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CMS RVU26D · Effective 2026-10-01

76512 in Redding

Office / nonfacility

$51.62

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmic ultrasound

About 76512: Diagnostic ophthalmic B-scan ultrasound

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

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%.

CMS billing rules for 76512

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
Each side is paid separately at 100% when performed bilaterally.

Where the value comes from

  • Work RVU0.55 · 38%
  • Practice expense (office) RVU0.89 · 61%
  • Malpractice RVU0.02 · 1%

201.7K

Medicare services in 2024 · #385 by national volume

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.

76512 compared with similar codes

Office rates for Redding, from the same CMS release.

76510

Eye ultrasound

B-scan and quantitative A-scan

$73.24

76510 includes B-scan imaging with quantitative A-scan measurement; 76512 is for diagnostic B-scan imaging without that quantitative A-scan service.

76511

Ocular ultrasound

Quantitative A-scan only

$60.95

76511 is quantitative A-scan only. Choose 76512 when the diagnostic service is B-scan imaging of the eye.

76513

Eye ultrasound

Anterior segment

$81.90

76513 evaluates the anterior segment with ultrasound. 76512 is used for diagnostic B-scan imaging, typically of the posterior segment.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 76512 is $51.71—$0.09 higher than the $51.62 rate in Redding. Both use the same code, release and participation basis.

76512 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $51.62

  2. Bakersfield

    $51.71

    $0.09 higher than Redding

  3. Chico

    $51.62

    The same base rate than Redding

  4. El Centro

    $51.62

    The same base rate than Redding

  5. Fresno

    $51.62

    The same base rate than Redding

  6. Hanford-Corcoran

    $51.62

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $54.73

    $3.11 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 76512 ranges from $44.25 in Arkansas to $63.62 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 76512

    Office

    $59.05

    Facility

    Unavailable

    $7.43 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76512

    Office

    $54.44

    Facility

    Unavailable

    $2.82 higher than Redding for the office setting.

  • Rest Of California

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76512

    Office

    $51.85

    Facility

    Unavailable

    $0.23 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76512

    Office

    $53.96

    Facility

    Unavailable

    $2.34 higher than Redding for the office setting.

  • Salinas

    California · 76512

    Office

    $53.75

    Facility

    Unavailable

    $2.13 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76512

    Office

    $54.84

    Facility

    Unavailable

    $3.22 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76512

    Office

    $62.34

    Facility

    Unavailable

    $10.72 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 76512

    Office

    $62.31

    Facility

    Unavailable

    $10.69 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 76512

    Office

    $63.62

    Facility

    Unavailable

    $12.00 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 76512

    Office

    $63.52

    Facility

    Unavailable

    $11.90 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76512

    Office

    $52.90

    Facility

    Unavailable

    $1.28 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 76512

    Office

    $55.23

    Facility

    Unavailable

    $3.61 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 76512

    Office

    $53.90

    Facility

    Unavailable

    $2.28 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 76512

    Office

    $55.78

    Facility

    Unavailable

    $4.16 higher than Redding for the office setting.

  • Stockton

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 76512

    Office

    $59.01

    Facility

    Unavailable

    $7.39 higher than Redding for the office setting.

  • Visalia

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 76512

    Office

    $51.62

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76512

    Office

    $55.12

    Facility

    Unavailable

    $3.50 higher than Redding for the office setting.

  • Miami

    Florida · 76512

    Office

    $51.01

    Facility

    Unavailable

    $0.61 lower than Redding for the office setting.

  • Chicago

    Illinois · 76512

    Office

    $49.91

    Facility

    Unavailable

    $1.71 lower than Redding for the office setting.

  • Manhattan

    New York · 76512

    Office

    $55.15

    Facility

    Unavailable

    $3.53 higher than Redding for the office setting.

  • Alaska*

    Alaska · 76512

    Office

    $59.58

    Facility

    Unavailable

    $7.96 higher than Redding for the office setting.

  • Alabama

    Alabama · 76512

    Office

    $44.76

    Facility

    Unavailable

    $6.86 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 76512

    Office

    $44.25

    Facility

    Unavailable

    $7.37 lower than Redding for the office setting.

  • Arizona

    Arizona · 76512

    Office

    $47.75

    Facility

    Unavailable

    $3.87 lower than Redding for the office setting.

  • Colorado

    Colorado · 76512

    Office

    $50.74

    Facility

    Unavailable

    $0.88 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 76512

    Office

    $51.56

    Facility

    Unavailable

    $0.06 lower than Redding for the office setting.

  • Delaware

    Delaware · 76512

    Office

    $48.43

    Facility

    Unavailable

    $3.19 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 76512

    Office

    $49.69

    Facility

    Unavailable

    $1.93 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 76512

    Office

    $47.79

    Facility

    Unavailable

    $3.83 lower than Redding for the office setting.

  • Atlanta

    Georgia · 76512

    Office

    $49.43

    Facility

    Unavailable

    $2.19 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 76512

    Office

    $45.68

    Facility

    Unavailable

    $5.94 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 76512

    Office

    $52.56

    Facility

    Unavailable

    $0.94 higher than Redding for the office setting.

  • Iowa

    Iowa · 76512

    Office

    $45.84

    Facility

    Unavailable

    $5.78 lower than Redding for the office setting.

  • Idaho

    Idaho · 76512

    Office

    $46.04

    Facility

    Unavailable

    $5.58 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 76512

    Office

    $47.06

    Facility

    Unavailable

    $4.56 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 76512

    Office

    $46.56

    Facility

    Unavailable

    $5.06 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 76512

    Office

    $50.21

    Facility

    Unavailable

    $1.41 lower than Redding for the office setting.

  • Indiana

    Indiana · 76512

    Office

    $46.25

    Facility

    Unavailable

    $5.37 lower than Redding for the office setting.

  • Kansas

    Kansas · 76512

    Office

    $45.58

    Facility

    Unavailable

    $6.04 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 76512

    Office

    $45.41

    Facility

    Unavailable

    $6.21 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 76512

    Office

    $47.10

    Facility

    Unavailable

    $4.52 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 76512

    Office

    $45.32

    Facility

    Unavailable

    $6.30 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 76512

    Office

    $55.21

    Facility

    Unavailable

    $3.59 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76512

    Office

    $50.50

    Facility

    Unavailable

    $1.12 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76512

    Office

    $51.39

    Facility

    Unavailable

    $0.23 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 76512

    Office

    $49.25

    Facility

    Unavailable

    $2.37 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 76512

    Office

    $46.13

    Facility

    Unavailable

    $5.49 lower than Redding for the office setting.

  • Southern Maine

    Maine · 76512

    Office

    $48.25

    Facility

    Unavailable

    $3.37 lower than Redding for the office setting.

  • Detroit

    Michigan · 76512

    Office

    $48.18

    Facility

    Unavailable

    $3.44 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 76512

    Office

    $46.27

    Facility

    Unavailable

    $5.35 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 76512

    Office

    $49.16

    Facility

    Unavailable

    $2.46 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 76512

    Office

    $46.94

    Facility

    Unavailable

    $4.68 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 76512

    Office

    $47.34

    Facility

    Unavailable

    $4.28 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 76512

    Office

    $44.65

    Facility

    Unavailable

    $6.97 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 76512

    Office

    $44.46

    Facility

    Unavailable

    $7.16 lower than Redding for the office setting.

  • Montana**

    Montana · 76512

    Office

    $48.76

    Facility

    Unavailable

    $2.86 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 76512

    Office

    $46.53

    Facility

    Unavailable

    $5.09 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 76512

    Office

    $48.37

    Facility

    Unavailable

    $3.25 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 76512

    Office

    $46.06

    Facility

    Unavailable

    $5.56 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 76512

    Office

    $49.90

    Facility

    Unavailable

    $1.72 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 76512

    Office

    $54.72

    Facility

    Unavailable

    $3.10 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 76512

    Office

    $52.30

    Facility

    Unavailable

    $0.68 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 76512

    Office

    $46.43

    Facility

    Unavailable

    $5.19 lower than Redding for the office setting.

  • Nevada**

    Nevada · 76512

    Office

    $48.68

    Facility

    Unavailable

    $2.94 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76512

    Office

    $56.13

    Facility

    Unavailable

    $4.51 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76512

    Office

    $52.56

    Facility

    Unavailable

    $0.94 higher than Redding for the office setting.

  • Queens

    New York · 76512

    Office

    $55.65

    Facility

    Unavailable

    $4.03 higher than Redding for the office setting.

  • Rest Of New York

    New York · 76512

    Office

    $47.08

    Facility

    Unavailable

    $4.54 lower than Redding for the office setting.

  • Ohio

    Ohio · 76512

    Office

    $46.18

    Facility

    Unavailable

    $5.44 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 76512

    Office

    $45.44

    Facility

    Unavailable

    $6.18 lower than Redding for the office setting.

  • Portland

    Oregon · 76512

    Office

    $52.19

    Facility

    Unavailable

    $0.57 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 76512

    Office

    $48.45

    Facility

    Unavailable

    $3.17 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76512

    Office

    $50.44

    Facility

    Unavailable

    $1.18 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76512

    Office

    $46.29

    Facility

    Unavailable

    $5.33 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 76512

    Office

    $49.08

    Facility

    Unavailable

    $2.54 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 76512

    Office

    $50.02

    Facility

    Unavailable

    $1.60 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 76512

    Office

    $46.41

    Facility

    Unavailable

    $5.21 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 76512

    Office

    $48.32

    Facility

    Unavailable

    $3.30 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 76512

    Office

    $45.75

    Facility

    Unavailable

    $5.87 lower than Redding for the office setting.

  • Austin

    Texas · 76512

    Office

    $50.45

    Facility

    Unavailable

    $1.17 lower than Redding for the office setting.

  • Beaumont

    Texas · 76512

    Office

    $46.04

    Facility

    Unavailable

    $5.58 lower than Redding for the office setting.

  • Brazoria

    Texas · 76512

    Office

    $48.50

    Facility

    Unavailable

    $3.12 lower than Redding for the office setting.

  • Dallas

    Texas · 76512

    Office

    $48.72

    Facility

    Unavailable

    $2.90 lower than Redding for the office setting.

  • Fort Worth

    Texas · 76512

    Office

    $48.43

    Facility

    Unavailable

    $3.19 lower than Redding for the office setting.

  • Galveston

    Texas · 76512

    Office

    $48.59

    Facility

    Unavailable

    $3.03 lower than Redding for the office setting.

  • Houston

    Texas · 76512

    Office

    $48.96

    Facility

    Unavailable

    $2.66 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 76512

    Office

    $47.18

    Facility

    Unavailable

    $4.44 lower than Redding for the office setting.

  • Utah

    Utah · 76512

    Office

    $46.91

    Facility

    Unavailable

    $4.71 lower than Redding for the office setting.

  • Virginia

    Virginia · 76512

    Office

    $48.06

    Facility

    Unavailable

    $3.56 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76512

    Office

    $49.08

    Facility

    Unavailable

    $2.54 lower than Redding for the office setting.

  • Vermont

    Vermont · 76512

    Office

    $48.14

    Facility

    Unavailable

    $3.48 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 76512

    Office

    $50.42

    Facility

    Unavailable

    $1.20 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 76512

    Office

    $56.31

    Facility

    Unavailable

    $4.69 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 76512

    Office

    $47.05

    Facility

    Unavailable

    $4.57 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 76512

    Office

    $45.16

    Facility

    Unavailable

    $6.46 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 76512

    Office

    $48.59

    Facility

    Unavailable

    $3.03 lower than Redding for the office setting.

See how rates vary across the country

76512 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 76512 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76512 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$56.78

$51.62 × 110% = $56.78

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 76512 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,712

Code
76512
Physician work
0.55
Practice expense
0.89
Malpractice
0.02

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76512 in Redding
ComponentRVULocality factorAdjusted
Physician work0.55× 1.0170.5594
Practice expense0.89× 1.0960.9754
Malpractice0.02× 0.5360.0107
Total RVUs1.5455
Conversion factor× 33.4009

Office / nonfacility rate, Redding$51.62

Open 76512 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.551.017
Practice expense0.891.096
Malpractice0.020.536

(0.55 × 1.017 + 0.89 × 1.096 + 0.02 × 0.536) × $33.4009 = $51.62

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

76512 · Office / nonfacility

$51.62

Effective 2026-10-01

The base rate is $2.84 higher than on 2025-10-01, moving from $48.78 to $51.62 (5.8%).

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

    $48.78changed to$51.62

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $48.78

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$51.62Not available in this settingRVU26D
2026-07-01$51.62Not available in this settingRVU26C
2026-04-01$51.62Not available in this settingRVU26B
2026-01-01$51.62Not available in this settingRVU26A
2025-10-01$48.78Not available in this settingRVU25D
2025-07-01$48.78Not available in this settingRVU25C
2025-04-01$48.78Not available in this settingRVU25B
2025-01-01$48.78Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 76512PPRRVU2026_Oct_nonQPP.csv, line 8,712 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet