CPT 76820
Global XXX ActiveUmbilical artery echo
CPT 76820 Billing & Documentation Guide
CPT code 76820 (Umbilical artery echo) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.49, a non-facility practice expense RVU of 0.83, and a malpractice RVU of 0.03, a total non-facility RVU of 1.35 and facility RVU of 1.35. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $46.49, though rates vary from $40.7 to $58.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76820, 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 76820 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 76820 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 76820
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.49 | 0.49 |
| Practice Expense RVU | 0.83 | 0.83 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.35 | 1.35 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76820
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 | $50.3 | $50.3 | $47.57 - $58.68 | 29 |
| Florida | $46.13 | $46.13 | $44.38 - $47.76 | 3 |
| Georgia | $44.04 | $44.04 | $42.29 - $45.79 | 2 |
| Illinois | $45.12 | $45.12 | $43.24 - $46.73 | 4 |
| Michigan | $43.81 | $43.81 | $42.81 - $44.81 | 2 |
| North Carolina | $42.87 | $42.87 | $42.87 - $42.87 | 1 |
| New York | $49.43 | $49.43 | $43.41 - $52.24 | 5 |
| Ohio | $42.69 | $42.69 | $42.69 - $42.69 | 1 |
| Pennsylvania | $44.74 | $44.74 | $42.76 - $46.72 | 2 |
| Texas | $44.68 | $44.68 | $42.53 - $46.62 | 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 76820
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76820 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 |
| 76828 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 93325 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99446 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 76820
What does CPT code 76820 mean? +
CPT code 76820 represents: Umbilical artery echo. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76820? +
The 2026 Medicare national average non-facility payment for CPT 76820 is $46.49. Rates range from $40.7 to $58.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76820? +
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 76820? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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