Billing code 76982: Ultrasound elastographyMedicare rate & RVUs in Florida

Reports ultrasound elastography of the first focal target lesion, assessing tissue stiffness in settings such as breast or liver imaging.

CMS RVU26DEffective Oct 1, 20263 payment localities5.3K Medicare services in 2024

Medicare pays $90.03–$97.51 for 76982 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$90.03–$97.51Office (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 76982 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 76982 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 76982 covers

This service uses ultrasound elastography to assess the stiffness of a specific focal lesion, such as a breast or liver lesion. The sonographic acquisition and physician interpretation may occur in a hospital imaging department or an outpatient imaging practice. It is distinct from elastography directed at diffuse organ parenchyma: this code identifies the first target lesion examined.

Report 76982 for the first target lesion; report 76983 for each additional target lesion when performed. Documentation should identify the lesion assessed and support the elastography findings with the imaging record and interpretation. The service may be billed globally or split: modifier 26 represents the professional interpretation, while modifier TC represents the technical service, including equipment and staff. Diagnostic imaging multiple procedure reduction applies to both the professional and technical components.

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 76982 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

$90.03 to $97.51

$90.03$93.77$97.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
76982 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$94.53Unavailable
Miami$97.51Unavailable
Rest Of Florida$90.03Unavailable

How the 76982 rate is calculated

Each of 76982’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 · 76982

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.58Practice expense 2.15Malpractice 0.04

2.7700 adjusted RVUs×$33.4009 conversion factor=$92.52

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 76982

The CMS indicators that decide how 76982 is paid alongside other services.

CMS payment indicators · 76982

Ultrasound elastography

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

76982 without 26 · national office

$92.52

Ultrasound elastography

76982-26 · Professional component

$28.06

Pays only the interpretation and report.

When to use modifier 26

76982 compared with similar codes

Compare codes

76982 vs 76981 vs 76983 vs 76978: national Medicare rates

Swap in your local Medicare rate.

  • 76982
    Ultrasound elastography · 0.58 wRVU
    $92.52
  • 76981
    Ultrasound elastography · 0.58 wRVU
    $112.56+$20.04
  • 76983
    Ultrasound elastography · 0.46 wRVU
    $60.79−$31.73
  • 76978
    Contrast ultrasound · 1.58 wRVU
    $171.35+$78.83

How to choose

76981Ultrasound elastography
76982 assesses a focal target lesion; 76981 assesses parenchyma, such as liver tissue, rather than a specific lesion.
76983Ultrasound elastography
76982 is reported for the first target lesion. 76983 is the add-on for each additional target lesion.
76978Contrast ultrasound
76982 measures tissue stiffness with elastography. 76978 uses microbubble contrast to assess lesion enhancement.

76982 billing questions

When should 76982 be selected instead of 76981?

Use 76982 for elastography of a focal target lesion. Use 76981 when the examination assesses organ parenchyma rather than a specific lesion.

How is a second target lesion reported?

Report 76982 for the first lesion and 76983 for each additional target lesion examined in the same service.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

What documentation supports reporting this code?

Document the target lesion evaluated, the elastography imaging, and the physician's interpretation and findings. The record should distinguish a focal lesion assessment from parenchymal elastography.

Does multiple procedure reduction affect this service?

Yes. Diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

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 76982PPRRVU2026_Oct_nonQPP.csv, line 8,901 (RVU26D)

Open CMS sourceHow we calculate rates

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