CPT code 76512: Eye ultrasound, diagnostic B-scan2026 Medicare rate & RVUs in South Carolina

Reports diagnostic B-scan ultrasound of the eye, commonly used to assess the posterior segment when direct visualization is limited by opaque media.

CMS RVU26DEffective Oct 1, 2026One payment locality201.7K Medicare services in 2024

In South Carolina, Medicare pays $46.41 for 76512 in the office.

$46.41Office (non-facility)
Not available in this settingHospital or facility
−4.8%vs the national office rate ($48.77)

Check a contract rate as a % of Medicare · 76512 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 76512 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 76512 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 76512 covers

An ophthalmic B-scan uses ultrasound to create an image of the eye’s internal structures. Ophthalmologists use it to evaluate the posterior segment when the view through the pupil is obscured, such as by dense cataract or vitreous hemorrhage, and to investigate findings such as suspected retinal detachment or an intraocular mass. The scan may be performed in an ophthalmology office or facility, with image acquisition by qualified staff and interpretation by the responsible clinician.

Select this code for a diagnostic B-scan rather than a quantitative A-scan alone or a combined B-scan and quantitative A-scan service. Documentation should identify the eye, clinical indication, ultrasound findings, and interpretation. Medicare recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. When multiple ophthalmology diagnostic procedures are performed, the reduction applies to the technical component. For bilateral services, each side is paid separately at 100%.

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 South Carolina compares for 76512

Across 109 of 109 payment localities, the office rate for 76512 runs from $44.25 in Arkansas to $63.62 in San Benito County, CA. South Carolina pays $46.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

76512 in South Carolina vs other payment areas
  1. South Carolina · this page$46.41
  2. Los Angeles, CA · California$54.73+$8.32
  3. Washington, DC area · District of Columbia$55.12+$8.71
  4. Miami, FL · Florida$51.01+$4.60
  5. Chicago, IL · Illinois$49.91+$3.50
  6. Manhattan, NY · New York$55.15+$8.74
  7. Alaska · Alaska$59.58+$13.17

Other areas in South Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

76512 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$44.76—
ArkansasArkansas$44.25—
ArizonaArizona$47.75—
Bakersfield, CACalifornia$51.71—
Chico, CACalifornia$51.62—
El Centro, CACalifornia$51.62—
Fresno, CACalifornia$51.62—
Hanford, CACalifornia$51.62—

76512 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.

$44.25

$59.58

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
76512 office rate range by state
State / territoryOffice rate rangeLocalities
AK$59.581
AL$44.761
AR$44.251
AZ$47.751
CA$51.62–$63.6229
CO$50.741
CT$51.561
DC$55.121
DE$48.431
FL$47.79–$51.013
GA$45.68–$49.432
GU$52.561
HI$52.561
IA$45.841
ID$46.041
IL$46.56–$50.214
IN$46.251
KS$45.581
KY$45.411
LA$45.32–$47.102
MA$50.50–$55.212
MD$49.25–$55.123
ME$46.13–$48.252
MI$46.27–$48.182
MN$49.161
MO$44.65–$47.343
MS$44.461
MT$48.761
NC$46.531
ND$48.371
NE$46.061
NH$49.901
NJ$52.30–$54.722
NM$46.431
NV$48.681
NY$47.08–$56.135
OH$46.181
OK$45.441
OR$48.45–$52.192
PA$46.29–$50.442
PR$49.081
RI$50.021
SC$46.411
SD$48.321
TN$45.751
TX$46.04–$50.458
UT$46.911
VA$48.06–$55.122
VI$49.081
VT$48.141
WA$50.42–$56.312
WI$47.051
WV$45.161
WY$48.591

See 76512 in every payment locality

How the 76512 rate is calculated

Each of 76512’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 · 76512

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.55

0.55 RVUs× 1.000 GPCI

Practice expense0.89

0.89 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.4600

Conversion factor

$33.4009

Medicare rate

$48.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,712

Code
76512
Physician work
0.55
Practice expense
0.89
Malpractice
0.02

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 76512 in South Carolina
ComponentRVULocality factorAdjusted
Physician work0.55× 1.0000.5500
Practice expense0.89× 0.9240.8224
Malpractice0.02× 0.8500.0170
Total RVUs1.3894
Conversion factor× 33.4009

Office rate, South Carolina$46.41

Office: (0.55 × 1 + 0.89 × 0.924 + 0.02 × 0.85) × $33.4009 = $46.41

Open 76512 in the RVU calculator

Payment rules and modifiers for 76512

The CMS indicators that decide how 76512 is paid alongside other services.

CMS payment indicators · 76512

Eye ultrasound, diagnostic B-scan

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

76512 without 26 · national office

$48.77

Eye ultrasound, diagnostic B-scan

76512-26 · Professional component

$30.39

Pays only the interpretation and report.

When to use modifier 26

How 76512 has changed in South Carolina

76512 · Office / nonfacility

$46.41

Effective 2026-10-01

The base rate is $2.66 higher than on 2025-10-01, moving from $43.75 to $46.41 (6.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $43.75changed to$46.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.56 changed to 0.55
    • Practice expense RVU 0.85 changed to 0.89
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $45.32changed to$43.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.86 changed to 0.85

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $44.58changed to$45.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.64changed to$44.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.85 changed to 0.86
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817
  5. January 1, 2023

    RVU23A

    $45.80changed to$45.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.83 changed to 0.85
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.81changed to$45.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.85 changed to 0.83

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $50.45changed to$46.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.91 changed to 0.85
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $58.38changed to$50.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.15 changed to 0.91
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $71.45changed to$58.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.55 changed to 1.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $88.52changed to$71.45

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 0.94 changed to 0.56
    • Practice expense RVU 1.66 changed to 1.55
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $88.37changed to$88.52

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $88.69changed to$88.37

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $88.25changed to$88.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.95changed to$88.25

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.05 changed to 0.02
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $89.46changed to$88.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.83 changed to 1.66
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $89.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$46.41Not available in this settingRVU26D
2026-07-01$46.41Not available in this settingRVU26C
2026-04-01$46.41Not available in this settingRVU26B
2026-01-01$46.41Not available in this settingRVU26A
2025-10-01$43.75Not available in this settingRVU25D
2025-07-01$43.75Not available in this settingRVU25C
2025-04-01$43.75Not available in this settingRVU25B
2025-01-01$43.75Not available in this settingRVU25A
2024-10-01$45.32Not available in this settingRVU24D
2024-07-01$45.32Not available in this settingRVU24C
2024-04-01$45.32Not available in this settingRVU24B
2024-03-09$45.32Not available in this settingRVU24AR
2024-01-01$44.58Not available in this settingRVU24A
2023-10-01$45.64Not available in this settingRVU23D
2023-07-01$45.64Not available in this settingRVU23C
2023-04-01$45.64Not available in this settingRVU23B
2023-01-01$45.64Not available in this settingRVU23A
2022-10-01$45.80Not available in this settingRVU22D
2022-07-01$45.80Not available in this settingRVU22C
2022-04-01$45.80Not available in this settingRVU22B
2022-01-01$45.80Not available in this settingRVU22A
2021-10-01$46.81Not available in this settingRVU21D
2021-07-01$46.81Not available in this settingRVU21C
2021-04-01$46.81Not available in this settingRVU21B
2021-01-01$46.81Not available in this settingRVU21A
2020-10-01$50.45Not available in this settingRVU20D
2020-07-01$50.45Not available in this settingRVU20C
2020-04-01$50.45Not available in this settingRVU20B
2020-01-01$50.45Not available in this settingRVU20A
2019-10-01$58.38Not available in this settingRVU19D
2019-07-01$58.38Not available in this settingRVU19C
2019-04-01$58.38Not available in this settingRVU19B
2019-01-01$58.38Not available in this settingRVU19A
2018-10-01$71.45Not available in this settingRVU18D
2018-07-01$71.45Not available in this settingRVU18C
2018-04-01$71.45Not available in this settingRVU18B
2018-01-01$71.45Not available in this settingRVU18AR1
2017-10-01$88.52Not available in this settingRVU17D
2017-07-01$88.52Not available in this settingRVU17C
2017-04-01$88.52Not available in this settingRVU17B
2017-01-01$88.52Not available in this settingRVU17A
2016-10-01$88.37Not available in this settingRVU16D
2016-07-01$88.37Not available in this settingRVU16C
2016-04-01$88.37Not available in this settingRVU16B
2016-01-01$88.37Not available in this settingRVU16A
2015-10-01$88.69Not available in this settingRVU15D
2015-07-01$88.69Not available in this settingRVU15C
2015-04-01$88.25Not available in this settingRVU15B
2015-01-01$88.25Not available in this settingRVU15A
2014-10-01$88.95Not available in this settingRVU14D
2014-07-01$88.95Not available in this settingRVU14C
2014-04-01$88.95Not available in this settingRVU14B
2014-01-01$88.95Not available in this settingRVU14A
2013-10-01$89.46Not available in this settingRVU13D
2013-07-01$89.46Not available in this settingRVU13C
2013-04-01$89.46Not available in this settingRVU13B
2013-01-01$89.46Not available in this settingRVU13AR

Price 76512 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

76512 billing questions

When should 76512 be selected instead of 76510?

Use 76512 for diagnostic B-scan imaging. Use 76510 when the service includes both B-scan imaging and quantitative A-scan measurement.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.

How is the code reported when both eyes are scanned?

CMS pays each side separately at 100%. Documentation should identify which eye was examined.

Does the multiple-procedure reduction affect the interpretation?

The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when multiple applicable procedures are performed.

What documentation supports a diagnostic B-scan?

Record the clinical reason for imaging, the eye examined, the ultrasound findings, and the interpretation. Examples of indications include an obscured posterior view or evaluation for suspected retinal detachment.

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

Show the CMS file lines behind this rate
RVUs for 76512PPRRVU2026_Oct_nonQPP.csv, line 8,712 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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