$122.59
76813 covers the nuchal translucency measurement for the first gestation. Use 76814 only for each additional gestation in the same multifetal pregnancy.
On this page
CMS RVU26D · Effective 2026-10-01
76814 Nuchal translucency Medicare reimbursement rates in Connecticut
Reports nuchal translucency ultrasound measurement for each gestation beyond the first in a multifetal pregnancy, alongside the primary measurement service. Compare 76814 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 76814 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$78.95
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Obstetric ultrasound
About 76814: Additional gestation nuchal translucency ultrasound
Reports nuchal translucency ultrasound measurement for each gestation beyond the first in a multifetal pregnancy, alongside the primary measurement service.
This add-on represents nuchal translucency ultrasound measurement for an additional gestation in a multifetal pregnancy. The examination uses obstetric ultrasound to assess the fluid space at the back of the fetal neck as part of first-trimester screening. It may be performed by an obstetrician, maternal-fetal medicine specialist, or radiologist with appropriate ultrasound expertise in an office or imaging setting.
Report 76814 for each additional gestation measured beyond the first, with 76813 for the initial gestation. Documentation should identify the multifetal pregnancy and support the additional gestation examined, with image documentation and the measurement and interpretation recorded. CMS classifies 76814 as an add-on code, so it is reported with its primary procedure and paid within that procedure’s global period. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.
CMS billing rules for 76814
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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 RVU0.97 · 43%
- Practice expense (office) RVU1.22 · 54%
- Malpractice RVU0.05 · 2%
12
Medicare services in 2024 · #6154 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.
76814 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$63.75
76802 describes an additional-fetus early obstetric ultrasound, not the additional-gestation nuchal translucency service represented by 76814.
$206.49
76812 is for an additional gestation in a detailed obstetric ultrasound. Choose 76814 when the additional service is nuchal translucency measurement.
Compare 76814 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$78.95
Facility
Unavailable
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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 76814 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
8,784
- Code
- 76814
- Physician work
- 0.97
- Practice expense
- 1.22
- Malpractice
- 0.05
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.97 | × 1.020 | 0.9894 |
| Practice expense | 1.22 | × 1.077 | 1.3139 |
| Malpractice | 0.05 | × 1.210 | 0.0605 |
| Total RVUs | 2.3638 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$78.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.97 | 1.02 |
| Practice expense | 1.22 | 1.077 |
| Malpractice | 0.05 | 1.21 |
(0.97 × 1.02 + 1.22 × 1.077 + 0.05 × 1.21) × $33.4009 = $78.95
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.
76814 billing questions
Which primary code must accompany 76814?
Report 76814 with 76813, which represents the nuchal translucency measurement for the first gestation. This add-on is not reported by itself.
How many units should be reported?
Report one unit for each additional gestation measured beyond the first. Documentation should support the number of additional gestations examined.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Is 76814 used for a routine additional-fetus ultrasound?
No. It applies to nuchal translucency measurement for an additional gestation. Other obstetric ultrasound codes describe additional-fetus examinations for different study types.
What documentation supports the additional unit?
The record should support a multifetal pregnancy and show that nuchal translucency was measured for each additional gestation billed, with the relevant image documentation and interpretation.
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.
8,78176813,,Ob us nuchal meas 1 gest,A,,1.15,2.24,,2.24,NA,0.07,3.46,3.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,78276813,26,Ob us nuchal meas 1 gest,A,,1.15,0.48,,0.48,,0.06,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,78376813,TC,Ob us nuchal meas 1 gest,A,,0.00,1.76,,1.76,NA,0.01,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
8,78476814,,Ob us nuchal meas add-on,A,,0.97,1.22,,1.22,NA,0.05,2.24,2.24,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,78576814,26,Ob us nuchal meas add-on,A,,0.97,0.40,,0.40,,0.05,1.42,1.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,78676814,TC,Ob us nuchal meas add-on,A,,0.00,0.82,,0.82,NA,0.00,0.82,0.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
8,78776815,,Ob us limited fetus(s),A,,0.63,1.76,,1.76,NA,0.05,2.44,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.43,3.43,0.06
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808