Billing code 76810: Obstetric ultrasoundMedicare rate & RVUs in Alaska

Reports the standard obstetric ultrasound evaluation for each additional fetus in a pregnancy at 14 weeks or later, alongside the primary study.

CMS RVU26DEffective Oct 1, 20261 payment locality47 Medicare services in 2024

Medicare pays $107.18 for 76810 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$107.18Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 76810 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 76810 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 76810 covers

This add-on covers the standard obstetric ultrasound evaluation of an additional fetus at 14 weeks or later. It is used in multiple gestations when the primary study evaluates one fetus and the examination also requires evaluation of another. A sonographer typically acquires the images in an office or hospital imaging department; a physician interprets the study and documents the findings. The additional-fetus evaluation is distinct from a detailed fetal anatomic examination.

Report 76810 with the qualifying primary obstetric ultrasound, not as a stand-alone service. Documentation should identify the gestational age and number of fetuses and support the evaluation of each additional fetus. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier represents the global service. CMS treats this add-on payment within the primary procedure’s global period.

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.

76810 in Alaska*

76810 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$107.18Unavailable

How the 76810 rate is calculated

Each of 76810’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 76810

RVUs × geographic indexes × conversion factor

Work0.96

0.96 RVUs× 1.000 GPCI

Practice expense1.63

1.63 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.6500

Conversion factor

$33.4009

Medicare rate

$88.51

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 76810

The CMS indicators that decide how 76810 is paid alongside other services.

CMS payment indicators · 76810

Obstetric ultrasound

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76810 without 26 · national office

$88.51

Obstetric ultrasound

76810-26 · Professional component

$47.10

Pays only the interpretation and report.

When to use modifier 26

76810 compared with similar codes

Compare codes · National

5 codes, side by side

  • 76810

    Obstetric ultrasound0.96 wRVU

    $88.51

  • 76805

    Obstetric ultrasound0.97 wRVU

    $135.94+$47.43

  • 76802

    Obstetric ultrasound0.81 wRVU

    $60.46−$28.05

  • 76812

    Detailed OB ultrasound1.74 wRVU

    $194.39+$105.88

  • 76816

    Obstetric ultrasound0.83 wRVU

    $111.22+$22.71

How to choose

76805Obstetric ultrasound
76805 reports the primary standard obstetric ultrasound at 14 weeks or later; 76810 adds evaluation of each additional fetus.
76802Obstetric ultrasound
76802 is the standard additional-fetus code for an examination before 14 weeks. Use 76810 for the corresponding additional-fetus evaluation at 14 weeks or later.
76812Detailed OB ultrasound
76812 is for an additional fetus in a detailed obstetric examination; 76810 is for the standard examination.
76816Obstetric ultrasound
76816 reports a follow-up obstetric ultrasound on a per-fetus basis. Code 76810 adds an additional fetus to a standard obstetric study at 14 weeks or later.

76810 billing questions

Which primary code is paired with 76810?

Pair it with 76805 when the standard obstetric ultrasound is performed at 14 weeks or later and evaluates an additional fetus.

How is 76810 different from 76812?

Use 76810 for the standard additional-fetus evaluation. Code 76812 is for an additional fetus in a detailed obstetric ultrasound.

How many units should be reported?

Report one unit for each additional fetus evaluated beyond the fetus represented by the primary study. Documentation should make the number of fetuses and the additional evaluation clear.

Can 76810 be billed by itself?

No. It is an add-on code and must be reported with its qualifying primary obstetric ultrasound.

How are the professional and technical services reported?

Use modifier 26 for the physician’s interpretation or TC for the technical service. Without either modifier, the claim represents the global service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 76810PPRRVU2026_Oct_nonQPP.csv, line 8,772 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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