Billing code 76706: UltrasoundMedicare rate & RVUs in Guam
Reports an ultrasound examination of the abdominal aorta performed to screen for an abdominal aortic aneurysm in a patient without related symptoms.
Medicare pays $116.98 for 76706 in the office in Guam (Hawaii, Guam). 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 76706 covers
This service uses ultrasound to examine the abdominal aorta for aneurysmal enlargement in a screening context. A primary care clinician may order it for a patient without symptoms suggesting an aneurysm; imaging staff acquire the study, and a qualified physician interprets and reports the findings. The examination is focused on the aorta rather than a survey of the abdominal organs.
Report 76706 when the service is specifically an AAA screening examination, not when imaging is ordered to evaluate symptoms, a known aneurysm, or another abdominal finding. Documentation should support the screening purpose and include the imaging findings and interpretation. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff portion, or no component modifier for 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.
76706 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $116.98 | Unavailable |
How the 76706 rate is calculated
Each of 76706’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 · 76706
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.54Practice expense 2.58Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76706
The CMS indicators that decide how 76706 is paid alongside other services.
CMS payment indicators · 76706
Ultrasound
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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
76706 without 26 · national office
$105.88
Ultrasound
76706-26 · Professional component
$25.72
Pays only the interpretation and report.
76706 compared with similar codes
Compare codes
76706 vs 76705 vs 76775 vs 76700: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76705Abdominal ultrasound
- 76706 is specifically for screening the abdominal aorta for aneurysm. Use 76705 when the documented service is a limited diagnostic abdominal examination.
- 76775Retroperitoneal ultrasound
- 76775 represents a limited retroperitoneal ultrasound for diagnostic evaluation. 76706 is the focused screening service for AAA.
- 76700Abdominal ultrasound
- 76700 describes a complete abdominal ultrasound examining multiple abdominal organs. 76706 is limited to screening the abdominal aorta.
76706 billing questions
How does 76706 differ from a diagnostic limited ultrasound?
76706 is for screening the abdominal aorta for an aneurysm. A limited diagnostic study is selected when imaging is directed at symptoms, a known condition, or a specific finding rather than screening.
Which modifier identifies the interpretation?
Use modifier 26 for the professional interpretation. Modifier TC identifies the technical portion, while billing without either modifier represents the global service.
Can the technical and professional portions be billed separately?
Yes. CMS recognizes separately priced 26 and TC components for this diagnostic test; the global service is reported without a component modifier.
What documentation supports reporting 76706?
Document the screening purpose, the abdominal aorta examination and its findings, and the physician's interpretation. The record should distinguish screening from an evaluation prompted by symptoms or a known abnormality.
Should 76706 be reported with a complete abdominal ultrasound?
The screening code describes a focused aortic screening examination, while a complete abdominal study examines a broader set of organs. Select the code that reflects the service actually performed and documented.
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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