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CMS RVU26D · Effective 2026-10-01

76819 in Redding

Office / nonfacility

$93.18

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 76819: Fetal biophysical profile without NST

Reports ultrasound assessment of fetal breathing, movement, tone, and amniotic fluid when a biophysical profile is performed without an NST.

This antepartum ultrasound evaluates fetal breathing movements, gross body movement, fetal tone, and amniotic fluid volume without including a nonstress test. Obstetricians, maternal-fetal medicine specialists, or qualified imaging staff typically perform or interpret it during surveillance of pregnancies with concerns such as decreased fetal movement, maternal diabetes or hypertension, fetal growth restriction, or a post-term pregnancy.

Report 76819 when the documented service includes the ultrasound components of a biophysical profile and no NST is part of that service. The record should support the clinical reason, the fetal observations and fluid assessment, and the interpreting clinician’s findings. CMS recognizes professional and technical portions: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier when billing the global service.

CMS billing rules for 76819

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 RVU0.75 · 29%
  • Practice expense (office) RVU1.82 · 69%
  • Malpractice RVU0.06 · 2%

6.6K

Medicare services in 2024 · #1699 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.

76819 compared with similar codes

Office rates for Redding, from the same CMS release.

76818

Fetal biophysical profile

With nonstress test

$129.62

76819 covers the ultrasound profile without an NST; 76818 includes the NST along with the profile.

76816

Obstetric ultrasound

Follow-up, each fetus

$118.78

76816 is a follow-up obstetric ultrasound focused on fetal growth or anatomy. It is not the four-part ultrasound assessment used for a biophysical profile.

76820

Umbilical artery Doppler

Fetal Doppler velocimetry

$47.57

76820 evaluates umbilical artery blood flow with Doppler. It is a vascular assessment, not the ultrasound components of a biophysical profile.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 76819 is $93.37—$0.19 higher than the $93.18 rate in Redding. Both use the same code, release and participation basis.

76819 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $93.18

  2. Bakersfield

    $93.37

    $0.19 higher than Redding

  3. Chico

    $93.18

    The same base rate than Redding

  4. El Centro

    $93.19

    $0.01 higher than Redding

  5. Fresno

    $93.18

    The same base rate than Redding

  6. Hanford-Corcoran

    $93.18

    The same base rate than Redding

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

    $99.32

    $6.14 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, 76819 ranges from $78.30 in Arkansas to $116.54 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 · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 76819

    Office

    $107.77

    Facility

    Unavailable

    $14.59 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76819

    Office

    $98.85

    Facility

    Unavailable

    $5.67 higher than Redding for the office setting.

  • Rest Of California

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76819

    Office

    $93.84

    Facility

    Unavailable

    $0.66 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76819

    Office

    $97.73

    Facility

    Unavailable

    $4.55 higher than Redding for the office setting.

  • Salinas

    California · 76819

    Office

    $97.36

    Facility

    Unavailable

    $4.18 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76819

    Office

    $99.59

    Facility

    Unavailable

    $6.41 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76819

    Office

    $114.06

    Facility

    Unavailable

    $20.88 higher than Redding for the office setting.

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

    California · 76819

    Office

    $114.00

    Facility

    Unavailable

    $20.82 higher than Redding for the office setting.

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

    California · 76819

    Office

    $116.54

    Facility

    Unavailable

    $23.36 higher than Redding for the office setting.

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

    California · 76819

    Office

    $116.26

    Facility

    Unavailable

    $23.08 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76819

    Office

    $95.79

    Facility

    Unavailable

    $2.61 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 76819

    Office

    $100.51

    Facility

    Unavailable

    $7.33 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 76819

    Office

    $97.71

    Facility

    Unavailable

    $4.53 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 76819

    Office

    $101.53

    Facility

    Unavailable

    $8.35 higher than Redding for the office setting.

  • Stockton

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 76819

    Office

    $107.67

    Facility

    Unavailable

    $14.49 higher than Redding for the office setting.

  • Visalia

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 76819

    Office

    $93.18

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76819

    Office

    $100.24

    Facility

    Unavailable

    $7.06 higher than Redding for the office setting.

  • Miami

    Florida · 76819

    Office

    $93.40

    Facility

    Unavailable

    $0.22 higher than Redding for the office setting.

  • Chicago

    Illinois · 76819

    Office

    $90.92

    Facility

    Unavailable

    $2.26 lower than Redding for the office setting.

  • Manhattan

    New York · 76819

    Office

    $100.47

    Facility

    Unavailable

    $7.29 higher than Redding for the office setting.

  • Alaska*

    Alaska · 76819

    Office

    $103.42

    Facility

    Unavailable

    $10.24 higher than Redding for the office setting.

  • Alabama

    Alabama · 76819

    Office

    $79.38

    Facility

    Unavailable

    $13.80 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 76819

    Office

    $78.30

    Facility

    Unavailable

    $14.88 lower than Redding for the office setting.

  • Arizona

    Arizona · 76819

    Office

    $85.67

    Facility

    Unavailable

    $7.51 lower than Redding for the office setting.

  • Colorado

    Colorado · 76819

    Office

    $91.60

    Facility

    Unavailable

    $1.58 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 76819

    Office

    $93.45

    Facility

    Unavailable

    $0.27 higher than Redding for the office setting.

  • Delaware

    Delaware · 76819

    Office

    $87.04

    Facility

    Unavailable

    $6.14 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 76819

    Office

    $90.25

    Facility

    Unavailable

    $2.93 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 76819

    Office

    $86.18

    Facility

    Unavailable

    $7.00 lower than Redding for the office setting.

  • Atlanta

    Georgia · 76819

    Office

    $89.29

    Facility

    Unavailable

    $3.89 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 76819

    Office

    $81.66

    Facility

    Unavailable

    $11.52 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 76819

    Office

    $95.33

    Facility

    Unavailable

    $2.15 higher than Redding for the office setting.

  • Iowa

    Iowa · 76819

    Office

    $81.47

    Facility

    Unavailable

    $11.71 lower than Redding for the office setting.

  • Idaho

    Idaho · 76819

    Office

    $81.93

    Facility

    Unavailable

    $11.25 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 76819

    Office

    $85.01

    Facility

    Unavailable

    $8.17 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 76819

    Office

    $83.68

    Facility

    Unavailable

    $9.50 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 76819

    Office

    $91.21

    Facility

    Unavailable

    $1.97 lower than Redding for the office setting.

  • Indiana

    Indiana · 76819

    Office

    $82.38

    Facility

    Unavailable

    $10.80 lower than Redding for the office setting.

  • Kansas

    Kansas · 76819

    Office

    $81.01

    Facility

    Unavailable

    $12.17 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 76819

    Office

    $80.93

    Facility

    Unavailable

    $12.25 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 76819

    Office

    $84.53

    Facility

    Unavailable

    $8.65 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 76819

    Office

    $80.77

    Facility

    Unavailable

    $12.41 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 76819

    Office

    $100.44

    Facility

    Unavailable

    $7.26 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76819

    Office

    $91.06

    Facility

    Unavailable

    $2.12 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76819

    Office

    $93.16

    Facility

    Unavailable

    $0.02 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 76819

    Office

    $88.66

    Facility

    Unavailable

    $4.52 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 76819

    Office

    $82.22

    Facility

    Unavailable

    $10.96 lower than Redding for the office setting.

  • Southern Maine

    Maine · 76819

    Office

    $86.56

    Facility

    Unavailable

    $6.62 lower than Redding for the office setting.

  • Detroit

    Michigan · 76819

    Office

    $87.09

    Facility

    Unavailable

    $6.09 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 76819

    Office

    $82.81

    Facility

    Unavailable

    $10.37 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 76819

    Office

    $88.20

    Facility

    Unavailable

    $4.98 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 76819

    Office

    $84.09

    Facility

    Unavailable

    $9.09 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 76819

    Office

    $84.93

    Facility

    Unavailable

    $8.25 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 76819

    Office

    $79.40

    Facility

    Unavailable

    $13.78 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 76819

    Office

    $78.87

    Facility

    Unavailable

    $14.31 lower than Redding for the office setting.

  • Montana**

    Montana · 76819

    Office

    $87.84

    Facility

    Unavailable

    $5.34 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 76819

    Office

    $83.05

    Facility

    Unavailable

    $10.13 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 76819

    Office

    $86.65

    Facility

    Unavailable

    $6.53 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 76819

    Office

    $81.92

    Facility

    Unavailable

    $11.26 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 76819

    Office

    $90.09

    Facility

    Unavailable

    $3.09 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 76819

    Office

    $99.29

    Facility

    Unavailable

    $6.11 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 76819

    Office

    $94.63

    Facility

    Unavailable

    $1.45 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 76819

    Office

    $83.20

    Facility

    Unavailable

    $9.98 lower than Redding for the office setting.

  • Nevada**

    Nevada · 76819

    Office

    $87.57

    Facility

    Unavailable

    $5.61 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76819

    Office

    $102.65

    Facility

    Unavailable

    $9.47 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76819

    Office

    $95.17

    Facility

    Unavailable

    $1.99 higher than Redding for the office setting.

  • Queens

    New York · 76819

    Office

    $101.40

    Facility

    Unavailable

    $8.22 higher than Redding for the office setting.

  • Rest Of New York

    New York · 76819

    Office

    $84.21

    Facility

    Unavailable

    $8.97 lower than Redding for the office setting.

  • Ohio

    Ohio · 76819

    Office

    $82.57

    Facility

    Unavailable

    $10.61 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 76819

    Office

    $80.89

    Facility

    Unavailable

    $12.29 lower than Redding for the office setting.

  • Portland

    Oregon · 76819

    Office

    $94.48

    Facility

    Unavailable

    $1.30 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 76819

    Office

    $87.01

    Facility

    Unavailable

    $6.17 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76819

    Office

    $91.17

    Facility

    Unavailable

    $2.01 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76819

    Office

    $82.75

    Facility

    Unavailable

    $10.43 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 76819

    Office

    $88.48

    Facility

    Unavailable

    $4.70 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 76819

    Office

    $90.11

    Facility

    Unavailable

    $3.07 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 76819

    Office

    $82.92

    Facility

    Unavailable

    $10.26 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 76819

    Office

    $86.51

    Facility

    Unavailable

    $6.67 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 76819

    Office

    $81.38

    Facility

    Unavailable

    $11.80 lower than Redding for the office setting.

  • Austin

    Texas · 76819

    Office

    $91.19

    Facility

    Unavailable

    $1.99 lower than Redding for the office setting.

  • Beaumont

    Texas · 76819

    Office

    $82.23

    Facility

    Unavailable

    $10.95 lower than Redding for the office setting.

  • Brazoria

    Texas · 76819

    Office

    $87.06

    Facility

    Unavailable

    $6.12 lower than Redding for the office setting.

  • Dallas

    Texas · 76819

    Office

    $87.54

    Facility

    Unavailable

    $5.64 lower than Redding for the office setting.

  • Fort Worth

    Texas · 76819

    Office

    $86.96

    Facility

    Unavailable

    $6.22 lower than Redding for the office setting.

  • Galveston

    Texas · 76819

    Office

    $87.27

    Facility

    Unavailable

    $5.91 lower than Redding for the office setting.

  • Houston

    Texas · 76819

    Office

    $88.37

    Facility

    Unavailable

    $4.81 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 76819

    Office

    $84.55

    Facility

    Unavailable

    $8.63 lower than Redding for the office setting.

  • Utah

    Utah · 76819

    Office

    $83.99

    Facility

    Unavailable

    $9.19 lower than Redding for the office setting.

  • Virginia

    Virginia · 76819

    Office

    $86.22

    Facility

    Unavailable

    $6.96 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76819

    Office

    $88.48

    Facility

    Unavailable

    $4.70 lower than Redding for the office setting.

  • Vermont

    Vermont · 76819

    Office

    $86.25

    Facility

    Unavailable

    $6.93 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 76819

    Office

    $90.91

    Facility

    Unavailable

    $2.27 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 76819

    Office

    $102.53

    Facility

    Unavailable

    $9.35 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 76819

    Office

    $83.90

    Facility

    Unavailable

    $9.28 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 76819

    Office

    $80.74

    Facility

    Unavailable

    $12.44 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 76819

    Office

    $87.32

    Facility

    Unavailable

    $5.86 lower than Redding for the office setting.

See how rates vary across the country

76819 · 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.

$78.30

$104.86

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$103.421
AL$79.381
AR$78.301
AZ$85.671
CA$93.18–$116.5429
CO$91.601
CT$93.451
DC$100.241
DE$87.041
FL$86.18–$93.403
GA$81.66–$89.292
GU$95.331
HI$95.331
IA$81.471
ID$81.931
IL$83.68–$91.214
IN$82.381
KS$81.011
KY$80.931
LA$80.77–$84.532
MA$91.06–$100.442
MD$88.66–$100.243
ME$82.22–$86.562
MI$82.81–$87.092
MN$88.201
MO$79.40–$84.933
MS$78.871
MT$87.841
NC$83.051
ND$86.651
NE$81.921
NH$90.091
NJ$94.63–$99.292
NM$83.201
NV$87.571
NY$84.21–$102.655
OH$82.571
OK$80.891
OR$87.01–$94.482
PA$82.75–$91.172
PR$88.481
RI$90.111
SC$82.921
SD$86.511
TN$81.381
TX$82.23–$91.198
UT$83.991
VA$86.22–$100.242
VI$88.481
VT$86.251
WA$90.91–$102.532
WI$83.901
WV$80.741
WY$87.321

Explore 76819 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 76819 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$102.50

$93.18 × 110% = $102.50

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 76819 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,799

Code
76819
Physician work
0.75
Practice expense
1.82
Malpractice
0.06

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76819 in Redding
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0170.7627
Practice expense1.82× 1.0961.9947
Malpractice0.06× 0.5360.0322
Total RVUs2.7896
Conversion factor× 33.4009

Office / nonfacility rate, Redding$93.18

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

Open 76819 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.751.017
Practice expense1.821.096
Malpractice0.060.536

(0.75 × 1.017 + 1.82 × 1.096 + 0.06 × 0.536) × $33.4009 = $93.18

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

76819 · Office / nonfacility

$93.18

Effective 2026-10-01

The base rate is $4.98 higher than on 2025-10-01, moving from $88.20 to $93.18 (5.6%).

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

    $88.20changed to$93.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 1.76 changed to 1.82
    • Malpractice RVU 0.04 changed to 0.06
    • 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: $88.20

    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$93.18Not available in this settingRVU26D
2026-07-01$93.18Not available in this settingRVU26C
2026-04-01$93.18Not available in this settingRVU26B
2026-01-01$93.18Not available in this settingRVU26A
2025-10-01$88.20Not available in this settingRVU25D
2025-07-01$88.20Not available in this settingRVU25C
2025-04-01$88.20Not available in this settingRVU25B
2025-01-01$88.20Not available in this settingRVU25A

76819 billing questions

When should 76819 be chosen over 76818?

Use 76819 for the ultrasound components of a biophysical profile without an NST. Use 76818 when the service also includes the NST.

Which portions can be billed separately?

The professional interpretation may be reported with modifier 26, and the technical service with modifier TC. Billing without either modifier represents the global service.

What documentation supports 76819?

Document the reason for surveillance, findings for fetal breathing, movement, tone, and amniotic fluid, and the interpreting clinician’s conclusion. The service should not include an NST.

Is the NST included in 76819?

No. This code represents the ultrasound profile without an NST; 76818 represents a profile that includes one.

Can a fetal Doppler study be reported with 76819?

A separately performed and documented Doppler assessment, such as umbilical artery flow evaluation, may be reported when it is also clinically indicated.

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 76819PPRRVU2026_Oct_nonQPP.csv, line 8,799 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet