$98.37
76770 describes a complete retroperitoneal survey. Choose 76775 when the documented examination is limited to a focused portion, such as a kidney or the abdominal aorta.
On this page
CMS RVU26D · Effective 2026-10-01
76775 Retroperitoneal ultrasound Medicare reimbursement rates in Iowa
Reports a focused real-time ultrasound of retroperitoneal structures, such as a kidney or abdominal aorta, when the examination is limited in scope. Compare 76775 office and facility rates across CMS payment localities in Iowa.
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 76775 in Iowa?
Iowa 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
$56.55
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Diagnostic imaging
About 76775: Limited retroperitoneal ultrasound
Reports a focused real-time ultrasound of retroperitoneal structures, such as a kidney or abdominal aorta, when the examination is limited in scope.
This study uses real-time ultrasound with image documentation to assess a limited portion of the retroperitoneum. Common focused examinations evaluate a kidney or the abdominal aorta, rather than surveying the full range of retroperitoneal structures. A sonographer typically acquires the images, and a qualified physician interprets the study. It is performed in settings such as an imaging department, hospital, or medical office.
Choose the limited code when the documented examination is focused rather than a complete retroperitoneal survey. The report should identify the structure examined, the limited scope, and the findings, with images retained as required for the study. The service may be billed globally, or split into the professional interpretation with modifier 26 and the technical service with modifier TC. CMS applies the diagnostic imaging multiple procedure reduction to both professional and technical components when applicable.
CMS billing rules for 76775
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU0.57 · 31%
- Practice expense (office) RVU1.21 · 66%
- Malpractice RVU0.04 · 2%
404.8K
Medicare services in 2024 · #254 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.
76775 compared with similar codes
Office rates for Iowa, from the same CMS release.
$79.80
76705 is for a limited abdominal ultrasound; 76775 is for a limited retroperitoneal examination. The documented region and scope distinguish them.
$97.55
76706 is for abdominal aortic aneurysm screening. 76775 is a diagnostic limited retroperitoneal ultrasound, not the specific screening service.
$132.17
76776 is specific to ultrasound evaluation of a transplanted kidney with Doppler. 76775 describes a limited retroperitoneal study without that transplant-specific service.
Compare 76775 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
Iowa →
Office / nonfacility
$56.55
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 76775 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,754
- Code
- 76775
- Physician work
- 0.57
- Practice expense
- 1.21
- Malpractice
- 0.04
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.57 | × 1.000 | 0.5700 |
| Practice expense | 1.21 | × 0.915 | 1.1072 |
| Malpractice | 0.04 | × 0.397 | 0.0159 |
| Total RVUs | 1.6930 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$56.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.57 | 1 |
| Practice expense | 1.21 | 0.915 |
| Malpractice | 0.04 | 0.397 |
(0.57 × 1 + 1.21 × 0.915 + 0.04 × 0.397) × $33.4009 = $56.55
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.
76775 billing questions
When should 76775 be reported instead of 76770?
Report 76775 for a focused, limited retroperitoneal examination. Use 76770 when the documented study is a complete retroperitoneal survey.
How does 76775 differ from a limited abdominal ultrasound?
76775 is focused on retroperitoneal structures, such as a kidney or the abdominal aorta. A limited abdominal ultrasound, 76705, applies when the examination is directed to the abdomen rather than the retroperitoneum.
Can the professional and technical portions 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 the limited code?
Document the retroperitoneal structure examined, the focused scope of the study, and the findings. Retain image documentation for the examination.
How does CMS apply the multiple procedure reduction?
The diagnostic imaging multiple procedure reduction applies to both the professional and technical 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 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.
8,75176770,,Us exam abdo back wall comp,A,,0.72,2.41,,2.41,NA,0.05,3.18,3.18,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.44,3.44,0.05
8,75276770,26,Us exam abdo back wall comp,A,,0.72,0.26,,0.26,,0.04,1.02,1.02,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,75376770,TC,Us exam abdo back wall comp,A,,0.00,2.15,,2.15,NA,0.01,2.16,2.16,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.18,3.18,0.01
8,75476775,,Us exam abdo back wall lim,A,,0.57,1.21,,1.21,NA,0.04,1.82,1.82,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.38,3.38,0.06
8,75576775,26,Us exam abdo back wall lim,A,,0.57,0.21,,0.21,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,75676775,TC,Us exam abdo back wall lim,A,,0.00,1.00,,1.00,NA,0.01,1.01,1.01,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.17,3.17,0.03
8,75776776,,Us exam k transpl w/doppler,A,,0.74,3.49,,3.49,NA,0.06,4.29,4.29,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136