CPT 76827 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Ultrasound Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 76827 by major payers:
$88.91
$96.76
$94.78
$109.20
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 76827 | ||||||
United | 76827 | $312.32 | 1477811404 - MELODY KHMELEV | 752740653 - (TX) MAGELLA MEDICAL ASSOCIATES BILLING INC | TX | Hospitalist Physician (208M00000X) |
United | 76827 | $255.00 | 1336375310 - CHINELO ONUEKWUSI | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatrics Physician (208000000X) |
United | 76827 | $100.86 | 1235306713 - JENY GHARTEY | 742696970 - PROVIDENCE HEALTH ALLIANCE INC | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $89.63 | 1215241310 - KELLY CLINE | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Orthopaedic Surgery Physician (207XP3100X) |
United | 76827 | $74.23 | 1073776977 - CHRISTOPHER ENAKPENE | 752668019 | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $59.77 | 1508840885 - NORTH TEXAS PERINATAL ASSOCIATES, P.A. | 752382044 - (TX) NORTH TEXAS PERINATAL ASSOCIATES PA | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $235.07 | 1861633802 - SUSHMA AMARA | 650896456 | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $255.00 | 1134565575 - BARBARA NZEGWU | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Anesthesiology Physician (207LP3000X) |
United | 76827 | $255.00 | 1336316074 - VENEE TUBMAN | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 76827 | $89.63 | 1063041564 - ALEHA SALEH | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Nurse Practitioner (363LP0200X) |
United | 76827 | $90.30 | 1215922463 - CARLOS CARRENO | 742620408 - (TX) CHILDRENS PHYSICIAN SERVICES OF SOUTH TEXAS | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $89.63 | 1134638232 - ALLISON BAUTISTA | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Nurse Practitioner (363LP0200X) |
United | 76827 | $265.47 | 1750666228 - RICHARD NEWBY | 752740653 - (TX) MAGELLA MEDICAL ASSOCIATES BILLING INC | TX | Neonatal Nurse Practitioner (363LN0000X) |
United | 76827 | $265.47 | 1578028445 - JANICE LEVY | 752740653 - (TX) MAGELLA MEDICAL ASSOCIATES BILLING INC | TX | Primary Care Nurse Practitioner (363LP2300X) |
United | 76827 | $255.00 | 1669863502 - TAMRA KELLY | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 76827 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76827 code is part of the Radiology Procedures services used for Diagnostic Ultrasound Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76827 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76820-CPT | Low | Doppler Velocimetry, Fetal; Umbilical Artery |
| 76821-CPT | Low | Doppler Velocimetry, Fetal; Middle Cerebral Artery |
| 76825-CPT | Moderate | Echocardiography, Fetal, Cardiovascular System, Real Time With Image Documentation (2d), With Or Without M-Mode Recording; |
| 76827-CPT | Low | Dopp Echo Fetal Syst Wave Comp |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76827. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76827 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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