CPT 76885 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 | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76885 |
National average reimbursement for CPT 76885 by major payers:
$159.19
$162.05
$144.09
$196.77
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 76885 | $37.88 | 1740426790 - JESSICA KERR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MD | Physician Assistant (363A00000X) |
United | 76885 | $155.94 | 1124012067 - ERNEST KENDRICK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Psychiatry Physician (2084P0800X) |
United | 76885 | $225.00 | 1235225780 - CLAUDE FORTIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Neurology Physician (2084N0400X) |
United | 76885 | $225.00 | 1356381719 - DAVID ZABEL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Plastic Surgery Physician (208200000X) |
United | 76885 | $225.00 | 1285874362 - FARHOUD KHOSRAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 76885 | $62.40 | 1376733279 - JULIE MALONEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgical Physician Assistant (363AS0400X) |
United | 76885 | $225.00 | 1962062455 - JUAN VARGAS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 76885 | $146.16 | 1710210273 - JENNIFER FAIRCLOTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Certified Registered Nurse Anesthetist (367500000X) |
United | 76885 | $62.40 | 1821377607 - DANIEL CHOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 76885 | $162.60 | 1821262338 - VINCENT MAURER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 76885 | $108.26 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MT | Pulmonary Disease Physician (207RP1001X) |
United | 76885 | $146.35 | 1700885035 - THOMAS FLEETER | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 76885 | $162.74 | 1699074518 - LAURA CONTINETTI | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 76885 | $62.40 | 1912014515 - MICHELLE EISENBERGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Certified Registered Nurse Anesthetist (367500000X) |
United | 76885 | $173.31 | 1235746082 - JESSICA YUEN | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
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 76885 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76885 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 76885 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 |
|---|---|---|
| 76885-CPT | Low | Us Exam Infant Hips Dynamic, Ultrasound Infant Hips Real Time With Imaging Documentation Dynamic Requiring Physician Or Other Qualified Health Care Professional Manipulation |
| 76886-CPT | Low | Us Exam Infant Hips Static, Ultrasound Infant Hips Real Time With Imaging Documentation Limited Static Not Requiring Physician Or Other Qualified Health Care Professional Manipulation |
| 76999-CPT | High | Ultrasound Exam, Ultrasound Uses Sound Waves To Create A Video Image Of A Body Part. It Is Used As A Visual Guide During A Procedure As Well As To Assess Functions Such As Blood Flow In Real-Time. |
| 77072-CPT | Low | Bone Age Study, A Bone Age Study Evaluates Growth And Development By Comparing X-Rays Of A Childs Bones To Standard Images Grouped By Age. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76885 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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