CPT 76810
Global ZZZ ActiveOb us >/= 14 wks addl fetus
CPT 76810 Billing & Documentation Guide
CPT code 76810 (Ob us >/= 14 wks addl fetus) is classified under Radiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.96, a non-facility practice expense RVU of 1.63, and a malpractice RVU of 0.06, a total non-facility RVU of 2.65 and facility RVU of 2.65. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $91.25, though rates vary from $79.86 to $115.17 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76810, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 76810 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 76810 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 76810
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.96 | 0.96 |
| Practice Expense RVU | 1.63 | 1.63 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 2.65 | 2.65 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76810
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $98.72 | $98.72 | $93.35 - $115.17 | 29 |
| Florida | $90.59 | $90.59 | $87.12 - $93.81 | 3 |
| Georgia | $86.45 | $86.45 | $83.02 - $89.88 | 2 |
| Illinois | $88.61 | $88.61 | $84.9 - $91.75 | 4 |
| Michigan | $86.01 | $86.01 | $84.03 - $87.98 | 2 |
| North Carolina | $84.14 | $84.14 | $84.14 - $84.14 | 1 |
| New York | $97.05 | $97.05 | $85.2 - $102.57 | 5 |
| Ohio | $83.79 | $83.79 | $83.79 - $83.79 | 1 |
| Pennsylvania | $87.82 | $87.82 | $83.94 - $91.71 | 2 |
| Texas | $87.7 | $87.7 | $83.47 - $91.51 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 76810
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76810 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0689T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0690T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 51701 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 51702 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76815 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 76942 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76970 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76986 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 76810
What does CPT code 76810 mean? +
CPT code 76810 represents: Ob us >/= 14 wks addl fetus. It's in the Radiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 76810? +
The 2026 Medicare national average non-facility payment for CPT 76810 is $91.25. Rates range from $79.86 to $115.17 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76810? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 76810? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team