CPT code 76815: Obstetric ultrasound2026 Medicare rate & RVUs in Oklahoma
Reports a focused obstetric ultrasound to answer a specific clinical question, such as fetal position, cardiac activity, placental location, or amniotic fluid.
Medicare pays $74.84 for 76815 in the office in Oklahoma (Oklahoma). 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 76815 covers
A limited obstetric ultrasound is a focused real-time examination of the pregnant uterus, with image documentation, to assess a specific concern rather than complete a routine anatomic survey. Common clinical questions include fetal cardiac activity, fetal presentation, placental location, or a qualitative assessment of amniotic fluid. Obstetricians, radiologists, and other qualified imaging professionals may perform and interpret the study in an office, imaging center, or hospital.
Report 76815 when the documented examination is limited to the relevant question; it may cover one or more fetuses and is not reported per fetus. A complete survey or a follow-up examination that reassesses fetal growth belongs to a different code. The record should identify the indication, the structures or findings assessed, and the interpretation, supported by retained images. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents 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.
76815 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $74.84 | Unavailable |
How the 76815 rate is calculated
Each of 76815’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 · 76815
RVUs × geographic indexes × conversion factor
Work0.63
0.63 RVUs× 1.000 GPCI
Practice expense1.76
1.76 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.4400
Conversion factor
$33.4009
Medicare rate
$81.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76815
The CMS indicators that decide how 76815 is paid alongside other services.
CMS payment indicators · 76815
Obstetric 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
76815 without 26 · national office
$81.50
Obstetric ultrasound
76815-26 · Professional component
$30.73
Pays only the interpretation and report.
76815 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 76816Obstetric ultrasound
- 76815 answers a focused question, such as fetal position or fluid assessment. 76816 is for follow-up reassessment of fetal growth and is reported per fetus.
- 76805Obstetric ultrasound
- 76805 is a complete obstetric ultrasound at or beyond 14 weeks. Choose 76815 when the documented study is limited to a specific clinical question rather than a complete survey.
- 76818Fetal biophysical profile
- 76818 includes a fetal biophysical profile and nonstress test. 76815 describes a focused ultrasound assessment without that combined fetal well-being service.
- 76817OB ultrasound
- 76817 is an obstetric ultrasound performed transvaginally. 76815 identifies a limited obstetric assessment and is not distinguished by the transvaginal approach.
76815 billing questions
When should 76815 be chosen instead of 76816?
Use 76815 for a focused assessment such as fetal position, cardiac activity, placental location, or qualitative amniotic fluid. Use 76816 when the service is a follow-up examination that reassesses fetal growth.
Is 76815 reported once for each fetus?
No. The limited examination may cover one or more fetuses; 76815 is not reported per fetus.
Which component modifier should the claim use?
Use modifier 26 for the professional interpretation or modifier TC for the technical service. Report without either modifier when billing the global service.
Can a limited scan be reported with a complete obstetric ultrasound?
A limited scan should represent a distinct, medically necessary examination, not a subset of a complete study performed during the same encounter. The documentation should show the separate clinical question and work.
What documentation supports 76815?
Document the reason for the focused examination, the specific assessment performed, findings, and interpretation. Retained images should support the documented evaluation.
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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