$244.37–$258.91
76825 covers real-time fetal cardiac imaging; 76827 covers complete Doppler evaluation with spectral display. Both may be reported when both distinct services are performed.
On this page
CMS RVU26D · Effective 2026-10-01
76827 Fetal echocardiography Medicare reimbursement rates in Maine
Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics. Compare 76827 office and facility rates across CMS payment localities in Maine.
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 76827 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$65.45–$68.99
2 of 2 localities have a supported rate.
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.
Echocardiography
About 76827: Complete fetal Doppler echocardiography
Reports a complete fetal cardiac Doppler assessment using pulsed-wave and/or continuous-wave spectral display to evaluate blood flow and cardiac hemodynamics.
This service evaluates blood flow through the fetal heart using pulsed-wave and/or continuous-wave Doppler with spectral display. It is commonly performed when fetal cardiac structure or function is a concern, such as suspected congenital heart disease or a suspected fetal rhythm or hemodynamic problem. A sonographer may acquire the images, with a qualified physician interpreting the study, in an imaging office or hospital setting.
Select this code for a complete Doppler echocardiographic assessment, not merely a repeat or follow-up Doppler examination. The report should support the complete study with the clinical indication, Doppler measurements or waveforms obtained, and interpretation of relevant findings. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC; without either modifier, the claim represents the global service.
CMS billing rules for 76827
- 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 RVU0.57 · 27%
- Practice expense (office) RVU1.49 · 71%
- Malpractice RVU0.03 · 1%
608
Medicare services in 2024 · #3383 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.
76827 compared with similar codes
Office rates for Maine, from the same CMS release.
$46.65–$48.79
76828 is for follow-up or repeat fetal Doppler echocardiography. Use 76827 for the complete Doppler study.
$42.49–$44.47
76820 evaluates umbilical artery blood flow, not blood flow within the fetal heart as assessed by fetal echocardiography.
Compare 76827 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$65.45
Facility
Unavailable
Southern Maine →
Office / nonfacility
$68.99
Facility
Unavailable
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76827 billing questions
When should 76828 be used instead?
Use 76828 for a follow-up or repeat fetal Doppler echocardiographic examination. 76827 is for the complete Doppler study rather than a follow-up study.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician interpretation or TC for the technical service. Billing without either modifier represents the global service.
What documentation supports 76827?
Document the reason for fetal cardiac Doppler evaluation, the spectral Doppler assessment performed, and the interpretation of the findings. The record should support a complete study rather than a limited follow-up.
Is 76827 the same as a fetal artery Doppler study?
No. 76827 evaluates fetal cardiac blood flow as part of a fetal echocardiographic study. Codes 76820 and 76821 address Doppler assessment of the umbilical artery and middle cerebral artery, respectively.
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.
8,81176826,,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
8,81576827,26,Echo exam of fetal heart,A,,0.57,0.23,,0.23,,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81676827,TC,Echo exam of fetal heart,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,81776828,,Echo exam of fetal heart,A,,0.55,0.90,,0.90,NA,0.03,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.38,3.38,0.07