Billing code 76886: Infant hip ultrasoundMedicare rate & RVUs in Washington
Reports a limited static ultrasound assessment of an infant’s hips, commonly used to evaluate hip structure when developmental dysplasia is suspected.
Medicare pays $101.06–$115.03 for 76886 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). 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 76886 covers
This study uses real-time ultrasound and documented images to assess infant hip anatomy in a static position. It is used when the clinical question concerns structural features such as acetabular development, rather than observing hip motion or instability. A sonographer may acquire the images, with a qualified physician interpreting the examination. Typical settings include radiology departments and pediatric imaging services.
Select this code when the documented examination is a limited static infant hip study. The report should support the indication, the static assessment performed, the images obtained, and the interpreting clinician’s findings. The CMS fee schedule identifies separately priced professional and technical components: modifier 26 represents the interpretation, while modifier TC represents the equipment and staff. Without either modifier, the service is billed globally, including both components.
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.
Where 76886 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $101.06 | Unavailable |
| Seattle (King Cnty) | $115.03 | Unavailable |
How the 76886 rate is calculated
Each of 76886’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 · 76886
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.60Practice expense 2.26Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76886
The CMS indicators that decide how 76886 is paid alongside other services.
CMS payment indicators · 76886
Infant hip 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
76886 without 26 · national office
$97.20
Infant hip ultrasound
76886-26 · Professional component
$28.72
Pays only the interpretation and report.
76886 compared with similar codes
Compare codes
76886 vs 76885 vs 76881 vs 76882: national Medicare rates
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How to choose
- 76885Us exam infant hips dynamic
- Choose 76886 for a static structural assessment. Choose 76885 when the documented infant hip examination evaluates movement dynamically.
- 76881Joint ultrasound
- 76881 describes a complete ultrasound examination of a joint, not the dedicated limited static infant hip study represented by 76886.
- 76882Extremity ultrasound
- 76882 is a limited joint ultrasound code; 76886 is specific to a static infant hip examination.
76886 billing questions
How does this differ from 76885?
76886 describes a static assessment of infant hip structure. 76885 is used for a limited dynamic examination that evaluates the hips during movement.
Can the interpretation and imaging work 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 76886?
The record should identify the clinical indication and support that a limited static infant hip study was performed, with image documentation and an interpretation.
Is this the code for checking hip movement or instability?
No. When the examination evaluates the hips dynamically, use 76885 rather than this static-study code.
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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