 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76814

    Office

    $78.71

    Facility

    Unavailable

    $0.20 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 76814

    Office

    $75.49

    Facility

    Unavailable

    $3.02 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 76814

    Office

    $70.93

    Facility

    Unavailable

    $7.58 lower than Merced for the office setting.

  • Southern Maine

    Maine · 76814

    Office

    $73.84

    Facility

    Unavailable

    $4.67 lower than Merced for the office setting.

  • Detroit

    Michigan · 76814

    Office

    $74.54

    Facility

    Unavailable

    $3.97 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 76814

    Office

    $71.49

    Facility

    Unavailable

    $7.02 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 76814

    Office

    $74.82

    Facility

    Unavailable

    $3.69 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 76814

    Office

    $72.29

    Facility

    Unavailable

    $6.22 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 76814

    Office

    $72.87

    Facility

    Unavailable

    $5.64 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 76814

    Office

    $69.15

    Facility

    Unavailable

    $9.36 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 76814

    Office

    $68.72

    Facility

    Unavailable

    $9.79 lower than Merced for the office setting.

  • Montana**

    Montana · 76814

    Office

    $74.81

    Facility

    Unavailable

    $3.70 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 76814

    Office

    $71.48

    Facility

    Unavailable

    $7.03 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 76814

    Office

    $73.83

    Facility

    Unavailable

    $4.68 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 76814

    Office

    $70.64

    Facility

    Unavailable

    $7.87 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 76814

    Office

    $76.28

    Facility

    Unavailable

    $2.23 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 76814

    Office

    $83.49

    Facility

    Unavailable

    $4.98 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 76814

    Office

    $80.02

    Facility

    Unavailable

    $1.51 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 76814

    Office

    $71.77

    Facility

    Unavailable

    $6.74 lower than Merced for the office setting.

  • Nevada**

    Nevada · 76814

    Office

    $74.58

    Facility

    Unavailable

    $3.93 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76814

    Office

    $86.02

    Facility

    Unavailable

    $7.51 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76814

    Office

    $80.50

    Facility

    Unavailable

    $1.99 higher than Merced for the office setting.

  • Queens

    New York · 76814

    Office

    $85.05

    Facility

    Unavailable

    $6.54 higher than Merced for the office setting.

  • Rest Of New York

    New York · 76814

    Office

    $72.28

    Facility

    Unavailable

    $6.23 lower than Merced for the office setting.

  • Ohio

    Ohio · 76814

    Office

    $71.29

    Facility

    Unavailable

    $7.22 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 76814

    Office

    $70.09

    Facility

    Unavailable

    $8.42 lower than Merced for the office setting.

  • Portland

    Oregon · 76814

    Office

    $79.43

    Facility

    Unavailable

    $0.92 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 76814

    Office

    $74.16

    Facility

    Unavailable

    $4.35 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76814

    Office

    $77.39

    Facility

    Unavailable

    $1.12 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76814

    Office

    $71.38

    Facility

    Unavailable

    $7.13 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 76814

    Office

    $75.24

    Facility

    Unavailable

    $3.27 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 76814

    Office

    $76.60

    Facility

    Unavailable

    $1.91 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 76814

    Office

    $71.47

    Facility

    Unavailable

    $7.04 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 76814

    Office

    $73.71

    Facility

    Unavailable

    $4.80 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 76814

    Office

    $70.34

    Facility

    Unavailable

    $8.17 lower than Merced for the office setting.

  • Austin

    Texas · 76814

    Office

    $77.06

    Facility

    Unavailable

    $1.45 lower than Merced for the office setting.

  • Beaumont

    Texas · 76814

    Office

    $71.03

    Facility

    Unavailable

    $7.48 lower than Merced for the office setting.

  • Brazoria

    Texas · 76814

    Office

    $74.34

    Facility

    Unavailable

    $4.17 lower than Merced for the office setting.

  • Dallas

    Texas · 76814

    Office

    $74.71

    Facility

    Unavailable

    $3.80 lower than Merced for the office setting.

  • Fort Worth

    Texas · 76814

    Office

    $74.32

    Facility

    Unavailable

    $4.19 lower than Merced for the office setting.

  • Galveston

    Texas · 76814

    Office

    $74.50

    Facility

    Unavailable

    $4.01 lower than Merced for the office setting.

  • Houston

    Texas · 76814

    Office

    $75.42

    Facility

    Unavailable

    $3.09 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 76814

    Office

    $72.58

    Facility

    Unavailable

    $5.93 lower than Merced for the office setting.

  • Utah

    Utah · 76814

    Office

    $72.20

    Facility

    Unavailable

    $6.31 lower than Merced for the office setting.

  • Virginia

    Virginia · 76814

    Office

    $73.63

    Facility

    Unavailable

    $4.88 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76814

    Office

    $75.24

    Facility

    Unavailable

    $3.27 lower than Merced for the office setting.

  • Vermont

    Vermont · 76814

    Office

    $73.59

    Facility

    Unavailable

    $4.92 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 76814

    Office

    $77.00

    Facility

    Unavailable

    $1.51 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 76814

    Office

    $85.38

    Facility

    Unavailable

    $6.87 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 76814

    Office

    $71.95

    Facility

    Unavailable

    $6.56 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 76814

    Office

    $70.20

    Facility

    Unavailable

    $8.31 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 76814

    Office

    $74.38

    Facility

    Unavailable

    $4.13 lower than Merced for the office setting.

See how rates vary across the country

76814 · 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.

$68.26

$92.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$92.921
AL$69.001
AR$68.261
AZ$73.311
CA$78.51–$95.6229
CO$77.451
CT$78.951
DC$84.011
DE$74.321
FL$73.87–$79.043
GA$70.74–$75.902
GU$79.701
HI$79.701
IA$70.351
ID$70.681
IL$72.21–$77.434
IN$70.981
KS$70.081
KY$70.151
LA$70.06–$72.642
MA$77.16–$83.872
MD$75.49–$84.013
ME$70.93–$73.842
MI$71.49–$74.542
MN$74.821
MO$69.15–$72.873
MS$68.721
MT$74.811
NC$71.481
ND$73.831
NE$70.641
NH$76.281
NJ$80.02–$83.492
NM$71.771
NV$74.581
NY$72.28–$86.025
OH$71.291
OK$70.091
OR$74.16–$79.432
PA$71.38–$77.392
PR$75.241
RI$76.601
SC$71.471
SD$73.711
TN$70.341
TX$71.03–$77.068
UT$72.201
VA$73.63–$84.012
VI$75.241
VT$73.591
WA$77.00–$85.382
WI$71.951
WV$70.201
WY$74.381

Explore 76814 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76814 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$86.36

$78.51 × 110% = $86.36

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 76814 in Merced.

PPRRVU2026_Oct_nonQPP.csv

8,784

Code
76814
Physician work
0.97
Practice expense
1.22
Malpractice
0.05

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76814 in Merced
ComponentRVULocality factorAdjusted
Physician work0.97× 1.0170.9865
Practice expense1.22× 1.0961.3371
Malpractice0.05× 0.5360.0268
Total RVUs2.3504
Conversion factor× 33.4009

Office / nonfacility rate, Merced$78.51

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

Open 76814 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.971.017
Practice expense1.221.096
Malpractice0.050.536

(0.97 × 1.017 + 1.22 × 1.096 + 0.05 × 0.536) × $33.4009 = $78.51

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

76814 · Office / nonfacility

$78.51

Effective 2026-10-01

The base rate is $3.78 higher than on 2025-10-01, moving from $74.73 to $78.51 (5.1%).

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

    $74.73changed to$78.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.99 changed to 0.97
    • Practice expense RVU 1.18 changed to 1.22
    • Malpractice RVU 0.03 changed to 0.05
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $74.73

    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$78.51Not available in this settingRVU26D
2026-07-01$78.51Not available in this settingRVU26C
2026-04-01$78.51Not available in this settingRVU26B
2026-01-01$78.51Not available in this settingRVU26A
2025-10-01$74.73Not available in this settingRVU25D
2025-07-01$74.73Not available in this settingRVU25C
2025-04-01$74.73Not available in this settingRVU25B
2025-01-01$74.73Not available in this settingRVU25A

76814 billing questions

Which primary code must accompany 76814?

Report 76814 with 76813, which represents the nuchal translucency measurement for the first gestation. This add-on is not reported by itself.

How many units should be reported?

Report one unit for each additional gestation measured beyond the first. Documentation should support the number of additional gestations examined.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

Is 76814 used for a routine additional-fetus ultrasound?

No. It applies to nuchal translucency measurement for an additional gestation. Other obstetric ultrasound codes describe additional-fetus examinations for different study types.

What documentation supports the additional unit?

The record should support a multifetal pregnancy and show that nuchal translucency was measured for each additional gestation billed, with the relevant image documentation and interpretation.

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 76814PPRRVU2026_Oct_nonQPP.csv, line 8,784 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet