CPT code 76510: Eye ultrasound, B-scan and quantitative A-scan2026 Medicare rate & RVUs in West Virginia
Reports an eye ultrasound combining B-scan imaging with quantitative A-scan measurements, often when the posterior segment cannot be viewed directly.
In West Virginia, Medicare pays $63.14 for 76510 in the office.
Check a contract rate as a % of Medicare · 76510 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 76510 covers
This diagnostic study combines B-scan imaging of ocular structures with quantitative A-scan measurements. Ophthalmologists and other qualified eye-care professionals may use it to assess the posterior segment when cataract, vitreous hemorrhage, or another opacity prevents a clear view of the fundus. The B-scan provides structural information, while the quantitative A-scan supplies measurements; the documented clinical question should support performing both parts of the study.
Report this code when both the B-scan and quantitative A-scan are performed as a diagnostic examination. Documentation should identify the eye examined, the reason for imaging, the findings, and the interpretation. CMS separately prices the professional interpretation (modifier 26) and technical services (modifier TC); billing without either modifier represents the global service. When bilateral, each side is paid separately at 100%. The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when it is subject to that reduction.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How West Virginia compares for 76510
Across 109 of 109 payment localities, the office rate for 76510 runs from $62.08 in Arkansas to $91.07 in San Benito County, CA. West Virginia pays $63.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$63.14
- Los Angeles, CA · California$77.83+$14.69
- Washington, DC area · District of Columbia$78.19+$15.05
- Miami, FL · Florida$71.69+$8.55
- Chicago, IL · Illinois$70.06+$6.92
- Manhattan, NY · New York$78.01+$14.87
- Alaska · Alaska$82.81+$19.67
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $62.84 | — |
| ArkansasArkansas | $62.08 | — |
| ArizonaArizona | $67.30 | — |
| Bakersfield, CACalifornia | $73.34 | — |
| Chico, CACalifornia | $73.24 | — |
| El Centro, CACalifornia | $73.25 | — |
| Fresno, CACalifornia | $73.24 | — |
| Hanford, CACalifornia | $73.24 | — |
| Madera, CACalifornia | $73.24 | — |
| Merced, CACalifornia | $73.24 | — |
| Modesto, CACalifornia | $73.24 | — |
| Napa, CACalifornia | $84.35 | — |
| Oxnard, CACalifornia | $77.46 | — |
| Redding, CACalifornia | $73.24 | — |
| Rest of CaliforniaCalifornia | $73.24 | — |
| Riverside, CACalifornia | $73.48 | — |
| Sacramento, CACalifornia | $76.72 | — |
| Salinas, CACalifornia | $76.42 | — |
| San Diego, CACalifornia | $78.08 | — |
| Marin County, CACalifornia | $89.23 | — |
| San Francisco, CACalifornia | $89.20 | — |
| San Benito County, CACalifornia | $91.07 | — |
| Santa Clara County, CACalifornia | $90.98 | — |
| San Luis Obispo, CACalifornia | $75.20 | — |
| Santa Cruz, CACalifornia | $78.74 | — |
| Santa Maria, CACalifornia | $76.67 | — |
| Santa Rosa, CACalifornia | $79.53 | — |
| Stockton, CACalifornia | $73.24 | — |
| Vallejo, CACalifornia | $84.32 | — |
| Visalia, CACalifornia | $73.24 | — |
| Yuba City, CACalifornia | $73.24 | — |
| ColoradoColorado | $71.84 | — |
| ConnecticutConnecticut | $72.90 | — |
| DelawareDelaware | $68.31 | — |
| Fort Lauderdale, FLFlorida | $69.94 | — |
| Rest of FloridaFlorida | $67.14 | — |
| Atlanta, GAGeorgia | $69.74 | — |
| Rest of GeorgiaGeorgia | $64.03 | — |
| Hawaii, Guam, HIHawaii | $74.75 | — |
| IowaIowa | $64.54 | — |
| IdahoIdaho | $64.82 | — |
| East St. Louis, ILIllinois | $65.85 | — |
| Rest of IllinoisIllinois | $65.23 | — |
| Suburban Chicago, ILIllinois | $70.71 | — |
| IndianaIndiana | $65.15 | — |
| KansasKansas | $64.11 | — |
| KentuckyKentucky | $63.71 | — |
| New Orleans, LALouisiana | $66.22 | — |
| Rest of LouisianaLouisiana | $63.55 | — |
| Metropolitan Boston, MAMassachusetts | $78.48 | — |
| Rest of MassachusettsMassachusetts | $71.44 | — |
| Baltimore area, MDMaryland | $72.64 | — |
| Rest of MarylandMaryland | $69.52 | — |
| Rest of MaineMaine | $64.92 | — |
| Southern Maine, MEMaine | $68.15 | — |
| Detroit, MIMichigan | $67.67 | — |
| Rest of MichiganMichigan | $64.94 | — |
| MinnesotaMinnesota | $69.65 | — |
| Metropolitan Kansas City, MOMissouri | $66.02 | — |
| Metropolitan St. Louis, MOMissouri | $66.63 | — |
| Rest of MissouriMissouri | $62.52 | — |
| MississippiMississippi | $62.32 | — |
| MontanaMontana | $68.80 | — |
| North CarolinaNorth Carolina | $65.52 | — |
| North DakotaNorth Dakota | $68.41 | — |
| NebraskaNebraska | $64.89 | — |
| New HampshireNew Hampshire | $70.58 | — |
| Northern New JerseyNew Jersey | $77.55 | — |
| Rest of New JerseyNew Jersey | $73.96 | — |
| New MexicoNew Mexico | $65.17 | — |
| NevadaNevada | $68.74 | — |
| NYC suburbs and Long Island, NYNew York | $79.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $74.28 | — |
| Queens, NYNew York | $78.82 | — |
| Rest of New YorkNew York | $66.34 | — |
| OhioOhio | $64.86 | — |
| OklahomaOklahoma | $63.80 | — |
| Portland, OROregon | $74.04 | — |
| Rest of OregonOregon | $68.43 | — |
| Metropolitan Philadelphia, PAPennsylvania | $71.21 | — |
| Rest of PennsylvaniaPennsylvania | $65.04 | — |
| Puerto RicoPuerto Rico | $69.30 | — |
| Rhode IslandRhode Island | $70.66 | — |
| South CarolinaSouth Carolina | $65.25 | — |
| South DakotaSouth Dakota | $68.36 | — |
| TennesseeTennessee | $64.36 | — |
| Austin, TXTexas | $71.41 | — |
| Beaumont, TXTexas | $64.67 | — |
| Brazoria, TXTexas | $68.43 | — |
| Dallas, TXTexas | $68.73 | — |
| Fort Worth, TXTexas | $68.29 | — |
| Galveston, TXTexas | $68.55 | — |
| Houston, TXTexas | $68.92 | — |
| Rest of TexasTexas | $66.42 | — |
| UtahUtah | $66.01 | — |
| VirginiaVirginia | $67.84 | — |
| Virgin Islands, VIUnited States Virgin Islands | $69.30 | — |
| VermontVermont | $68.02 | — |
| Rest of WashingtonWashington | $71.35 | — |
| King County, WAWashington | $80.13 | — |
| WisconsinWisconsin | $66.44 | — |
| WyomingWyoming | $68.63 | — |
76510 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$62.08
$82.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $82.81 | 1 |
| AL | $62.84 | 1 |
| AR | $62.08 | 1 |
| AZ | $67.30 | 1 |
| CA | $73.24–$91.07 | 29 |
| CO | $71.84 | 1 |
| CT | $72.90 | 1 |
| DC | $78.19 | 1 |
| DE | $68.31 | 1 |
| FL | $67.14–$71.69 | 3 |
| GA | $64.03–$69.74 | 2 |
| GU | $74.75 | 1 |
| HI | $74.75 | 1 |
| IA | $64.54 | 1 |
| ID | $64.82 | 1 |
| IL | $65.23–$70.71 | 4 |
| IN | $65.15 | 1 |
| KS | $64.11 | 1 |
| KY | $63.71 | 1 |
| LA | $63.55–$66.22 | 2 |
| MA | $71.44–$78.48 | 2 |
| MD | $69.52–$78.19 | 3 |
| ME | $64.92–$68.15 | 2 |
| MI | $64.94–$67.67 | 2 |
| MN | $69.65 | 1 |
| MO | $62.52–$66.63 | 3 |
| MS | $62.32 | 1 |
| MT | $68.80 | 1 |
| NC | $65.52 | 1 |
| ND | $68.41 | 1 |
| NE | $64.89 | 1 |
| NH | $70.58 | 1 |
| NJ | $73.96–$77.55 | 2 |
| NM | $65.17 | 1 |
| NV | $68.74 | 1 |
| NY | $66.34–$79.42 | 5 |
| OH | $64.86 | 1 |
| OK | $63.80 | 1 |
| OR | $68.43–$74.04 | 2 |
| PA | $65.04–$71.21 | 2 |
| PR | $69.30 | 1 |
| RI | $70.66 | 1 |
| SC | $65.25 | 1 |
| SD | $68.36 | 1 |
| TN | $64.36 | 1 |
| TX | $64.67–$71.41 | 8 |
| UT | $66.01 | 1 |
| VA | $67.84–$78.19 | 2 |
| VI | $69.30 | 1 |
| VT | $68.02 | 1 |
| WA | $71.35–$80.13 | 2 |
| WI | $66.44 | 1 |
| WV | $63.14 | 1 |
| WY | $68.63 | 1 |
How the 76510 rate is calculated
Each of 76510’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76510
RVUs × geographic indexes × conversion factor
Work0.68
0.68 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
2.0600
Conversion factor
$33.4009
Medicare rate
$68.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact West Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,706
- Code
- 76510
- Physician work
- 0.68
- Practice expense
- 1.36
- Malpractice
- 0.02
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.000 | 0.6800 |
| Practice expense | 1.36 | × 0.869 | 1.1818 |
| Malpractice | 0.02 | × 1.431 | 0.0286 |
| Total RVUs | 1.8905 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$63.14
Office: (0.68 × 1 + 1.36 × 0.869 + 0.02 × 1.431) × $33.4009 = $63.14
Payment rules and modifiers for 76510
The CMS indicators that decide how 76510 is paid alongside other services.
CMS payment indicators · 76510
Eye ultrasound, B-scan and quantitative A-scan
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76510 without 26 · national office
$68.81
Eye ultrasound, B-scan and quantitative A-scan
76510-26 · Professional component
$38.41
Pays only the interpretation and report.
How 76510 has changed in West Virginia
76510 · Office / nonfacility
$63.14
Effective 2026-10-01
The base rate is $3.11 higher than on 2025-10-01, moving from $60.03 to $63.14 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$60.03changed to$63.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.70 changed to 0.68
- Practice expense RVU 1.31 changed to 1.36
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$62.64changed to$60.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.34 changed to 1.31
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$61.62changed to$62.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$63.63changed to$61.62
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$64.54changed to$63.63
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.33 changed to 1.34
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$67.47changed to$64.54
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.41 changed to 1.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$83.07changed to$67.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.84 changed to 1.41
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$101.21changed to$83.07
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.43 changed to 1.84
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$123.93changed to$101.21
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.17 changed to 2.43
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$154.90changed to$123.93
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 1.55 changed to 0.70
- Practice expense RVU 3.22 changed to 3.17
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$153.56changed to$154.90
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.23 changed to 3.22
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$153.65changed to$153.56
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$152.88changed to$153.65
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$163.19changed to$152.88
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.22 changed to 3.23
- Malpractice RVU 0.26 changed to 0.02
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$163.75changed to$163.19
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.54 changed to 3.22
- Malpractice RVU 0.27 changed to 0.26
- Practice expense GPCI 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $163.75
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $63.14 | Not available in this setting | RVU26D |
| 2026-07-01 | $63.14 | Not available in this setting | RVU26C |
| 2026-04-01 | $63.14 | Not available in this setting | RVU26B |
| 2026-01-01 | $63.14 | Not available in this setting | RVU26A |
| 2025-10-01 | $60.03 | Not available in this setting | RVU25D |
| 2025-07-01 | $60.03 | Not available in this setting | RVU25C |
| 2025-04-01 | $60.03 | Not available in this setting | RVU25B |
| 2025-01-01 | $60.03 | Not available in this setting | RVU25A |
| 2024-10-01 | $62.64 | Not available in this setting | RVU24D |
| 2024-07-01 | $62.64 | Not available in this setting | RVU24C |
| 2024-04-01 | $62.64 | Not available in this setting | RVU24B |
| 2024-03-09 | $62.64 | Not available in this setting | RVU24AR |
| 2024-01-01 | $61.62 | Not available in this setting | RVU24A |
| 2023-10-01 | $63.63 | Not available in this setting | RVU23D |
| 2023-07-01 | $63.63 | Not available in this setting | RVU23C |
| 2023-04-01 | $63.63 | Not available in this setting | RVU23B |
| 2023-01-01 | $63.63 | Not available in this setting | RVU23A |
| 2022-10-01 | $64.54 | Not available in this setting | RVU22D |
| 2022-07-01 | $64.54 | Not available in this setting | RVU22C |
| 2022-04-01 | $64.54 | Not available in this setting | RVU22B |
| 2022-01-01 | $64.54 | Not available in this setting | RVU22A |
| 2021-10-01 | $67.47 | Not available in this setting | RVU21D |
| 2021-07-01 | $67.47 | Not available in this setting | RVU21C |
| 2021-04-01 | $67.47 | Not available in this setting | RVU21B |
| 2021-01-01 | $67.47 | Not available in this setting | RVU21A |
| 2020-10-01 | $83.07 | Not available in this setting | RVU20D |
| 2020-07-01 | $83.07 | Not available in this setting | RVU20C |
| 2020-04-01 | $83.07 | Not available in this setting | RVU20B |
| 2020-01-01 | $83.07 | Not available in this setting | RVU20A |
| 2019-10-01 | $101.21 | Not available in this setting | RVU19D |
| 2019-07-01 | $101.21 | Not available in this setting | RVU19C |
| 2019-04-01 | $101.21 | Not available in this setting | RVU19B |
| 2019-01-01 | $101.21 | Not available in this setting | RVU19A |
| 2018-10-01 | $123.93 | Not available in this setting | RVU18D |
| 2018-07-01 | $123.93 | Not available in this setting | RVU18C |
| 2018-04-01 | $123.93 | Not available in this setting | RVU18B |
| 2018-01-01 | $123.93 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $154.90 | Not available in this setting | RVU17D |
| 2017-07-01 | $154.90 | Not available in this setting | RVU17C |
| 2017-04-01 | $154.90 | Not available in this setting | RVU17B |
| 2017-01-01 | $154.90 | Not available in this setting | RVU17A |
| 2016-10-01 | $153.56 | Not available in this setting | RVU16D |
| 2016-07-01 | $153.56 | Not available in this setting | RVU16C |
| 2016-04-01 | $153.56 | Not available in this setting | RVU16B |
| 2016-01-01 | $153.56 | Not available in this setting | RVU16A |
| 2015-10-01 | $153.65 | Not available in this setting | RVU15D |
| 2015-07-01 | $153.65 | Not available in this setting | RVU15C |
| 2015-04-01 | $152.88 | Not available in this setting | RVU15B |
| 2015-01-01 | $152.88 | Not available in this setting | RVU15A |
| 2014-10-01 | $163.19 | Not available in this setting | RVU14D |
| 2014-07-01 | $163.19 | Not available in this setting | RVU14C |
| 2014-04-01 | $163.19 | Not available in this setting | RVU14B |
| 2014-01-01 | $163.19 | Not available in this setting | RVU14A |
| 2013-10-01 | $163.75 | Not available in this setting | RVU13D |
| 2013-07-01 | $163.75 | Not available in this setting | RVU13C |
| 2013-04-01 | $163.75 | Not available in this setting | RVU13B |
| 2013-01-01 | $163.75 | Not available in this setting | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
76510 billing questions
When should this code be selected instead of 76511 or 76512?
Use 76510 when the diagnostic study includes both B-scan imaging and quantitative A-scan measurement. Use 76511 for quantitative A-scan alone or 76512 for B-scan alone.
Can the two scan components be billed separately?
This code represents the combined B-scan and quantitative A-scan study. Do not separately report the single-component codes for the same components of that combined study.
How are the professional and technical services reported?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
How is bilateral performance paid?
CMS pays each side separately at 100% when the study is performed bilaterally. Document which eye was examined on each side.
Does a multiple-procedure reduction affect this code?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component. It does not change the stated professional-component treatment.
How does this differ from 76519?
76519 is used for ocular A-scan biometry with intraocular lens power calculation. Choose 76510 for the combined diagnostic B-scan and quantitative A-scan study.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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