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See a sample rate comparisonHealthcare 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 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76941 |
| Medicaid Fee Schedule | View Medicaid rates for 76941 |
National average reimbursement for CPT 76941 by major payers:

$144.62

$154.50

$122.59

$181.18
Choose a payer to see a sample of rates for CPT 76941.
Radiology Associates Of North Texas, PA
Radiology Associates Of North Texas, PA
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
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See a sample payer proposalCPT 76941 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76941 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 76941 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 |
|---|---|---|
| 76941-CPT | Low | Ultrasound-Guided Transfusion, The Uterus Is Viewed With Ultrasound (Sound Waves) To Guide A Blood Transfusion For The Fetus Or To Remove Excess Fluid From The Umbilical Cord. |
| 76945-CPT | Low | Ultrasound Of Placenta, The Placenta And Uterus Are Viewed With Ultrasound (Sound Waves) To Guide Taking A Tissue Sample From The Placenta (Chorionic Villus). The Sample Is Tested For Genetic Abnormalities. |
| 76946-CPT | Low | Ultrasound For Amniocentesis, A Small Amount Of Amniotic Fluid Is Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately. |
| 76948-CPT | Low | Ultrasound To Remove Ova, Ova (Eggs) Are Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76941. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76941 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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