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 |
| Medicare Fee Schedule | View Medicare rates for 76827 |
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 | $78.44 | 1871613786 - LORIE HARPER | 264562522 - SETON FAMILY OF DOCTORS | TX | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 76827 | $89.63 | 1427469980 - TAMER ELATTARY | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Anesthesiology Physician (207L00000X) |
United | 76827 | $89.63 | 1063041564 - ALEHA SALEH | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Nurse Practitioner (363LP0200X) |
United | 76827 | $255.00 | 1669863502 - TAMRA KELLY | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 76827 | $255.00 | 1215279492 - SRUTHI THOMAS | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Rehabilitation Medicine Physician (2081P0010X) |
United | 76827 | $255.00 | 1043716624 - PHILLIP RIBBECK | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatrics Physician (208000000X) |
United | 76827 | $89.63 | 1336159300 - DESHAWNDRANIQUE GRAY | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Obstetrics & Gynecology Physician (207V00000X) |
United | 76827 | $255.00 | 1104166370 - CAITLIN HOOVER | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Physician Assistant (363A00000X) |
United | 76827 | $217.46 | 1205179587 - MARCOS FERREIRA BOTELHO | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Radiology Physician (2085P0229X) |
United | 76827 | $265.47 | 1013937994 - BARBARA BRUNER | 752740653 - (TX) MAGELLA MEDICAL ASSOCIATES BILLING INC | LA | Neonatal Nurse Practitioner (363LN0000X) |
United | 76827 | $89.63 | 1134638232 - ALLISON BAUTISTA | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Nurse Practitioner (363LP0200X) |
United | 76827 | $89.63 | 1790432805 - DONDRA BOBBITT | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 76827 | $255.00 | 1063929537 - SAAMIA MASOOM | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X) |
United | 76827 | $255.00 | 1912608597 - SIMI ABRAHAM | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Physician Assistant (363A00000X) |
United | 76827 | $89.63 | 1760189393 - LYNNE SINGLETON | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Physician Assistant (363A00000X) |
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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