CPT 76830
Global XXX ActiveTransvaginal us non-ob
CPT 76830 Billing & Documentation Guide
CPT code 76830 (Transvaginal us non-ob) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.67, a non-facility practice expense RVU of 2.79, and a malpractice RVU of 0.06, a total non-facility RVU of 3.52 and facility RVU of 3.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $121.81, though rates vary from $103.46 to $160.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76830, 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 76830 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 1 units of 76830 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 76830
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.67 | 0.67 |
| Practice Expense RVU | 2.79 | 2.79 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 3.52 | 3.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76830
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 | $134.54 | $134.54 | $125.97 - $160.29 | 29 |
| Florida | $119.78 | $119.78 | $114.48 - $124.46 | 3 |
| Georgia | $113.71 | $113.71 | $107.89 - $119.53 | 2 |
| Illinois | $116.33 | $116.33 | $110.59 - $121.79 | 4 |
| Michigan | $112.7 | $112.7 | $109.72 - $115.68 | 2 |
| North Carolina | $110.6 | $110.6 | $110.6 - $110.6 | 1 |
| New York | $130.12 | $130.12 | $112.32 - $138.33 | 5 |
| Ohio | $109.48 | $109.48 | $109.48 - $109.48 | 1 |
| Pennsylvania | $116 | $116 | $109.82 - $122.18 | 2 |
| Texas | $116.11 | $116.11 | $109.04 - $122.79 | 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 76830
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76830 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0567T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0568T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0689T | 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 | No | Mutually exclusive procedures |
| 76816 | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 76831 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 76830
What does CPT code 76830 mean? +
CPT code 76830 represents: Transvaginal us non-ob. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76830? +
The 2026 Medicare national average non-facility payment for CPT 76830 is $121.81. Rates range from $103.46 to $160.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76830? +
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 76830? +
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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