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CMS RVU26D · Effective 2026-10-01

76813 in Redding

Office / nonfacility

$122.32

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 76813: First-trimester nuchal translucency ultrasound

Reports a first-trimester ultrasound measurement of fetal nuchal translucency for one fetus or the first fetus in a multiple gestation.

This obstetric ultrasound measures the fluid-filled space at the back of the fetal neck during first-trimester screening for chromosomal abnormalities. An ultrasound technologist or physician acquires the images, and an interpreting physician—often an obstetrician, radiologist, or maternal-fetal medicine specialist—documents the measurement. The scan may use a transabdominal or transvaginal approach, depending on the clinical circumstances and image quality.

Report 76813 for one fetus or the first fetus in a multiple gestation; report 76814 for each additional gestation when its measurement is performed. Documentation should support the number of fetuses assessed, the nuchal translucency measurement, image acquisition, and the physician’s interpretation. CMS recognizes professional and technical components: bill modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The professional and technical components have separate payment rates.

CMS billing rules for 76813

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 RVU1.15 · 33%
  • Practice expense (office) RVU2.24 · 65%
  • Malpractice RVU0.07 · 2%

788

Medicare services in 2024 · #3165 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.

76813 compared with similar codes

Office rates for Redding, from the same CMS release.

76801

Obstetric ultrasound

Under 14 weeks, single fetus

$124.44

Choose 76813 for the NT measurement. Choose 76801 for a first-trimester obstetric ultrasound examination; it does not represent the NT measurement alone.

76814

Nuchal translucency

Each additional gestation

$78.51

76813 covers one fetus or the first fetus in a multiple gestation. 76814 covers each additional fetus whose NT is measured.

76811

Obstetric ultrasound

Detailed single gestation

$192.57

76811 is for a detailed fetal anatomic examination. 76813 is for the first-trimester nuchal translucency measurement.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 76813 is $122.57—$0.25 higher than the $122.32 rate in Redding. Both use the same code, release and participation basis.

76813 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $122.32

  2. Bakersfield

    $122.57

    $0.25 higher than Redding

  3. Chico

    $122.32

    The same base rate than Redding

  4. El Centro

    $122.33

    $0.01 higher than Redding

  5. Fresno

    $122.32

    The same base rate than Redding

  6. Hanford-Corcoran

    $122.32

    The same base rate than Redding

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

    $130.05

    $7.73 higher than Redding

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, 76813 ranges from $103.88 in Arkansas to $151.78 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 · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 76813

    Office

    $140.63

    Facility

    Unavailable

    $18.31 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76813

    Office

    $129.38

    Facility

    Unavailable

    $7.06 higher than Redding for the office setting.

  • Rest Of California

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76813

    Office

    $123.10

    Facility

    Unavailable

    $0.78 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76813

    Office

    $128.06

    Facility

    Unavailable

    $5.74 higher than Redding for the office setting.

  • Salinas

    California · 76813

    Office

    $127.57

    Facility

    Unavailable

    $5.25 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76813

    Office

    $130.31

    Facility

    Unavailable

    $7.99 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76813

    Office

    $148.63

    Facility

    Unavailable

    $26.31 higher than Redding for the office setting.

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

    California · 76813

    Office

    $148.55

    Facility

    Unavailable

    $26.23 higher than Redding for the office setting.

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

    California · 76813

    Office

    $151.78

    Facility

    Unavailable

    $29.46 higher than Redding for the office setting.

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

    California · 76813

    Office

    $151.45

    Facility

    Unavailable

    $29.13 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76813

    Office

    $125.53

    Facility

    Unavailable

    $3.21 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 76813

    Office

    $131.37

    Facility

    Unavailable

    $9.05 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 76813

    Office

    $127.98

    Facility

    Unavailable

    $5.66 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 76813

    Office

    $132.69

    Facility

    Unavailable

    $10.37 higher than Redding for the office setting.

  • Stockton

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 76813

    Office

    $140.51

    Facility

    Unavailable

    $18.19 higher than Redding for the office setting.

  • Visalia

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 76813

    Office

    $122.32

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76813

    Office

    $131.22

    Facility

    Unavailable

    $8.90 higher than Redding for the office setting.

  • Miami

    Florida · 76813

    Office

    $122.21

    Facility

    Unavailable

    $0.11 lower than Redding for the office setting.

  • Chicago

    Illinois · 76813

    Office

    $119.24

    Facility

    Unavailable

    $3.08 lower than Redding for the office setting.

  • Manhattan

    New York · 76813

    Office

    $131.52

    Facility

    Unavailable

    $9.20 higher than Redding for the office setting.

  • Alaska*

    Alaska · 76813

    Office

    $138.59

    Facility

    Unavailable

    $16.27 higher than Redding for the office setting.

  • Alabama

    Alabama · 76813

    Office

    $105.20

    Facility

    Unavailable

    $17.12 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 76813

    Office

    $103.88

    Facility

    Unavailable

    $18.44 lower than Redding for the office setting.

  • Arizona

    Arizona · 76813

    Office

    $112.91

    Facility

    Unavailable

    $9.41 lower than Redding for the office setting.

  • Colorado

    Colorado · 76813

    Office

    $120.30

    Facility

    Unavailable

    $2.02 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 76813

    Office

    $122.59

    Facility

    Unavailable

    $0.27 higher than Redding for the office setting.

  • Delaware

    Delaware · 76813

    Office

    $114.63

    Facility

    Unavailable

    $7.69 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 76813

    Office

    $118.43

    Facility

    Unavailable

    $3.89 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 76813

    Office

    $113.45

    Facility

    Unavailable

    $8.87 lower than Redding for the office setting.

  • Atlanta

    Georgia · 76813

    Office

    $117.35

    Facility

    Unavailable

    $4.97 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 76813

    Office

    $107.94

    Facility

    Unavailable

    $14.38 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 76813

    Office

    $124.83

    Facility

    Unavailable

    $2.51 higher than Redding for the office setting.

  • Iowa

    Iowa · 76813

    Office

    $107.80

    Facility

    Unavailable

    $14.52 lower than Redding for the office setting.

  • Idaho

    Idaho · 76813

    Office

    $108.35

    Facility

    Unavailable

    $13.97 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 76813

    Office

    $111.95

    Facility

    Unavailable

    $10.37 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 76813

    Office

    $110.37

    Facility

    Unavailable

    $11.95 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 76813

    Office

    $119.66

    Facility

    Unavailable

    $2.66 lower than Redding for the office setting.

  • Indiana

    Indiana · 76813

    Office

    $108.90

    Facility

    Unavailable

    $13.42 lower than Redding for the office setting.

  • Kansas

    Kansas · 76813

    Office

    $107.22

    Facility

    Unavailable

    $15.10 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 76813

    Office

    $107.06

    Facility

    Unavailable

    $15.26 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 76813

    Office

    $111.47

    Facility

    Unavailable

    $10.85 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 76813

    Office

    $106.86

    Facility

    Unavailable

    $15.46 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 76813

    Office

    $131.40

    Facility

    Unavailable

    $9.08 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76813

    Office

    $119.67

    Facility

    Unavailable

    $2.65 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76813

    Office

    $122.20

    Facility

    Unavailable

    $0.12 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 76813

    Office

    $116.66

    Facility

    Unavailable

    $5.66 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 76813

    Office

    $108.70

    Facility

    Unavailable

    $13.62 lower than Redding for the office setting.

  • Southern Maine

    Maine · 76813

    Office

    $114.03

    Facility

    Unavailable

    $8.29 lower than Redding for the office setting.

  • Detroit

    Michigan · 76813

    Office

    $114.55

    Facility

    Unavailable

    $7.77 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 76813

    Office

    $109.36

    Facility

    Unavailable

    $12.96 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 76813

    Office

    $116.09

    Facility

    Unavailable

    $6.23 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 76813

    Office

    $110.95

    Facility

    Unavailable

    $11.37 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 76813

    Office

    $111.98

    Facility

    Unavailable

    $10.34 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 76813

    Office

    $105.18

    Facility

    Unavailable

    $17.14 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 76813

    Office

    $104.56

    Facility

    Unavailable

    $17.76 lower than Redding for the office setting.

  • Montana**

    Montana · 76813

    Office

    $115.56

    Facility

    Unavailable

    $6.76 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 76813

    Office

    $109.71

    Facility

    Unavailable

    $12.61 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 76813

    Office

    $114.18

    Facility

    Unavailable

    $8.14 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 76813

    Office

    $108.35

    Facility

    Unavailable

    $13.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 76813

    Office

    $118.34

    Facility

    Unavailable

    $3.98 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 76813

    Office

    $130.12

    Facility

    Unavailable

    $7.80 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 76813

    Office

    $124.21

    Facility

    Unavailable

    $1.89 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 76813

    Office

    $109.83

    Facility

    Unavailable

    $12.49 lower than Redding for the office setting.

  • Nevada**

    Nevada · 76813

    Office

    $115.25

    Facility

    Unavailable

    $7.07 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76813

    Office

    $134.17

    Facility

    Unavailable

    $11.85 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76813

    Office

    $124.89

    Facility

    Unavailable

    $2.57 higher than Redding for the office setting.

  • Queens

    New York · 76813

    Office

    $132.68

    Facility

    Unavailable

    $10.36 higher than Redding for the office setting.

  • Rest Of New York

    New York · 76813

    Office

    $111.13

    Facility

    Unavailable

    $11.19 lower than Redding for the office setting.

  • Ohio

    Ohio · 76813

    Office

    $109.08

    Facility

    Unavailable

    $13.24 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 76813

    Office

    $107.04

    Facility

    Unavailable

    $15.28 lower than Redding for the office setting.

  • Portland

    Oregon · 76813

    Office

    $123.89

    Facility

    Unavailable

    $1.57 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 76813

    Office

    $114.57

    Facility

    Unavailable

    $7.75 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76813

    Office

    $119.78

    Facility

    Unavailable

    $2.54 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76813

    Office

    $109.30

    Facility

    Unavailable

    $13.02 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 76813

    Office

    $116.36

    Facility

    Unavailable

    $5.96 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 76813

    Office

    $118.51

    Facility

    Unavailable

    $3.81 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 76813

    Office

    $109.53

    Facility

    Unavailable

    $12.79 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 76813

    Office

    $114.01

    Facility

    Unavailable

    $8.31 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 76813

    Office

    $107.68

    Facility

    Unavailable

    $14.64 lower than Redding for the office setting.

  • Austin

    Texas · 76813

    Office

    $119.72

    Facility

    Unavailable

    $2.60 lower than Redding for the office setting.

  • Beaumont

    Texas · 76813

    Office

    $108.67

    Facility

    Unavailable

    $13.65 lower than Redding for the office setting.

  • Brazoria

    Texas · 76813

    Office

    $114.69

    Facility

    Unavailable

    $7.63 lower than Redding for the office setting.

  • Dallas

    Texas · 76813

    Office

    $115.28

    Facility

    Unavailable

    $7.04 lower than Redding for the office setting.

  • Fort Worth

    Texas · 76813

    Office

    $114.56

    Facility

    Unavailable

    $7.76 lower than Redding for the office setting.

  • Galveston

    Texas · 76813

    Office

    $114.95

    Facility

    Unavailable

    $7.37 lower than Redding for the office setting.

  • Houston

    Texas · 76813

    Office

    $116.23

    Facility

    Unavailable

    $6.09 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 76813

    Office

    $111.52

    Facility

    Unavailable

    $10.80 lower than Redding for the office setting.

  • Utah

    Utah · 76813

    Office

    $110.84

    Facility

    Unavailable

    $11.48 lower than Redding for the office setting.

  • Virginia

    Virginia · 76813

    Office

    $113.61

    Facility

    Unavailable

    $8.71 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76813

    Office

    $116.36

    Facility

    Unavailable

    $5.96 lower than Redding for the office setting.

  • Vermont

    Vermont · 76813

    Office

    $113.66

    Facility

    Unavailable

    $8.66 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 76813

    Office

    $119.47

    Facility

    Unavailable

    $2.85 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 76813

    Office

    $134.04

    Facility

    Unavailable

    $11.72 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 76813

    Office

    $110.81

    Facility

    Unavailable

    $11.51 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 76813

    Office

    $106.77

    Facility

    Unavailable

    $15.55 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 76813

    Office

    $114.96

    Facility

    Unavailable

    $7.36 lower than Redding for the office setting.

See how rates vary across the country

76813 · 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.

$103.88

$138.59

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$138.591
AL$105.201
AR$103.881
AZ$112.911
CA$122.32–$151.7829
CO$120.301
CT$122.591
DC$131.221
DE$114.631
FL$113.45–$122.213
GA$107.94–$117.352
GU$124.831
HI$124.831
IA$107.801
ID$108.351
IL$110.37–$119.664
IN$108.901
KS$107.221
KY$107.061
LA$106.86–$111.472
MA$119.67–$131.402
MD$116.66–$131.223
ME$108.70–$114.032
MI$109.36–$114.552
MN$116.091
MO$105.18–$111.983
MS$104.561
MT$115.561
NC$109.711
ND$114.181
NE$108.351
NH$118.341
NJ$124.21–$130.122
NM$109.831
NV$115.251
NY$111.13–$134.175
OH$109.081
OK$107.041
OR$114.57–$123.892
PA$109.30–$119.782
PR$116.361
RI$118.511
SC$109.531
SD$114.011
TN$107.681
TX$108.67–$119.728
UT$110.841
VA$113.61–$131.222
VI$116.361
VT$113.661
WA$119.47–$134.042
WI$110.811
WV$106.771
WY$114.961

Explore 76813 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 76813 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$134.55

$122.32 × 110% = $134.55

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 76813 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,781

Code
76813
Physician work
1.15
Practice expense
2.24
Malpractice
0.07

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76813 in Redding
ComponentRVULocality factorAdjusted
Physician work1.15× 1.0171.1695
Practice expense2.24× 1.0962.4550
Malpractice0.07× 0.5360.0375
Total RVUs3.6621
Conversion factor× 33.4009

Office / nonfacility rate, Redding$122.32

Open 76813 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.151.017
Practice expense2.241.096
Malpractice0.070.536

(1.15 × 1.017 + 2.24 × 1.096 + 0.07 × 0.536) × $33.4009 = $122.32

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

76813 · Office / nonfacility

$122.32

Effective 2026-10-01

The base rate is $5.82 higher than on 2025-10-01, moving from $116.50 to $122.32 (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

    $116.50changed to$122.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.18 changed to 1.15
    • Practice expense RVU 2.18 changed to 2.24
    • Malpractice RVU 0.04 changed to 0.07
    • 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: $116.50

    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$122.32Not available in this settingRVU26D
2026-07-01$122.32Not available in this settingRVU26C
2026-04-01$122.32Not available in this settingRVU26B
2026-01-01$122.32Not available in this settingRVU26A
2025-10-01$116.50Not available in this settingRVU25D
2025-07-01$116.50Not available in this settingRVU25C
2025-04-01$116.50Not available in this settingRVU25B
2025-01-01$116.50Not available in this settingRVU25A

76813 billing questions

How does 76813 differ from 76801?

76813 reports the first-trimester nuchal translucency measurement. 76801 is for a first-trimester obstetric ultrasound examination, rather than the specific NT measurement.

How is 76813 used for a multiple gestation?

Report 76813 for the first fetus assessed and 76814 for each additional fetus with a separately performed NT measurement.

Can the professional and technical services be billed separately?

Yes. Use modifier 26 for the physician’s interpretation or modifier TC for the equipment and staff; billing without either modifier represents the global service.

What documentation supports 76813?

The record should identify the fetus assessed and include the NT measurement, supporting images, and the interpreting physician’s findings.

Does 76813 represent a complete first-trimester anatomy survey?

No. It represents the nuchal translucency measurement; use 76801 when a complete first-trimester obstetric ultrasound examination is performed and documented.

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 76813PPRRVU2026_Oct_nonQPP.csv, line 8,781 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet