CPT code 76516: Eye biometry, ultrasound A-scan2026 Medicare rate & RVUs in Colorado

In Colorado, Medicare pays $49.95 for 76516 in the office.

Check a contract rate as a % of Medicare · 76516 nationwide

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

What 76516 covers

This service uses ultrasound A-scan measurements to determine ocular dimensions, including axial length. Ophthalmologists use the measurements in evaluating eyes, often when assessing a patient for cataract surgery and optical measurements are unavailable or unreliable. Ophthalmic staff may obtain the technical measurements, with a physician providing the interpretation. The service is commonly furnished in an ophthalmology office or an outpatient setting.

Choose this code for ultrasound biometry without intraocular lens power calculation; use the code-specific distinction from 76519 when that calculation is performed. Documentation should identify the eye measurements obtained and support the clinical reason for the study. The code is priced as bilateral, so modifier 50 does not increase payment. Bill globally without a modifier, or separate the interpretation with modifier 26 and the equipment and staff service with modifier TC. The ophthalmology diagnostic 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 Colorado compares for 76516

Across 109 of 109 payment localities, the office rate for 76516 runs from $42.64 in Arkansas to $63.94 in San Benito County, CA. Colorado pays $49.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

76516 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 76516 in every payment locality

How the 76516 rate is calculated

Each of 76516’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.

Payment rules and modifiers for 76516

The CMS indicators that decide how 76516 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 76516

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 76516 has changed in Colorado

Price 76516 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

• Acres Green
• Aetna Estates
• Aguilar
• Air Force Academy
• Akron
• Alamosa
• Alamosa East
• Allenspark

Browse all communities in Colorado

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

Open CMS sourceHow we calculate rates