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CMS RVU26D · Effective 2026-10-01

76820 in Redding

Office / nonfacility

$47.57

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 76820: Fetal umbilical artery Doppler study

Reports Doppler assessment of fetal umbilical artery blood flow, commonly used in high-risk pregnancy monitoring when placental circulation is a concern.

This study uses ultrasound Doppler to assess blood-flow patterns in the fetal umbilical artery, providing information about circulation between the fetus and placenta. Maternal-fetal medicine specialists, obstetricians, or sonographers working under appropriate supervision may perform it in an office, imaging department, or hospital setting. It is commonly part of surveillance for a growth-restricted fetus or suspected placental insufficiency; it is distinct from a routine fetal anatomy or growth examination.

Report the service when the umbilical artery Doppler assessment is performed and documented, including the fetus assessed, the study findings, and the clinical indication. The record should support that this was a Doppler flow evaluation rather than only a general obstetric ultrasound. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

CMS billing rules for 76820

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 RVU0.49 · 36%
  • Practice expense (office) RVU0.83 · 61%
  • Malpractice RVU0.03 · 2%

3.3K

Medicare services in 2024 · #2107 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.

76820 compared with similar codes

Office rates for Redding, from the same CMS release.

76821

Fetal Doppler

Middle cerebral artery

$96.30

Use 76820 for umbilical artery Doppler findings and 76821 for middle cerebral artery Doppler findings. They identify different fetal vessels.

76816

Obstetric ultrasound

Follow-up, each fetus

$118.78

76816 reports a follow-up obstetric ultrasound focused on fetal reassessment, such as growth. It does not identify the specific umbilical artery Doppler service.

76818

Fetal biophysical profile

With nonstress test

$129.62

76818 reports a fetal biophysical profile performed with a nonstress test. Choose 76820 when the documented service is umbilical artery Doppler assessment.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 76820 is $47.67—$0.10 higher than the $47.57 rate in Redding. Both use the same code, release and participation basis.

76820 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $47.57

  2. Bakersfield

    $47.67

    $0.10 higher than Redding

  3. Chico

    $47.57

    The same base rate than Redding

  4. El Centro

    $47.57

    The same base rate than Redding

  5. Fresno

    $47.57

    The same base rate than Redding

  6. Hanford-Corcoran

    $47.57

    The same base rate than Redding

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

    $50.50

    $2.93 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, 76820 ranges from $40.70 in Arkansas to $58.68 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 · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 76820

    Office

    $54.45

    Facility

    Unavailable

    $6.88 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76820

    Office

    $50.22

    Facility

    Unavailable

    $2.65 higher than Redding for the office setting.

  • Rest Of California

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76820

    Office

    $47.90

    Facility

    Unavailable

    $0.33 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76820

    Office

    $49.73

    Facility

    Unavailable

    $2.16 higher than Redding for the office setting.

  • Salinas

    California · 76820

    Office

    $49.54

    Facility

    Unavailable

    $1.97 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76820

    Office

    $50.56

    Facility

    Unavailable

    $2.99 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76820

    Office

    $57.47

    Facility

    Unavailable

    $9.90 higher than Redding for the office setting.

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

    California · 76820

    Office

    $57.44

    Facility

    Unavailable

    $9.87 higher than Redding for the office setting.

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

    California · 76820

    Office

    $58.68

    Facility

    Unavailable

    $11.11 higher than Redding for the office setting.

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

    California · 76820

    Office

    $58.54

    Facility

    Unavailable

    $10.97 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76820

    Office

    $48.76

    Facility

    Unavailable

    $1.19 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 76820

    Office

    $50.93

    Facility

    Unavailable

    $3.36 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 76820

    Office

    $49.69

    Facility

    Unavailable

    $2.12 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 76820

    Office

    $51.44

    Facility

    Unavailable

    $3.87 higher than Redding for the office setting.

  • Stockton

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 76820

    Office

    $54.40

    Facility

    Unavailable

    $6.83 higher than Redding for the office setting.

  • Visalia

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 76820

    Office

    $47.57

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76820

    Office

    $51.02

    Facility

    Unavailable

    $3.45 higher than Redding for the office setting.

  • Miami

    Florida · 76820

    Office

    $47.76

    Facility

    Unavailable

    $0.19 higher than Redding for the office setting.

  • Chicago

    Illinois · 76820

    Office

    $46.64

    Facility

    Unavailable

    $0.93 lower than Redding for the office setting.

  • Manhattan

    New York · 76820

    Office

    $51.22

    Facility

    Unavailable

    $3.65 higher than Redding for the office setting.

  • Alaska*

    Alaska · 76820

    Office

    $54.63

    Facility

    Unavailable

    $7.06 higher than Redding for the office setting.

  • Alabama

    Alabama · 76820

    Office

    $41.19

    Facility

    Unavailable

    $6.38 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 76820

    Office

    $40.70

    Facility

    Unavailable

    $6.87 lower than Redding for the office setting.

  • Arizona

    Arizona · 76820

    Office

    $44.09

    Facility

    Unavailable

    $3.48 lower than Redding for the office setting.

  • Colorado

    Colorado · 76820

    Office

    $46.84

    Facility

    Unavailable

    $0.73 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 76820

    Office

    $47.76

    Facility

    Unavailable

    $0.19 higher than Redding for the office setting.

  • Delaware

    Delaware · 76820

    Office

    $44.74

    Facility

    Unavailable

    $2.83 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 76820

    Office

    $46.26

    Facility

    Unavailable

    $1.31 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 76820

    Office

    $44.38

    Facility

    Unavailable

    $3.19 lower than Redding for the office setting.

  • Atlanta

    Georgia · 76820

    Office

    $45.79

    Facility

    Unavailable

    $1.78 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 76820

    Office

    $42.29

    Facility

    Unavailable

    $5.28 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 76820

    Office

    $48.47

    Facility

    Unavailable

    $0.90 higher than Redding for the office setting.

  • Iowa

    Iowa · 76820

    Office

    $42.13

    Facility

    Unavailable

    $5.44 lower than Redding for the office setting.

  • Idaho

    Idaho · 76820

    Office

    $42.35

    Facility

    Unavailable

    $5.22 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 76820

    Office

    $43.89

    Facility

    Unavailable

    $3.68 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 76820

    Office

    $43.24

    Facility

    Unavailable

    $4.33 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 76820

    Office

    $46.73

    Facility

    Unavailable

    $0.84 lower than Redding for the office setting.

  • Indiana

    Indiana · 76820

    Office

    $42.55

    Facility

    Unavailable

    $5.02 lower than Redding for the office setting.

  • Kansas

    Kansas · 76820

    Office

    $41.93

    Facility

    Unavailable

    $5.64 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 76820

    Office

    $41.93

    Facility

    Unavailable

    $5.64 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 76820

    Office

    $43.59

    Facility

    Unavailable

    $3.98 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 76820

    Office

    $41.86

    Facility

    Unavailable

    $5.71 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 76820

    Office

    $51.03

    Facility

    Unavailable

    $3.46 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76820

    Office

    $46.62

    Facility

    Unavailable

    $0.95 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76820

    Office

    $47.61

    Facility

    Unavailable

    $0.04 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 76820

    Office

    $45.51

    Facility

    Unavailable

    $2.06 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 76820

    Office

    $42.49

    Facility

    Unavailable

    $5.08 lower than Redding for the office setting.

  • Southern Maine

    Maine · 76820

    Office

    $44.47

    Facility

    Unavailable

    $3.10 lower than Redding for the office setting.

  • Detroit

    Michigan · 76820

    Office

    $44.81

    Facility

    Unavailable

    $2.76 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 76820

    Office

    $42.81

    Facility

    Unavailable

    $4.76 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 76820

    Office

    $45.19

    Facility

    Unavailable

    $2.38 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 76820

    Office

    $43.38

    Facility

    Unavailable

    $4.19 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 76820

    Office

    $43.76

    Facility

    Unavailable

    $3.81 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 76820

    Office

    $41.24

    Facility

    Unavailable

    $6.33 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 76820

    Office

    $40.98

    Facility

    Unavailable

    $6.59 lower than Redding for the office setting.

  • Montana**

    Montana · 76820

    Office

    $45.09

    Facility

    Unavailable

    $2.48 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 76820

    Office

    $42.87

    Facility

    Unavailable

    $4.70 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 76820

    Office

    $44.50

    Facility

    Unavailable

    $3.07 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 76820

    Office

    $42.33

    Facility

    Unavailable

    $5.24 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 76820

    Office

    $46.10

    Facility

    Unavailable

    $1.47 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 76820

    Office

    $50.63

    Facility

    Unavailable

    $3.06 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 76820

    Office

    $48.39

    Facility

    Unavailable

    $0.82 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 76820

    Office

    $42.99

    Facility

    Unavailable

    $4.58 lower than Redding for the office setting.

  • Nevada**

    Nevada · 76820

    Office

    $44.95

    Facility

    Unavailable

    $2.62 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76820

    Office

    $52.24

    Facility

    Unavailable

    $4.67 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76820

    Office

    $48.67

    Facility

    Unavailable

    $1.10 higher than Redding for the office setting.

  • Queens

    New York · 76820

    Office

    $51.63

    Facility

    Unavailable

    $4.06 higher than Redding for the office setting.

  • Rest Of New York

    New York · 76820

    Office

    $43.41

    Facility

    Unavailable

    $4.16 lower than Redding for the office setting.

  • Ohio

    Ohio · 76820

    Office

    $42.69

    Facility

    Unavailable

    $4.88 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 76820

    Office

    $41.90

    Facility

    Unavailable

    $5.67 lower than Redding for the office setting.

  • Portland

    Oregon · 76820

    Office

    $48.17

    Facility

    Unavailable

    $0.60 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 76820

    Office

    $44.68

    Facility

    Unavailable

    $2.89 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76820

    Office

    $46.72

    Facility

    Unavailable

    $0.85 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76820

    Office

    $42.76

    Facility

    Unavailable

    $4.81 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 76820

    Office

    $45.38

    Facility

    Unavailable

    $2.19 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 76820

    Office

    $46.21

    Facility

    Unavailable

    $1.36 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 76820

    Office

    $42.83

    Facility

    Unavailable

    $4.74 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 76820

    Office

    $44.43

    Facility

    Unavailable

    $3.14 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 76820

    Office

    $42.10

    Facility

    Unavailable

    $5.47 lower than Redding for the office setting.

  • Austin

    Texas · 76820

    Office

    $46.62

    Facility

    Unavailable

    $0.95 lower than Redding for the office setting.

  • Beaumont

    Texas · 76820

    Office

    $42.53

    Facility

    Unavailable

    $5.04 lower than Redding for the office setting.

  • Brazoria

    Texas · 76820

    Office

    $44.75

    Facility

    Unavailable

    $2.82 lower than Redding for the office setting.

  • Dallas

    Texas · 76820

    Office

    $44.99

    Facility

    Unavailable

    $2.58 lower than Redding for the office setting.

  • Fort Worth

    Texas · 76820

    Office

    $44.72

    Facility

    Unavailable

    $2.85 lower than Redding for the office setting.

  • Galveston

    Texas · 76820

    Office

    $44.86

    Facility

    Unavailable

    $2.71 lower than Redding for the office setting.

  • Houston

    Texas · 76820

    Office

    $45.40

    Facility

    Unavailable

    $2.17 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 76820

    Office

    $43.58

    Facility

    Unavailable

    $3.99 lower than Redding for the office setting.

  • Utah

    Utah · 76820

    Office

    $43.33

    Facility

    Unavailable

    $4.24 lower than Redding for the office setting.

  • Virginia

    Virginia · 76820

    Office

    $44.33

    Facility

    Unavailable

    $3.24 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76820

    Office

    $45.38

    Facility

    Unavailable

    $2.19 lower than Redding for the office setting.

  • Vermont

    Vermont · 76820

    Office

    $44.32

    Facility

    Unavailable

    $3.25 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 76820

    Office

    $46.53

    Facility

    Unavailable

    $1.04 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 76820

    Office

    $52.02

    Facility

    Unavailable

    $4.45 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 76820

    Office

    $43.23

    Facility

    Unavailable

    $4.34 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 76820

    Office

    $41.89

    Facility

    Unavailable

    $5.68 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 76820

    Office

    $44.83

    Facility

    Unavailable

    $2.74 lower than Redding for the office setting.

See how rates vary across the country

76820 · 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.

$40.70

$54.63

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$54.631
AL$41.191
AR$40.701
AZ$44.091
CA$47.57–$58.6829
CO$46.841
CT$47.761
DC$51.021
DE$44.741
FL$44.38–$47.763
GA$42.29–$45.792
GU$48.471
HI$48.471
IA$42.131
ID$42.351
IL$43.24–$46.734
IN$42.551
KS$41.931
KY$41.931
LA$41.86–$43.592
MA$46.62–$51.032
MD$45.51–$51.023
ME$42.49–$44.472
MI$42.81–$44.812
MN$45.191
MO$41.24–$43.763
MS$40.981
MT$45.091
NC$42.871
ND$44.501
NE$42.331
NH$46.101
NJ$48.39–$50.632
NM$42.991
NV$44.951
NY$43.41–$52.245
OH$42.691
OK$41.901
OR$44.68–$48.172
PA$42.76–$46.722
PR$45.381
RI$46.211
SC$42.831
SD$44.431
TN$42.101
TX$42.53–$46.628
UT$43.331
VA$44.33–$51.022
VI$45.381
VT$44.321
WA$46.53–$52.022
WI$43.231
WV$41.891
WY$44.831

Explore 76820 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 76820 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$52.33

$47.57 × 110% = $52.33

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 76820 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,802

Code
76820
Physician work
0.49
Practice expense
0.83
Malpractice
0.03

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76820 in Redding
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0170.4983
Practice expense0.83× 1.0960.9097
Malpractice0.03× 0.5360.0161
Total RVUs1.4241
Conversion factor× 33.4009

Office / nonfacility rate, Redding$47.57

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

Open 76820 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.831.096
Malpractice0.030.536

(0.49 × 1.017 + 0.83 × 1.096 + 0.03 × 0.536) × $33.4009 = $47.57

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

76820 · Office / nonfacility

$47.57

Effective 2026-10-01

The base rate is $2.52 higher than on 2025-10-01, moving from $45.05 to $47.57 (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

    $45.05changed to$47.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.80 changed to 0.83
    • Malpractice RVU 0.02 changed to 0.03
    • 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: $45.05

    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$47.57Not available in this settingRVU26D
2026-07-01$47.57Not available in this settingRVU26C
2026-04-01$47.57Not available in this settingRVU26B
2026-01-01$47.57Not available in this settingRVU26A
2025-10-01$45.05Not available in this settingRVU25D
2025-07-01$45.05Not available in this settingRVU25C
2025-04-01$45.05Not available in this settingRVU25B
2025-01-01$45.05Not available in this settingRVU25A

76820 billing questions

How is this different from a middle cerebral artery Doppler?

This code is for Doppler assessment of the fetal umbilical artery. Use 76821 for the fetal middle cerebral artery; the vessel studied determines the code.

Can it be reported with a fetal growth ultrasound?

It may be reported with a separately performed growth assessment, such as 76816, when both the growth ultrasound and umbilical artery Doppler are documented as distinct services.

What do modifiers 26 and TC identify?

Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting this code?

Document the clinical reason for the Doppler, which fetus and vessel were assessed, and the flow findings or interpretation. A general obstetric ultrasound without a documented umbilical artery Doppler assessment does not support this service.

Is this the same as a fetal biophysical profile?

No. This code reports umbilical artery blood-flow assessment; 76818 and 76819 report fetal biophysical profile services, with and without a nonstress test, respectively.

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 76820PPRRVU2026_Oct_nonQPP.csv, line 8,802 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet