Billing code 76775: Retroperitoneal ultrasoundMedicare rate & RVUs in Ohio
Reports a focused real-time ultrasound of retroperitoneal structures, such as a kidney or abdominal aorta, when the examination is limited in scope.
Medicare pays $57.28 for 76775 in the office in Ohio (Ohio). 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 76775 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $57.28 | Unavailable |
How the 76775 rate is calculated
Each of 76775’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 · 76775
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.57Practice expense 1.21Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76775
The CMS indicators that decide how 76775 is paid alongside other services.
CMS payment indicators · 76775
Retroperitoneal ultrasound
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
76775 without 26 · national office
$60.79
Retroperitoneal ultrasound
76775-26 · Professional component
$27.05
Pays only the interpretation and report.
76775 compared with similar codes
Compare codes
76775 vs 76770 vs 76705 vs 76706 vs 76776: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76770Retroperitoneal ultrasound
- 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.
- 76705Abdominal ultrasound
- 76705 is for a limited abdominal ultrasound; 76775 is for a limited retroperitoneal examination. The documented region and scope distinguish them.
- 76706Ultrasound
- 76706 is for abdominal aortic aneurysm screening. 76775 is a diagnostic limited retroperitoneal ultrasound, not the specific screening service.
- 76776Transplant ultrasound
- 76776 is specific to ultrasound evaluation of a transplanted kidney with Doppler. 76775 describes a limited retroperitoneal study without that transplant-specific service.
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 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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