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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 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76987 |
| Medicaid Fee Schedule | View Medicaid rates for 76987 |
National average reimbursement for CPT 76987 by major payers:

$127.88

$117.15

$360.00

$1,443.52
Choose a payer to see a sample of rates for CPT 76987.
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Baycare Home Care Inc
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 76987 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76987 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 76987 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 |
|---|---|---|
| 76987-CPT | Low | Dx Intraop Epicar Car Us Chd, Intraoperative Epicardial Cardiac Ultrasound Ie Echocardiography For Congenital Heart Disease Diagnostic Including Placement And Manipulation Of Transducer Image Acquisition Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76987. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76987 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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