Billing code 76812: Detailed OB ultrasoundMedicare rate & RVUs in Florida
Reports a detailed obstetric ultrasound evaluation for each additional fetus in a multiple gestation when the primary detailed study is also performed.
Medicare pays $190.22–$204.95 for 76812 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76812 covers
This add-on represents a detailed ultrasound assessment of an additional fetus in a multiple gestation. The examination may include evaluation of fetal anatomy and related pregnancy structures, with findings documented separately for each fetus examined. Obstetricians, maternal-fetal medicine specialists, and radiologists commonly perform or interpret these studies in office or hospital imaging settings when a detailed fetal assessment is indicated.
Report 76812 with the primary detailed obstetric ultrasound, 76811, for each additional fetus that receives the detailed assessment. Documentation should identify the fetuses evaluated and support the scope and findings of the examination for each. CMS classifies 76812 as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period. The diagnostic service has professional and technical components. Report modifier 26 for the interpretation or modifier TC for the equipment and staff; billing without either modifier represents the global service.
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.
Where 76812 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$190.22 to $204.95
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $198.82 | Unavailable |
| Miami | $204.95 | Unavailable |
| Rest Of Florida | $190.22 | Unavailable |
How the 76812 rate is calculated
Each of 76812’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 · 76812
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.74Practice expense 3.98Malpractice 0.10
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76812
The CMS indicators that decide how 76812 is paid alongside other services.
CMS payment indicators · 76812
Detailed OB ultrasound
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76812 without 26 · national office
$194.39
Detailed OB ultrasound
76812-26 · Professional component
$85.51
Pays only the interpretation and report.
76812 compared with similar codes
Compare codes
76812 vs 76811 vs 76810 vs 76816: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76811Obstetric ultrasound
- 76811 is the primary detailed study for one fetus; 76812 is added for each additional fetus receiving a detailed examination.
- 76810Obstetric ultrasound
- Use 76810 for an additional fetus receiving a standard obstetric ultrasound. Use 76812 when that fetus receives a detailed examination with 76811.
- 76816Obstetric ultrasound
- 76816 reports a follow-up obstetric ultrasound assessment per fetus, rather than the additional-fetus portion of a detailed examination.
76812 billing questions
Which primary code is reported with 76812?
Report 76812 with 76811, the primary detailed obstetric ultrasound code. It represents the detailed assessment of each additional fetus.
How does 76812 differ from 76810?
76812 is for an additional fetus receiving a detailed examination. 76810 is the add-on for an additional fetus receiving a standard obstetric ultrasound examination.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.
What should the report document for each additional fetus?
Identify the fetus assessed and document the detailed examination and its findings. The record should support that the additional fetus received the detailed evaluation represented by 76812.
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
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