$279.32
Use 76825 for a complete fetal echocardiographic examination; use 76826 when the cardiac imaging is a repeat or follow-up study.
On this page
CMS RVU26D · Effective 2026-10-01
76826 Fetal echo Medicare reimbursement rates in Connecticut
Reports repeat or follow-up two-dimensional fetal cardiac imaging, with or without M-mode, to reassess a previously evaluated fetal heart. Compare 76826 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 76826 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
$169.19
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.
Fetal imaging
About 76826: Follow-up fetal echocardiogram
Reports repeat or follow-up two-dimensional fetal cardiac imaging, with or without M-mode, to reassess a previously evaluated fetal heart.
Code 76826 represents a repeat or follow-up ultrasound examination focused on the fetal heart, using real-time two-dimensional imaging and M-mode when performed. A fetal cardiologist, maternal-fetal medicine specialist, or radiologist may perform or interpret the study in an office, hospital, or imaging setting. Typical reasons include reassessing a cardiac finding identified on an earlier fetal echocardiogram or completing a cardiac assessment that required follow-up.
Choose this code for a repeat or follow-up cardiac imaging study, rather than a complete fetal echocardiogram or a routine obstetric growth examination. The report should identify the reason for the repeat, the cardiac structures or findings reassessed, and the interpretation. For physician interpretation alone, append modifier 26; for the equipment and staff portion alone, append modifier TC. Without either modifier, the claim represents the global service. Spectral Doppler follow-up, when performed and documented, is represented separately by 76828.
CMS billing rules for 76826
- 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 RVU0.81 · 17%
- Practice expense (office) RVU3.88 · 82%
- Malpractice RVU0.05 · 1%
102
Medicare services in 2024 · #4874 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.
76826 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$52.33
76828 reports follow-up or repeat fetal spectral Doppler echocardiography. It may accompany 76826 when that Doppler evaluation is also performed and documented.
$118.43
76816 is an obstetric follow-up examination per fetus, commonly used to reassess fetal growth or development. It is not the focused repeat fetal cardiac study represented by 76826.
Compare 76826 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
$169.19
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 76826 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
8,811
- Code
- 76826
- Physician work
- 0.81
- Practice expense
- 3.88
- 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 | 0.81 | × 1.020 | 0.8262 |
| Practice expense | 3.88 | × 1.077 | 4.1788 |
| Malpractice | 0.05 | × 1.210 | 0.0605 |
| Total RVUs | 5.0655 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$169.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.81 | 1.02 |
| Practice expense | 3.88 | 1.077 |
| Malpractice | 0.05 | 1.21 |
(0.81 × 1.02 + 3.88 × 1.077 + 0.05 × 1.21) × $33.4009 = $169.19
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.
76826 billing questions
How does 76826 differ from 76825?
76826 is for repeat or follow-up fetal cardiac imaging. Use 76825 for a complete fetal echocardiographic examination.
Can 76826 be reported with 76828?
Yes, when the repeat or follow-up examination includes a separately performed and documented spectral Doppler evaluation. Code 76826 represents the two-dimensional imaging portion; 76828 represents follow-up Doppler echocardiography.
Which modifier identifies the interpretation only?
Append modifier 26 when billing only the physician’s interpretation. Modifier TC identifies the technical portion; no component modifier represents the global service.
What documentation supports reporting 76826?
Document why fetal cardiac imaging was repeated, what cardiac findings or structures were reassessed, and the study results and interpretation.
Is 76826 used for a routine fetal growth follow-up?
No. It represents follow-up imaging focused on the fetal heart; a routine obstetric follow-up ultrasound addresses a different examination purpose.
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.
8,80876825,,Echo exam of fetal heart,A,,1.63,6.12,,6.12,NA,0.09,7.84,7.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,17.29,17.29,0.15
8,80976825,26,Echo exam of fetal heart,A,,1.63,0.67,,0.67,,0.06,2.36,2.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81076825,TC,Echo exam of fetal heart,A,,0.00,5.45,,5.45,NA,0.03,5.48,5.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.62,16.62,0.09
8,81176826,,Echo exam of fetal heart,A,,0.81,3.88,,3.88,NA,0.05,4.74,4.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.60,7.60,0.07
8,81276826,26,Echo exam of fetal heart,A,,0.81,0.34,,0.34,,0.03,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81376826,TC,Echo exam of fetal heart,A,,0.00,3.54,,3.54,NA,0.02,3.56,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,7.26,7.26,0.04
8,81476827,,Echo exam of fetal heart,A,,0.57,1.49,,1.49,NA,0.03,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.40,3.40,0.05
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