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CMS RVU26D · Effective 2026-10-01

76802 in Ohio

Office / nonfacility

$57.68

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 76802: Early pregnancy ultrasound, additional fetus

Reports the additional-fetus portion of an obstetric ultrasound performed before 14 weeks when more than one fetus is evaluated.

This add-on represents evaluation of an additional fetus during an obstetric ultrasound performed before 14 weeks of gestation. It is used when the examination covers a multiple gestation, such as twins, beyond the first fetus. Ultrasound staff acquire the images in an obstetric practice or imaging department; a physician or other qualified practitioner interprets the study and reports its findings.

Report 76802 with the primary early-pregnancy ultrasound code 76801, not by itself. The record should support the gestational age, the number of fetuses evaluated, and findings attributable to each fetus. When billing the global service, submit without a component modifier; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. CMS treats this add-on as paid within the primary procedure's global period.

CMS billing rules for 76802

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 RVU0.81 · 45%
  • Practice expense (office) RVU0.96 · 53%
  • Malpractice RVU0.04 · 2%

79

Medicare services in 2024 · #5071 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.

76802 compared with similar codes

Office rates for Ohio, from the same CMS release.

76801

Obstetric ultrasound

Under 14 weeks, single fetus

$109.74

76801 reports the first fetus in an obstetric ultrasound before 14 weeks. Use 76802 only for an additional fetus in that examination.

76810

Obstetric ultrasound

14 weeks or later

$83.79

Both codes cover an additional fetus, but 76810 applies at 14 weeks or later; 76802 applies before 14 weeks.

76812

Detailed OB ultrasound

Each additional fetus

$182.85

76812 is for an additional fetus in a detailed obstetric ultrasound. 76802 is the additional-fetus code for the early-pregnancy examination.

The same code, a different location

How does Ohio compare?

76802 across payment areas

Same release and payment basis · bars start at $0

  1. Ohio · This locality

    $57.68

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

    $66.98

    $9.30 higher than Ohio

  3. Dc + Md/Va Suburbs

    $67.78

    $10.10 higher than Ohio

  4. Miami

    $63.81

    $6.13 higher than Ohio

  5. Chicago

    $62.54

    $4.86 higher than Ohio

  6. Manhattan

    $68.16

    $10.48 higher than Ohio

  7. Alaska*

    $75.47

    $17.79 higher than Ohio

Other payment areas listed in Ohio 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, 76802 ranges from $55.29 in Arkansas to $76.98 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 · 76802

    Office

    $55.87

    Facility

    Unavailable

    $1.81 lower than Ohio for the office setting.

  • Arkansas

    Arkansas · 76802

    Office

    $55.29

    Facility

    Unavailable

    $2.39 lower than Ohio for the office setting.

  • Arizona

    Arizona · 76802

    Office

    $59.27

    Facility

    Unavailable

    $1.59 higher than Ohio for the office setting.

  • Bakersfield

    California · 76802

    Office

    $63.53

    Facility

    Unavailable

    $5.85 higher than Ohio for the office setting.

  • Chico

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • El Centro

    California · 76802

    Office

    $63.38

    Facility

    Unavailable

    $5.70 higher than Ohio for the office setting.

  • Fresno

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Hanford-Corcoran

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Madera

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Merced

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Modesto

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Napa

    California · 76802

    Office

    $71.70

    Facility

    Unavailable

    $14.02 higher than Ohio for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76802

    Office

    $66.55

    Facility

    Unavailable

    $8.87 higher than Ohio for the office setting.

  • Redding

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Rest Of California

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76802

    Office

    $63.82

    Facility

    Unavailable

    $6.14 higher than Ohio for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76802

    Office

    $66.04

    Facility

    Unavailable

    $8.36 higher than Ohio for the office setting.

  • Salinas

    California · 76802

    Office

    $65.77

    Facility

    Unavailable

    $8.09 higher than Ohio for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76802

    Office

    $66.94

    Facility

    Unavailable

    $9.26 higher than Ohio for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76802

    Office

    $75.45

    Facility

    Unavailable

    $17.77 higher than Ohio for the office setting.

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

    California · 76802

    Office

    $75.40

    Facility

    Unavailable

    $17.72 higher than Ohio for the office setting.

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

    California · 76802

    Office

    $76.98

    Facility

    Unavailable

    $19.30 higher than Ohio for the office setting.

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

    California · 76802

    Office

    $76.80

    Facility

    Unavailable

    $19.12 higher than Ohio for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76802

    Office

    $64.75

    Facility

    Unavailable

    $7.07 higher than Ohio for the office setting.

  • Santa Cruz-Watsonville

    California · 76802

    Office

    $67.30

    Facility

    Unavailable

    $9.62 higher than Ohio for the office setting.

  • Santa Maria-Santa Barbara

    California · 76802

    Office

    $65.92

    Facility

    Unavailable

    $8.24 higher than Ohio for the office setting.

  • Santa Rosa-Petaluma

    California · 76802

    Office

    $67.96

    Facility

    Unavailable

    $10.28 higher than Ohio for the office setting.

  • Stockton

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Vallejo

    California · 76802

    Office

    $71.63

    Facility

    Unavailable

    $13.95 higher than Ohio for the office setting.

  • Visalia

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Yuba City

    California · 76802

    Office

    $63.37

    Facility

    Unavailable

    $5.69 higher than Ohio for the office setting.

  • Colorado

    Colorado · 76802

    Office

    $62.54

    Facility

    Unavailable

    $4.86 higher than Ohio for the office setting.

  • Connecticut

    Connecticut · 76802

    Office

    $63.75

    Facility

    Unavailable

    $6.07 higher than Ohio for the office setting.

  • Delaware

    Delaware · 76802

    Office

    $60.07

    Facility

    Unavailable

    $2.39 higher than Ohio for the office setting.

  • Fort Lauderdale

    Florida · 76802

    Office

    $61.95

    Facility

    Unavailable

    $4.27 higher than Ohio for the office setting.

  • Rest Of Florida

    Florida · 76802

    Office

    $59.72

    Facility

    Unavailable

    $2.04 higher than Ohio for the office setting.

  • Atlanta

    Georgia · 76802

    Office

    $61.32

    Facility

    Unavailable

    $3.64 higher than Ohio for the office setting.

  • Rest Of Georgia

    Georgia · 76802

    Office

    $57.25

    Facility

    Unavailable

    $0.43 lower than Ohio for the office setting.

  • Hawaii, Guam

    Hawaii · 76802

    Office

    $64.29

    Facility

    Unavailable

    $6.61 higher than Ohio for the office setting.

  • Iowa

    Iowa · 76802

    Office

    $56.92

    Facility

    Unavailable

    $0.76 lower than Ohio for the office setting.

  • Idaho

    Idaho · 76802

    Office

    $57.19

    Facility

    Unavailable

    $0.49 lower than Ohio for the office setting.

  • East St. Louis

    Illinois · 76802

    Office

    $59.25

    Facility

    Unavailable

    $1.57 higher than Ohio for the office setting.

  • Rest Of Illinois

    Illinois · 76802

    Office

    $58.42

    Facility

    Unavailable

    $0.74 higher than Ohio for the office setting.

  • Suburban Chicago

    Illinois · 76802

    Office

    $62.54

    Facility

    Unavailable

    $4.86 higher than Ohio for the office setting.

  • Indiana

    Indiana · 76802

    Office

    $57.43

    Facility

    Unavailable

    $0.25 lower than Ohio for the office setting.

  • Kansas

    Kansas · 76802

    Office

    $56.71

    Facility

    Unavailable

    $0.97 lower than Ohio for the office setting.

  • Kentucky

    Kentucky · 76802

    Office

    $56.78

    Facility

    Unavailable

    $0.90 lower than Ohio for the office setting.

  • New Orleans

    Louisiana · 76802

    Office

    $58.75

    Facility

    Unavailable

    $1.07 higher than Ohio for the office setting.

  • Rest Of Louisiana

    Louisiana · 76802

    Office

    $56.71

    Facility

    Unavailable

    $0.97 lower than Ohio for the office setting.

  • Metropolitan Boston

    Massachusetts · 76802

    Office

    $67.64

    Facility

    Unavailable

    $9.96 higher than Ohio for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76802

    Office

    $62.32

    Facility

    Unavailable

    $4.64 higher than Ohio for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76802

    Office

    $63.55

    Facility

    Unavailable

    $5.87 higher than Ohio for the office setting.

  • Rest Of Maryland

    Maryland · 76802

    Office

    $61.00

    Facility

    Unavailable

    $3.32 higher than Ohio for the office setting.

  • Rest Of Maine

    Maine · 76802

    Office

    $57.39

    Facility

    Unavailable

    $0.29 lower than Ohio for the office setting.

  • Southern Maine

    Maine · 76802

    Office

    $59.67

    Facility

    Unavailable

    $1.99 higher than Ohio for the office setting.

  • Detroit

    Michigan · 76802

    Office

    $60.25

    Facility

    Unavailable

    $2.57 higher than Ohio for the office setting.

  • Rest Of Michigan

    Michigan · 76802

    Office

    $57.84

    Facility

    Unavailable

    $0.16 higher than Ohio for the office setting.

  • Minnesota

    Minnesota · 76802

    Office

    $60.44

    Facility

    Unavailable

    $2.76 higher than Ohio for the office setting.

  • Metropolitan Kansas City

    Missouri · 76802

    Office

    $58.47

    Facility

    Unavailable

    $0.79 higher than Ohio for the office setting.

  • Metropolitan St. Louis

    Missouri · 76802

    Office

    $58.92

    Facility

    Unavailable

    $1.24 higher than Ohio for the office setting.

  • Rest Of Missouri

    Missouri · 76802

    Office

    $56.00

    Facility

    Unavailable

    $1.68 lower than Ohio for the office setting.

  • Mississippi

    Mississippi · 76802

    Office

    $55.65

    Facility

    Unavailable

    $2.03 lower than Ohio for the office setting.

  • Montana**

    Montana · 76802

    Office

    $60.45

    Facility

    Unavailable

    $2.77 higher than Ohio for the office setting.

  • North Carolina

    North Carolina · 76802

    Office

    $57.82

    Facility

    Unavailable

    $0.14 higher than Ohio for the office setting.

  • North Dakota**

    North Dakota · 76802

    Office

    $59.66

    Facility

    Unavailable

    $1.98 higher than Ohio for the office setting.

  • Nebraska

    Nebraska · 76802

    Office

    $57.16

    Facility

    Unavailable

    $0.52 lower than Ohio for the office setting.

  • New Hampshire

    New Hampshire · 76802

    Office

    $61.60

    Facility

    Unavailable

    $3.92 higher than Ohio for the office setting.

  • Northern Nj

    New Jersey · 76802

    Office

    $67.38

    Facility

    Unavailable

    $9.70 higher than Ohio for the office setting.

  • Rest Of New Jersey

    New Jersey · 76802

    Office

    $64.62

    Facility

    Unavailable

    $6.94 higher than Ohio for the office setting.

  • New Mexico

    New Mexico · 76802

    Office

    $58.06

    Facility

    Unavailable

    $0.38 higher than Ohio for the office setting.

  • Nevada**

    Nevada · 76802

    Office

    $60.26

    Facility

    Unavailable

    $2.58 higher than Ohio for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76802

    Office

    $69.39

    Facility

    Unavailable

    $11.71 higher than Ohio for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76802

    Office

    $65.00

    Facility

    Unavailable

    $7.32 higher than Ohio for the office setting.

  • Queens

    New York · 76802

    Office

    $68.61

    Facility

    Unavailable

    $10.93 higher than Ohio for the office setting.

  • Rest Of New York

    New York · 76802

    Office

    $58.46

    Facility

    Unavailable

    $0.78 higher than Ohio for the office setting.

  • Oklahoma

    Oklahoma · 76802

    Office

    $56.73

    Facility

    Unavailable

    $0.95 lower than Ohio for the office setting.

  • Portland

    Oregon · 76802

    Office

    $64.11

    Facility

    Unavailable

    $6.43 higher than Ohio for the office setting.

  • Rest Of Oregon

    Oregon · 76802

    Office

    $59.93

    Facility

    Unavailable

    $2.25 higher than Ohio for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76802

    Office

    $62.52

    Facility

    Unavailable

    $4.84 higher than Ohio for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76802

    Office

    $57.75

    Facility

    Unavailable

    $0.07 higher than Ohio for the office setting.

  • Puerto Rico

    Puerto Rico · 76802

    Office

    $60.79

    Facility

    Unavailable

    $3.11 higher than Ohio for the office setting.

  • Rhode Island

    Rhode Island · 76802

    Office

    $61.88

    Facility

    Unavailable

    $4.20 higher than Ohio for the office setting.

  • South Carolina

    South Carolina · 76802

    Office

    $57.82

    Facility

    Unavailable

    $0.14 higher than Ohio for the office setting.

  • South Dakota**

    South Dakota · 76802

    Office

    $59.57

    Facility

    Unavailable

    $1.89 higher than Ohio for the office setting.

  • Tennessee

    Tennessee · 76802

    Office

    $56.92

    Facility

    Unavailable

    $0.76 lower than Ohio for the office setting.

  • Austin

    Texas · 76802

    Office

    $62.22

    Facility

    Unavailable

    $4.54 higher than Ohio for the office setting.

  • Beaumont

    Texas · 76802

    Office

    $57.47

    Facility

    Unavailable

    $0.21 lower than Ohio for the office setting.

  • Brazoria

    Texas · 76802

    Office

    $60.09

    Facility

    Unavailable

    $2.41 higher than Ohio for the office setting.

  • Dallas

    Texas · 76802

    Office

    $60.38

    Facility

    Unavailable

    $2.70 higher than Ohio for the office setting.

  • Fort Worth

    Texas · 76802

    Office

    $60.08

    Facility

    Unavailable

    $2.40 higher than Ohio for the office setting.

  • Galveston

    Texas · 76802

    Office

    $60.22

    Facility

    Unavailable

    $2.54 higher than Ohio for the office setting.

  • Houston

    Texas · 76802

    Office

    $60.95

    Facility

    Unavailable

    $3.27 higher than Ohio for the office setting.

  • Rest Of Texas

    Texas · 76802

    Office

    $58.69

    Facility

    Unavailable

    $1.01 higher than Ohio for the office setting.

  • Utah

    Utah · 76802

    Office

    $58.40

    Facility

    Unavailable

    $0.72 higher than Ohio for the office setting.

  • Virginia

    Virginia · 76802

    Office

    $59.52

    Facility

    Unavailable

    $1.84 higher than Ohio for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76802

    Office

    $60.79

    Facility

    Unavailable

    $3.11 higher than Ohio for the office setting.

  • Vermont

    Vermont · 76802

    Office

    $59.47

    Facility

    Unavailable

    $1.79 higher than Ohio for the office setting.

  • Rest Of Washington

    Washington · 76802

    Office

    $62.19

    Facility

    Unavailable

    $4.51 higher than Ohio for the office setting.

  • Seattle (King Cnty)

    Washington · 76802

    Office

    $68.84

    Facility

    Unavailable

    $11.16 higher than Ohio for the office setting.

  • Wisconsin

    Wisconsin · 76802

    Office

    $58.18

    Facility

    Unavailable

    $0.50 higher than Ohio for the office setting.

  • West Virginia

    West Virginia · 76802

    Office

    $56.83

    Facility

    Unavailable

    $0.85 lower than Ohio for the office setting.

  • Wyoming**

    Wyoming · 76802

    Office

    $60.11

    Facility

    Unavailable

    $2.43 higher than Ohio for the office setting.

See how rates vary across the country

76802 · 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.

$55.29

$75.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$75.471
AL$55.871
AR$55.291
AZ$59.271
CA$63.37–$76.9829
CO$62.541
CT$63.751
DC$67.781
DE$60.071
FL$59.72–$63.813
GA$57.25–$61.322
GU$64.291
HI$64.291
IA$56.921
ID$57.191
IL$58.42–$62.544
IN$57.431
KS$56.711
KY$56.781
LA$56.71–$58.752
MA$62.32–$67.642
MD$61.00–$67.783
ME$57.39–$59.672
MI$57.84–$60.252
MN$60.441
MO$56.00–$58.923
MS$55.651
MT$60.451
NC$57.821
ND$59.661
NE$57.161
NH$61.601
NJ$64.62–$67.382
NM$58.061
NV$60.261
NY$58.46–$69.395
OH$57.681
OK$56.731
OR$59.93–$64.112
PA$57.75–$62.522
PR$60.791
RI$61.881
SC$57.821
SD$59.571
TN$56.921
TX$57.47–$62.228
UT$58.401
VA$59.52–$67.782
VI$60.791
VT$59.471
WA$62.19–$68.842
WI$58.181
WV$56.831
WY$60.111

Explore 76802 on the national rate map →

Where does this rate apply?

Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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 Ohio →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76802 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$63.45

$57.68 × 110% = $63.45

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 76802 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

8,766

Code
76802
Physician work
0.81
Practice expense
0.96
Malpractice
0.04

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office / nonfacility calculation for 76802 in Ohio
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0000.8100
Practice expense0.96× 0.9130.8765
Malpractice0.04× 1.0080.0403
Total RVUs1.7268
Conversion factor× 33.4009

Office / nonfacility rate, Ohio$57.68

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

Open 76802 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.811
Practice expense0.960.913
Malpractice0.041.008

(0.81 × 1 + 0.96 × 0.913 + 0.04 × 1.008) × $33.4009 = $57.68

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

76802 · Office / nonfacility

$57.68

Effective 2026-10-01

The base rate is $2.43 higher than on 2025-10-01, moving from $55.25 to $57.68 (4.4%).

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

    $55.25changed to$57.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.83 changed to 0.81
    • Practice expense RVU 0.93 changed to 0.96
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $55.25

    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$57.68Not available in this settingRVU26D
2026-07-01$57.68Not available in this settingRVU26C
2026-04-01$57.68Not available in this settingRVU26B
2026-01-01$57.68Not available in this settingRVU26A
2025-10-01$55.25Not available in this settingRVU25D
2025-07-01$55.25Not available in this settingRVU25C
2025-04-01$55.25Not available in this settingRVU25B
2025-01-01$55.25Not available in this settingRVU25A

76802 billing questions

When is 76802 reported instead of 76801?

Use 76801 for the first fetus in an obstetric ultrasound before 14 weeks. Add 76802 for each additional fetus evaluated in that examination.

Can 76802 be billed by itself?

No. It is an add-on to the primary early-pregnancy ultrasound, 76801.

Which modifiers identify the ultrasound components?

Use modifier 26 for the professional interpretation or TC for the technical portion. Billing without either modifier represents the global service.

What documentation supports additional units?

Document gestational age, the number of fetuses evaluated, and findings for each fetus. Report the add-on for each fetus beyond the first.

How does 76802 differ from 76810?

Both represent an additional fetus, but 76802 applies to an obstetric ultrasound before 14 weeks; 76810 is for the corresponding examination at 14 weeks or later.

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 76802PPRRVU2026_Oct_nonQPP.csv, line 8,766 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet