CPT code 76513: Eye ultrasound, anterior segment2026 Medicare rate & RVUs in Alaska

Reports diagnostic ultrasound of the eye’s anterior segment, often used to assess structures such as the iris, angle, or ciliary body.

CMS RVU26DEffective Oct 1, 2026One payment locality11K Medicare services in 2024

In Alaska, Medicare pays $89.69 for 76513 in the office.

$89.69Office (non-facility)
Not available in this settingHospital or facility
+17.3%vs the national office rate ($76.49)

Check a contract rate as a % of Medicare · 76513 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 76513 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 76513 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 76513 covers

This diagnostic study uses ultrasound to image the front portion of the eye, including structures that may be difficult to assess through the cornea or with routine examination. It is commonly performed in ophthalmology practices by trained imaging staff, with the ophthalmologist interpreting the images and documenting the findings. Ultrasound biomicroscopy is a familiar application when detailed anterior-segment imaging is needed, such as evaluating the angle or ciliary body.

Report the service when the study and interpretation address the anterior segment, rather than posterior-segment imaging, corneal thickness, or ocular biometry. Documentation should identify the clinical reason, eye examined, imaging findings, and interpretation. The code may be billed globally or as a professional component with modifier 26 or a technical component with modifier TC. For bilateral studies, CMS pays each side separately at 100%. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

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 Alaska compares for 76513

Across 109 of 109 payment localities, the office rate for 76513 runs from $68.25 in Arkansas to $103.15 in San Benito County, CA. Alaska pays $89.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

76513 in Alaska vs other payment areas
  1. Alaska · this page$89.69
  2. Los Angeles, CA · California$87.34−$2.35
  3. Washington, DC area · District of Columbia$87.62−$2.07
  4. Miami, FL · Florida$79.81−$9.88
  5. Chicago, IL · Illinois$77.77−$11.92
  6. Manhattan, NY · New York$87.23−$2.46
  7. Alabama · Alabama$69.18−$20.51

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

Every other payment area

76513 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$68.25—
ArizonaArizona$74.65—
Bakersfield, CACalifornia$81.99—
Chico, CACalifornia$81.90—
El Centro, CACalifornia$81.90—
Fresno, CACalifornia$81.90—
Hanford, CACalifornia$81.90—
Madera, CACalifornia$81.90—

76513 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.

$68.25

$92.53

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

View every state and territory as a table
76513 office rate range by state
State / territoryOffice rate rangeLocalities
AK$89.691
AL$69.181
AR$68.251
AZ$74.651
CA$81.90–$103.1529
CO$80.171
CT$81.341
DC$87.621
DE$75.851
FL$74.36–$79.813
GA$70.56–$77.582
GU$83.891
HI$83.891
IA$71.321
ID$71.651
IL$71.98–$78.664
IN$72.051
KS$70.771
KY$70.201
LA$70.01–$73.272
MA$79.64–$88.112
MD$77.30–$87.623
ME$71.75–$75.742
MI$71.69–$74.982
MN$77.651
MO$68.73–$73.803
MS$68.511
MT$76.491
NC$72.491
ND$76.091
NE$71.751
NH$78.711
NJ$82.50–$86.752
NM$71.961
NV$76.431
NY$73.48–$88.935
OH$71.611
OK$70.331
OR$76.07–$82.862
PA$71.85–$79.272
PR$77.101
RI$78.641
SC$72.121
SD$76.041
TN$71.071
TX$71.39–$79.718
UT$73.051
VA$75.34–$87.622
VI$77.101
VT$75.601
WA$79.56–$90.092
WI$73.671
WV$69.431
WY$76.311

See 76513 in every payment locality

How the 76513 rate is calculated

Each of 76513’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 · 76513

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense1.68

1.68 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.2900

Conversion factor

$33.4009

Medicare rate

$76.49

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,715

Code
76513
Physician work
0.59
Practice expense
1.68
Malpractice
0.02

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 76513 in Alaska
ComponentRVULocality factorAdjusted
Physician work0.59× 1.5000.8850
Practice expense1.68× 1.0651.7892
Malpractice0.02× 0.5510.0110
Total RVUs2.6852
Conversion factor× 33.4009

Office rate, Alaska$89.69

Office: (0.59 × 1.5 + 1.68 × 1.065 + 0.02 × 0.551) × $33.4009 = $89.69

Open 76513 in the RVU calculator

Payment rules and modifiers for 76513

The CMS indicators that decide how 76513 is paid alongside other services.

CMS payment indicators · 76513

Eye ultrasound, anterior segment

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

76513 without 26 · national office

$76.49

Eye ultrasound, anterior segment

76513-26 · Professional component

$32.40

Pays only the interpretation and report.

When to use modifier 26

How 76513 has changed in Alaska

76513 · Office / nonfacility

$89.69

Effective 2026-10-01

The base rate is $3.90 higher than on 2025-10-01, moving from $85.79 to $89.69 (4.5%).

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

    $85.79changed to$89.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 1.61 changed to 1.68
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $89.01changed to$85.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.63 changed to 1.61

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $87.55changed to$89.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $91.29changed to$87.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.62 changed to 1.63
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $94.25changed to$91.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $96.98changed to$94.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.67 changed to 1.62

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $122.15changed to$96.98

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 0.66 changed to 0.60
    • Practice expense RVU 2.13 changed to 1.67
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $120.73changed to$122.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.10 changed to 2.13
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $118.18changed to$120.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.04 changed to 2.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $116.25changed to$118.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.01 changed to 2.04
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.62changed to$116.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $116.84changed to$115.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.03 changed to 2.01

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $116.25changed to$116.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $115.00changed to$116.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $115.81changed to$115.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.25 changed to 2.03
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $115.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$89.69Not available in this settingRVU26D
2026-07-01$89.69Not available in this settingRVU26C
2026-04-01$89.69Not available in this settingRVU26B
2026-01-01$89.69Not available in this settingRVU26A
2025-10-01$85.79Not available in this settingRVU25D
2025-07-01$85.79Not available in this settingRVU25C
2025-04-01$85.79Not available in this settingRVU25B
2025-01-01$85.79Not available in this settingRVU25A
2024-10-01$89.01Not available in this settingRVU24D
2024-07-01$89.01Not available in this settingRVU24C
2024-04-01$89.01Not available in this settingRVU24B
2024-03-09$89.01Not available in this settingRVU24AR
2024-01-01$87.55Not available in this settingRVU24A
2023-10-01$91.29Not available in this settingRVU23D
2023-07-01$91.29Not available in this settingRVU23C
2023-04-01$91.29Not available in this settingRVU23B
2023-01-01$91.29Not available in this settingRVU23A
2022-10-01$94.25Not available in this settingRVU22D
2022-07-01$94.25Not available in this settingRVU22C
2022-04-01$94.25Not available in this settingRVU22B
2022-01-01$94.25Not available in this settingRVU22A
2021-10-01$96.98Not available in this settingRVU21D
2021-07-01$96.98Not available in this settingRVU21C
2021-04-01$96.98Not available in this settingRVU21B
2021-01-01$96.98Not available in this settingRVU21A
2020-10-01$122.15Not available in this settingRVU20D
2020-07-01$122.15Not available in this settingRVU20C
2020-04-01$122.15Not available in this settingRVU20B
2020-01-01$122.15Not available in this settingRVU20A
2019-10-01$120.73Not available in this settingRVU19D
2019-07-01$120.73Not available in this settingRVU19C
2019-04-01$120.73Not available in this settingRVU19B
2019-01-01$120.73Not available in this settingRVU19A
2018-10-01$118.18Not available in this settingRVU18D
2018-07-01$118.18Not available in this settingRVU18C
2018-04-01$118.18Not available in this settingRVU18B
2018-01-01$118.18Not available in this settingRVU18AR1
2017-10-01$116.25Not available in this settingRVU17D
2017-07-01$116.25Not available in this settingRVU17C
2017-04-01$116.25Not available in this settingRVU17B
2017-01-01$116.25Not available in this settingRVU17A
2016-10-01$115.62Not available in this settingRVU16D
2016-07-01$115.62Not available in this settingRVU16C
2016-04-01$115.62Not available in this settingRVU16B
2016-01-01$115.62Not available in this settingRVU16A
2015-10-01$116.84Not available in this settingRVU15D
2015-07-01$116.84Not available in this settingRVU15C
2015-04-01$116.25Not available in this settingRVU15B
2015-01-01$116.25Not available in this settingRVU15A
2014-10-01$115.00Not available in this settingRVU14D
2014-07-01$115.00Not available in this settingRVU14C
2014-04-01$115.00Not available in this settingRVU14B
2014-01-01$115.00Not available in this settingRVU14A
2013-10-01$115.81Not available in this settingRVU13D
2013-07-01$115.81Not available in this settingRVU13C
2013-04-01$115.81Not available in this settingRVU13B
2013-01-01$115.81Not available in this settingRVU13AR

Price 76513 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

76513 billing questions

When should this code be chosen instead of 76512?

Use 76513 for diagnostic ultrasound imaging of the anterior segment. Code 76512 describes B-scan imaging used to evaluate the eye’s posterior segment.

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 a bilateral study handled?

Document which eye or eyes were examined. CMS pays each side separately at 100% when the study is performed bilaterally.

Does the multiple-procedure reduction affect both components?

The ophthalmology diagnostic multiple-procedure reduction applies to the technical component of this service.

What documentation supports reporting 76513?

Record the clinical indication, laterality, anterior-segment images or findings, and the interpreting physician’s report. The record should support that the study evaluated the anterior segment.

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 76513PPRRVU2026_Oct_nonQPP.csv, line 8,715 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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