$98.12
Choose 76776 for ultrasound with Doppler of a transplanted kidney. Choose 76770 for a complete retroperitoneal examination, such as an assessment of native kidneys.
On this page
CMS RVU26D · Effective 2026-10-01
76776 Transplant ultrasound Medicare reimbursement rates in Tennessee
Ultrasound with Doppler evaluates a transplanted kidney and its vessels, commonly for graft dysfunction, obstruction, or suspected vascular compromise. Compare 76776 office and facility rates across CMS payment localities in Tennessee.
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 76776 in Tennessee?
Tennessee 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
$131.75
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 ultrasound
About 76776: Transplant kidney ultrasound with Doppler
Ultrasound with Doppler evaluates a transplanted kidney and its vessels, commonly for graft dysfunction, obstruction, or suspected vascular compromise.
This study evaluates a renal allograft with real-time ultrasound and Doppler assessment of the transplant vessels. It is commonly ordered for graft dysfunction, rising creatinine, reduced urine output, suspected obstruction, or concern for vascular compromise after kidney transplantation. Sonographers acquire and document the images; a radiologist or other qualified physician interprets the examination, often in a hospital or outpatient imaging setting.
Report 76776 for an ultrasound of the transplanted kidney that includes Doppler evaluation; a study of native kidneys or the broader retroperitoneum is selected according to its scope instead. Documentation should identify the graft, support the ultrasound and Doppler work performed, and include the interpretation. CMS allows global billing without a modifier, or separate professional and technical billing with modifiers 26 and TC. The diagnostic imaging multiple procedure reduction applies to both components.
CMS billing rules for 76776
- 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 RVU0.74 · 17%
- Practice expense (office) RVU3.49 · 81%
- Malpractice RVU0.06 · 1%
47.4K
Medicare services in 2024 · #801 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.
76776 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$56.49
76775 describes a limited retroperitoneal ultrasound. It does not identify the transplant-kidney Doppler service represented by 76776.
$237.42
93975 describes a duplex examination of abdominal organ vessels. 76776 is the transplant-kidney ultrasound that includes Doppler assessment of the graft vessels.
Compare 76776 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
Tennessee →
Office / nonfacility
$131.75
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 76776 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
8,757
- Code
- 76776
- Physician work
- 0.74
- Practice expense
- 3.49
- Malpractice
- 0.06
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 3.49 | × 0.909 | 3.1724 |
| Malpractice | 0.06 | × 0.537 | 0.0322 |
| Total RVUs | 3.9446 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$131.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.74 | 1 |
| Practice expense | 3.49 | 0.909 |
| Malpractice | 0.06 | 0.537 |
(0.74 × 1 + 3.49 × 0.909 + 0.06 × 0.537) × $33.4009 = $131.75
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.
76776 billing questions
How does 76776 differ from a native-kidney ultrasound?
76776 is specific to the transplanted kidney and includes Doppler assessment of its vessels. Use a retroperitoneal ultrasound code when the examination is of native kidneys or the broader retroperitoneum.
Is Doppler reported separately from 76776?
The transplant-vessel Doppler assessment is included in 76776. Do not report a separate duplex service for the same Doppler work.
How are the professional and technical portions billed?
Bill globally without a modifier, or report modifier 26 for the professional interpretation and modifier TC for the technical service. CMS applies the diagnostic imaging multiple procedure reduction to both components.
What documentation supports reporting 76776?
Document that the examination concerns a transplanted kidney, the ultrasound and Doppler evaluation performed, and the interpreting provider's findings. Clinical context such as graft dysfunction or suspected obstruction can support why the study was ordered.
Are units based on the number of vessels examined?
No. Report the transplant-kidney ultrasound study, not separate units for individual vessels assessed during its Doppler 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 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.
8,75476775,,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
8,75876776,26,Us exam k transpl w/doppler,A,,0.74,0.26,,0.26,,0.04,1.04,1.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,75976776,TC,Us exam k transpl w/doppler,A,,0.00,3.23,,3.23,NA,0.02,3.25,3.25,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,0.00,0.00,0.00
8,76076800,,Us exam spinal canal,A,,1.10,4.36,,4.36,NA,0.24,5.70,5.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.79,3.79,0.24
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780