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CMS RVU26D · Effective 2026-10-01

76827 in Wyoming**

Office / nonfacility

$69.55

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.

Echocardiography

About 76827: Complete fetal Doppler echocardiography

Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.

This service evaluates blood flow through the fetal heart using pulsed-wave and/or continuous-wave Doppler with spectral display. It is commonly performed when fetal cardiac structure or function is a concern, such as suspected congenital heart disease or a suspected fetal rhythm or hemodynamic problem. A sonographer may acquire the images, with a qualified physician interpreting the study, in an imaging office or hospital setting.

Select this code for a complete Doppler echocardiographic assessment, not merely a repeat or follow-up Doppler examination. The report should support the complete study with the clinical indication, Doppler measurements or waveforms obtained, and interpretation of relevant findings. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; without either modifier, the claim represents the global service.

CMS billing rules for 76827

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 RVU0.57 · 27%
  • Practice expense (office) RVU1.49 · 71%
  • Malpractice RVU0.03 · 1%

608

Medicare services in 2024 · #3383 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.

76827 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

76825

Fetal echocardiogram

Complete cardiac study

$261.08

76825 covers real-time fetal cardiac imaging; 76827 covers complete Doppler evaluation with spectral display. Both may be reported when both distinct services are performed.

76828

Fetal echo

Follow-up Doppler

$49.17

76828 is for follow-up or repeat fetal Doppler echocardiography. Use 76827 for the complete Doppler study.

76820

Umbilical artery Doppler

Fetal Doppler velocimetry

$44.83

76820 evaluates umbilical artery blood flow, not blood flow within the fetal heart as assessed by fetal echocardiography.

The same code, a different location

How does Wyoming** compare?

76827 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $69.55

  2. $9.81 higher than Wyoming**

  3. $10.26 higher than Wyoming**

  4. Miami

    $73.38

    $3.83 higher than Wyoming**

  5. Chicago

    $71.49

    $1.94 higher than Wyoming**

  6. Manhattan

    $79.68

    $10.13 higher than Wyoming**

  7. Alaska*

    $82.11

    $12.56 higher than Wyoming**

Other payment areas listed in Wyoming 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, 76827 ranges from $62.30 in Arkansas to $93.43 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 · 76827

    Office

    $63.15

    Facility

    Unavailable

    $6.40 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 76827

    Office

    $62.30

    Facility

    Unavailable

    $7.25 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 76827

    Office

    $68.12

    Facility

    Unavailable

    $1.43 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 76827

    Office

    $74.56

    Facility

    Unavailable

    $5.01 higher than Wyoming** for the office setting.

  • Chico

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • El Centro

    California · 76827

    Office

    $74.45

    Facility

    Unavailable

    $4.90 higher than Wyoming** for the office setting.

  • Fresno

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Madera

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Merced

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Modesto

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Napa

    California · 76827

    Office

    $86.34

    Facility

    Unavailable

    $16.79 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76827

    Office

    $79.02

    Facility

    Unavailable

    $9.47 higher than Wyoming** for the office setting.

  • Redding

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76827

    Office

    $74.78

    Facility

    Unavailable

    $5.23 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76827

    Office

    $78.14

    Facility

    Unavailable

    $8.59 higher than Wyoming** for the office setting.

  • Salinas

    California · 76827

    Office

    $77.85

    Facility

    Unavailable

    $8.30 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76827

    Office

    $79.67

    Facility

    Unavailable

    $10.12 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76827

    Office

    $91.48

    Facility

    Unavailable

    $21.93 higher than Wyoming** for the office setting.

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

    California · 76827

    Office

    $91.44

    Facility

    Unavailable

    $21.89 higher than Wyoming** for the office setting.

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

    California · 76827

    Office

    $93.43

    Facility

    Unavailable

    $23.88 higher than Wyoming** for the office setting.

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

    California · 76827

    Office

    $93.30

    Facility

    Unavailable

    $23.75 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76827

    Office

    $76.58

    Facility

    Unavailable

    $7.03 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 76827

    Office

    $80.44

    Facility

    Unavailable

    $10.89 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 76827

    Office

    $78.14

    Facility

    Unavailable

    $8.59 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 76827

    Office

    $81.26

    Facility

    Unavailable

    $11.71 higher than Wyoming** for the office setting.

  • Stockton

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Vallejo

    California · 76827

    Office

    $86.29

    Facility

    Unavailable

    $16.74 higher than Wyoming** for the office setting.

  • Visalia

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Yuba City

    California · 76827

    Office

    $74.44

    Facility

    Unavailable

    $4.89 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 76827

    Office

    $73.00

    Facility

    Unavailable

    $3.45 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 76827

    Office

    $74.23

    Facility

    Unavailable

    $4.68 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 76827

    Office

    $69.20

    Facility

    Unavailable

    $0.35 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 76827

    Office

    $71.26

    Facility

    Unavailable

    $1.71 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 76827

    Office

    $68.12

    Facility

    Unavailable

    $1.43 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 76827

    Office

    $70.86

    Facility

    Unavailable

    $1.31 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 76827

    Office

    $64.63

    Facility

    Unavailable

    $4.92 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 76827

    Office

    $76.20

    Facility

    Unavailable

    $6.65 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 76827

    Office

    $64.97

    Facility

    Unavailable

    $4.58 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 76827

    Office

    $65.30

    Facility

    Unavailable

    $4.25 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 76827

    Office

    $66.84

    Facility

    Unavailable

    $2.71 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 76827

    Office

    $66.04

    Facility

    Unavailable

    $3.51 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 76827

    Office

    $72.06

    Facility

    Unavailable

    $2.51 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 76827

    Office

    $65.66

    Facility

    Unavailable

    $3.89 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 76827

    Office

    $64.53

    Facility

    Unavailable

    $5.02 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 76827

    Office

    $64.20

    Facility

    Unavailable

    $5.35 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 76827

    Office

    $67.01

    Facility

    Unavailable

    $2.54 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 76827

    Office

    $64.04

    Facility

    Unavailable

    $5.51 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 76827

    Office

    $80.13

    Facility

    Unavailable

    $10.58 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76827

    Office

    $72.55

    Facility

    Unavailable

    $3.00 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76827

    Office

    $73.98

    Facility

    Unavailable

    $4.43 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 76827

    Office

    $70.51

    Facility

    Unavailable

    $0.96 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 76827

    Office

    $65.45

    Facility

    Unavailable

    $4.10 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 76827

    Office

    $68.99

    Facility

    Unavailable

    $0.56 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 76827

    Office

    $68.75

    Facility

    Unavailable

    $0.80 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 76827

    Office

    $65.61

    Facility

    Unavailable

    $3.94 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 76827

    Office

    $70.55

    Facility

    Unavailable

    $1.00 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 76827

    Office

    $66.75

    Facility

    Unavailable

    $2.80 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 76827

    Office

    $67.42

    Facility

    Unavailable

    $2.13 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 76827

    Office

    $62.91

    Facility

    Unavailable

    $6.64 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 76827

    Office

    $62.63

    Facility

    Unavailable

    $6.92 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 76827

    Office

    $69.81

    Facility

    Unavailable

    $0.26 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 76827

    Office

    $66.11

    Facility

    Unavailable

    $3.44 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 76827

    Office

    $69.21

    Facility

    Unavailable

    $0.34 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 76827

    Office

    $65.35

    Facility

    Unavailable

    $4.20 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 76827

    Office

    $71.72

    Facility

    Unavailable

    $2.17 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 76827

    Office

    $79.04

    Facility

    Unavailable

    $9.49 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 76827

    Office

    $75.25

    Facility

    Unavailable

    $5.70 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 76827

    Office

    $65.88

    Facility

    Unavailable

    $3.67 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 76827

    Office

    $69.69

    Facility

    Unavailable

    $0.14 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76827

    Office

    $81.29

    Facility

    Unavailable

    $11.74 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76827

    Office

    $75.60

    Facility

    Unavailable

    $6.05 higher than Wyoming** for the office setting.

  • Queens

    New York · 76827

    Office

    $80.53

    Facility

    Unavailable

    $10.98 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 76827

    Office

    $67.02

    Facility

    Unavailable

    $2.53 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 76827

    Office

    $65.49

    Facility

    Unavailable

    $4.06 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 76827

    Office

    $64.26

    Facility

    Unavailable

    $5.29 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 76827

    Office

    $75.38

    Facility

    Unavailable

    $5.83 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 76827

    Office

    $69.31

    Facility

    Unavailable

    $0.24 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76827

    Office

    $72.38

    Facility

    Unavailable

    $2.83 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76827

    Office

    $65.67

    Facility

    Unavailable

    $3.88 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 76827

    Office

    $70.34

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 76827

    Office

    $71.70

    Facility

    Unavailable

    $2.15 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 76827

    Office

    $65.88

    Facility

    Unavailable

    $3.67 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 76827

    Office

    $69.14

    Facility

    Unavailable

    $0.41 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 76827

    Office

    $64.82

    Facility

    Unavailable

    $4.73 lower than Wyoming** for the office setting.

  • Austin

    Texas · 76827

    Office

    $72.62

    Facility

    Unavailable

    $3.07 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 76827

    Office

    $65.26

    Facility

    Unavailable

    $4.29 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 76827

    Office

    $69.29

    Facility

    Unavailable

    $0.26 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 76827

    Office

    $69.64

    Facility

    Unavailable

    $0.09 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 76827

    Office

    $69.15

    Facility

    Unavailable

    $0.40 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 76827

    Office

    $69.44

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Houston

    Texas · 76827

    Office

    $69.99

    Facility

    Unavailable

    $0.44 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 76827

    Office

    $67.17

    Facility

    Unavailable

    $2.38 lower than Wyoming** for the office setting.

  • Utah

    Utah · 76827

    Office

    $66.72

    Facility

    Unavailable

    $2.83 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 76827

    Office

    $68.67

    Facility

    Unavailable

    $0.88 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76827

    Office

    $70.34

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 76827

    Office

    $68.82

    Facility

    Unavailable

    $0.73 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 76827

    Office

    $72.45

    Facility

    Unavailable

    $2.90 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 76827

    Office

    $81.87

    Facility

    Unavailable

    $12.32 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 76827

    Office

    $67.02

    Facility

    Unavailable

    $2.53 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 76827

    Office

    $63.72

    Facility

    Unavailable

    $5.83 lower than Wyoming** for the office setting.

See how rates vary across the country

76827 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$62.30

$83.94

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$82.111
AL$63.151
AR$62.301
AZ$68.121
CA$74.44–$93.4329
CO$73.001
CT$74.231
DC$79.811
DE$69.201
FL$68.12–$73.383
GA$64.63–$70.862
GU$76.201
HI$76.201
IA$64.971
ID$65.301
IL$66.04–$72.064
IN$65.661
KS$64.531
KY$64.201
LA$64.04–$67.012
MA$72.55–$80.132
MD$70.51–$79.813
ME$65.45–$68.992
MI$65.61–$68.752
MN$70.551
MO$62.91–$67.423
MS$62.631
MT$69.811
NC$66.111
ND$69.211
NE$65.351
NH$71.721
NJ$75.25–$79.042
NM$65.881
NV$69.691
NY$67.02–$81.295
OH$65.491
OK$64.261
OR$69.31–$75.382
PA$65.67–$72.382
PR$70.341
RI$71.701
SC$65.881
SD$69.141
TN$64.821
TX$65.26–$72.628
UT$66.721
VA$68.67–$79.812
VI$70.341
VT$68.821
WA$72.45–$81.872
WI$67.021
WV$63.721
WY$69.551

Explore 76827 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76827 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$76.51

$69.55 × 110% = $76.51

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 76827 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,814

Code
76827
Physician work
0.57
Practice expense
1.49
Malpractice
0.03

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 76827 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.57× 1.0000.5700
Practice expense1.49× 1.0001.4900
Malpractice0.03× 0.7400.0222
Total RVUs2.0822
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$69.55

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

Open 76827 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.571
Practice expense1.491
Malpractice0.030.74

(0.57 × 1 + 1.49 × 1 + 0.03 × 0.74) × $33.4009 = $69.55

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

76827 · Office / nonfacility

$69.55

Effective 2026-10-01

The base rate is $3.17 higher than on 2025-10-01, moving from $66.38 to $69.55 (4.8%).

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

    $66.38changed to$69.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.58 changed to 0.57
    • Practice expense RVU 1.45 changed to 1.49
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $66.38

    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$69.55Not available in this settingRVU26D
2026-07-01$69.55Not available in this settingRVU26C
2026-04-01$69.55Not available in this settingRVU26B
2026-01-01$69.55Not available in this settingRVU26A
2025-10-01$66.38Not available in this settingRVU25D
2025-07-01$66.38Not available in this settingRVU25C
2025-04-01$66.38Not available in this settingRVU25B
2025-01-01$66.38Not available in this settingRVU25A

76827 billing questions

When should 76828 be used instead?

Use 76828 for a follow-up or repeat fetal Doppler echocardiographic examination. 76827 is for the complete Doppler study rather than a follow-up study.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the physician interpretation or TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 76827?

Document the reason for fetal cardiac Doppler evaluation, the spectral Doppler assessment performed, and the interpretation of the findings. The record should support a complete study rather than a limited follow-up.

Is 76827 the same as a fetal artery Doppler study?

No. 76827 evaluates fetal cardiac blood flow as part of a fetal echocardiographic study. Codes 76820 and 76821 address Doppler assessment of the umbilical artery and middle cerebral artery, 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 76827PPRRVU2026_Oct_nonQPP.csv, line 8,814 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)