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CMS RVU26D · Effective 2026-10-01

76519 in Redding

Office / nonfacility

$74.37

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.

Ophthalmology

About 76519: Ultrasound ocular biometry with lens calculation

Reports ultrasound measurement of the eye with intraocular lens power calculation, typically for selecting an implant before cataract surgery.

An ophthalmologist uses an ultrasound A-scan to measure ocular dimensions, including axial length, and calculate the power of an intraocular lens for cataract surgery planning. The service is commonly performed in an ophthalmology office when ultrasound biometry is needed, including when optical measurement is not suitable. Clinical staff may obtain the measurements; the physician’s interpretation and lens calculation support the diagnostic service.

Report 76519 when the ultrasound biometry includes intraocular lens power calculation. The record should support the measurements, the resulting calculation, and the clinical purpose, such as cataract implant planning. Bill the global service without a component modifier, or report modifier 26 for interpretation or TC for the technical service when those portions are billed separately. The ophthalmology diagnostic multiple procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.

CMS billing rules for 76519

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
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.53 · 25%
  • Practice expense (office) RVU1.53 · 74%
  • Malpractice RVU0.02 · 1%

104.8K

Medicare services in 2024 · #542 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.

76519 compared with similar codes

Office rates for Redding, from the same CMS release.

76516

Eye biometry

Ultrasound A-scan

$50.95

Both involve ultrasound ocular biometry, but 76519 includes intraocular lens power calculation; 76516 does not.

92136

Optical biometry

With IOL power calculation

$50.94

Both include intraocular lens power calculation. Choose 76519 for ultrasound biometry and 92136 for optical biometry.

76511

Ocular ultrasound

Quantitative A-scan only

$60.95

76511 reports quantitative A-scan ultrasound only. Use 76519 when the ultrasound biometry also includes the intraocular lens power calculation.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 76519 is $74.45—$0.08 higher than the $74.37 rate in Redding. Both use the same code, release and participation basis.

76519 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $74.37

  2. Bakersfield

    $74.45

    $0.08 higher than Redding

  3. Chico

    $74.37

    The same base rate than Redding

  4. El Centro

    $74.37

    The same base rate than Redding

  5. Fresno

    $74.37

    The same base rate than Redding

  6. Hanford-Corcoran

    $74.37

    The same base rate than Redding

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

    $79.33

    $4.96 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, 76519 ranges from $61.94 in Arkansas to $93.70 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 · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 76519

    Office

    $86.51

    Facility

    Unavailable

    $12.14 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76519

    Office

    $79.02

    Facility

    Unavailable

    $4.65 higher than Redding for the office setting.

  • Rest Of California

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76519

    Office

    $74.60

    Facility

    Unavailable

    $0.23 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76519

    Office

    $78.13

    Facility

    Unavailable

    $3.76 higher than Redding for the office setting.

  • Salinas

    California · 76519

    Office

    $77.84

    Facility

    Unavailable

    $3.47 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76519

    Office

    $79.72

    Facility

    Unavailable

    $5.35 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76519

    Office

    $91.75

    Facility

    Unavailable

    $17.38 higher than Redding for the office setting.

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

    California · 76519

    Office

    $91.72

    Facility

    Unavailable

    $17.35 higher than Redding for the office setting.

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

    California · 76519

    Office

    $93.70

    Facility

    Unavailable

    $19.33 higher than Redding for the office setting.

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

    California · 76519

    Office

    $93.61

    Facility

    Unavailable

    $19.24 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76519

    Office

    $76.57

    Facility

    Unavailable

    $2.20 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 76519

    Office

    $80.52

    Facility

    Unavailable

    $6.15 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 76519

    Office

    $78.14

    Facility

    Unavailable

    $3.77 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 76519

    Office

    $81.35

    Facility

    Unavailable

    $6.98 higher than Redding for the office setting.

  • Stockton

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 76519

    Office

    $86.48

    Facility

    Unavailable

    $12.11 higher than Redding for the office setting.

  • Visalia

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 76519

    Office

    $74.37

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 76519

    Office

    $79.60

    Facility

    Unavailable

    $5.23 higher than Redding for the office setting.

  • Miami

    Florida · 76519

    Office

    $72.59

    Facility

    Unavailable

    $1.78 lower than Redding for the office setting.

  • Chicago

    Illinois · 76519

    Office

    $70.72

    Facility

    Unavailable

    $3.65 lower than Redding for the office setting.

  • Manhattan

    New York · 76519

    Office

    $79.28

    Facility

    Unavailable

    $4.91 higher than Redding for the office setting.

  • Alaska*

    Alaska · 76519

    Office

    $81.35

    Facility

    Unavailable

    $6.98 higher than Redding for the office setting.

  • Alabama

    Alabama · 76519

    Office

    $62.80

    Facility

    Unavailable

    $11.57 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 76519

    Office

    $61.94

    Facility

    Unavailable

    $12.43 lower than Redding for the office setting.

  • Arizona

    Arizona · 76519

    Office

    $67.79

    Facility

    Unavailable

    $6.58 lower than Redding for the office setting.

  • Colorado

    Colorado · 76519

    Office

    $72.81

    Facility

    Unavailable

    $1.56 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 76519

    Office

    $73.90

    Facility

    Unavailable

    $0.47 lower than Redding for the office setting.

  • Delaware

    Delaware · 76519

    Office

    $68.88

    Facility

    Unavailable

    $5.49 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 76519

    Office

    $70.68

    Facility

    Unavailable

    $3.69 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 76519

    Office

    $67.56

    Facility

    Unavailable

    $6.81 lower than Redding for the office setting.

  • Atlanta

    Georgia · 76519

    Office

    $70.48

    Facility

    Unavailable

    $3.89 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 76519

    Office

    $64.08

    Facility

    Unavailable

    $10.29 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 76519

    Office

    $76.19

    Facility

    Unavailable

    $1.82 higher than Redding for the office setting.

  • Iowa

    Iowa · 76519

    Office

    $64.73

    Facility

    Unavailable

    $9.64 lower than Redding for the office setting.

  • Idaho

    Idaho · 76519

    Office

    $65.03

    Facility

    Unavailable

    $9.34 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 76519

    Office

    $66.06

    Facility

    Unavailable

    $8.31 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 76519

    Office

    $65.40

    Facility

    Unavailable

    $8.97 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 76519

    Office

    $71.49

    Facility

    Unavailable

    $2.88 lower than Redding for the office setting.

  • Indiana

    Indiana · 76519

    Office

    $65.40

    Facility

    Unavailable

    $8.97 lower than Redding for the office setting.

  • Kansas

    Kansas · 76519

    Office

    $64.24

    Facility

    Unavailable

    $10.13 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 76519

    Office

    $63.74

    Facility

    Unavailable

    $10.63 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 76519

    Office

    $66.55

    Facility

    Unavailable

    $7.82 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 76519

    Office

    $63.57

    Facility

    Unavailable

    $10.80 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 76519

    Office

    $80.04

    Facility

    Unavailable

    $5.67 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76519

    Office

    $72.33

    Facility

    Unavailable

    $2.04 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76519

    Office

    $73.65

    Facility

    Unavailable

    $0.72 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 76519

    Office

    $70.21

    Facility

    Unavailable

    $4.16 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 76519

    Office

    $65.13

    Facility

    Unavailable

    $9.24 lower than Redding for the office setting.

  • Southern Maine

    Maine · 76519

    Office

    $68.77

    Facility

    Unavailable

    $5.60 lower than Redding for the office setting.

  • Detroit

    Michigan · 76519

    Office

    $68.14

    Facility

    Unavailable

    $6.23 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 76519

    Office

    $65.11

    Facility

    Unavailable

    $9.26 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 76519

    Office

    $70.49

    Facility

    Unavailable

    $3.88 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 76519

    Office

    $66.34

    Facility

    Unavailable

    $8.03 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 76519

    Office

    $67.02

    Facility

    Unavailable

    $7.35 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 76519

    Office

    $62.40

    Facility

    Unavailable

    $11.97 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 76519

    Office

    $62.20

    Facility

    Unavailable

    $12.17 lower than Redding for the office setting.

  • Montana**

    Montana · 76519

    Office

    $69.47

    Facility

    Unavailable

    $4.90 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 76519

    Office

    $65.81

    Facility

    Unavailable

    $8.56 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 76519

    Office

    $69.08

    Facility

    Unavailable

    $5.29 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 76519

    Office

    $65.12

    Facility

    Unavailable

    $9.25 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 76519

    Office

    $71.49

    Facility

    Unavailable

    $2.88 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 76519

    Office

    $78.81

    Facility

    Unavailable

    $4.44 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 76519

    Office

    $74.95

    Facility

    Unavailable

    $0.58 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 76519

    Office

    $65.37

    Facility

    Unavailable

    $9.00 lower than Redding for the office setting.

  • Nevada**

    Nevada · 76519

    Office

    $69.41

    Facility

    Unavailable

    $4.96 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76519

    Office

    $80.84

    Facility

    Unavailable

    $6.47 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76519

    Office

    $75.27

    Facility

    Unavailable

    $0.90 higher than Redding for the office setting.

  • Queens

    New York · 76519

    Office

    $80.20

    Facility

    Unavailable

    $5.83 higher than Redding for the office setting.

  • Rest Of New York

    New York · 76519

    Office

    $66.72

    Facility

    Unavailable

    $7.65 lower than Redding for the office setting.

  • Ohio

    Ohio · 76519

    Office

    $65.03

    Facility

    Unavailable

    $9.34 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 76519

    Office

    $63.86

    Facility

    Unavailable

    $10.51 lower than Redding for the office setting.

  • Portland

    Oregon · 76519

    Office

    $75.26

    Facility

    Unavailable

    $0.89 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 76519

    Office

    $69.07

    Facility

    Unavailable

    $5.30 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76519

    Office

    $72.02

    Facility

    Unavailable

    $2.35 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76519

    Office

    $65.25

    Facility

    Unavailable

    $9.12 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 76519

    Office

    $70.03

    Facility

    Unavailable

    $4.34 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 76519

    Office

    $71.42

    Facility

    Unavailable

    $2.95 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 76519

    Office

    $65.49

    Facility

    Unavailable

    $8.88 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 76519

    Office

    $69.03

    Facility

    Unavailable

    $5.34 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 76519

    Office

    $64.51

    Facility

    Unavailable

    $9.86 lower than Redding for the office setting.

  • Austin

    Texas · 76519

    Office

    $72.40

    Facility

    Unavailable

    $1.97 lower than Redding for the office setting.

  • Beaumont

    Texas · 76519

    Office

    $64.83

    Facility

    Unavailable

    $9.54 lower than Redding for the office setting.

  • Brazoria

    Texas · 76519

    Office

    $69.01

    Facility

    Unavailable

    $5.36 lower than Redding for the office setting.

  • Dallas

    Texas · 76519

    Office

    $69.33

    Facility

    Unavailable

    $5.04 lower than Redding for the office setting.

  • Fort Worth

    Texas · 76519

    Office

    $68.83

    Facility

    Unavailable

    $5.54 lower than Redding for the office setting.

  • Galveston

    Texas · 76519

    Office

    $69.14

    Facility

    Unavailable

    $5.23 lower than Redding for the office setting.

  • Houston

    Texas · 76519

    Office

    $69.51

    Facility

    Unavailable

    $4.86 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 76519

    Office

    $66.80

    Facility

    Unavailable

    $7.57 lower than Redding for the office setting.

  • Utah

    Utah · 76519

    Office

    $66.34

    Facility

    Unavailable

    $8.03 lower than Redding for the office setting.

  • Virginia

    Virginia · 76519

    Office

    $68.41

    Facility

    Unavailable

    $5.96 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76519

    Office

    $70.03

    Facility

    Unavailable

    $4.34 lower than Redding for the office setting.

  • Vermont

    Vermont · 76519

    Office

    $68.63

    Facility

    Unavailable

    $5.74 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 76519

    Office

    $72.25

    Facility

    Unavailable

    $2.12 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 76519

    Office

    $81.84

    Facility

    Unavailable

    $7.47 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 76519

    Office

    $66.87

    Facility

    Unavailable

    $7.50 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 76519

    Office

    $63.07

    Facility

    Unavailable

    $11.30 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 76519

    Office

    $69.30

    Facility

    Unavailable

    $5.07 lower than Redding for the office setting.

See how rates vary across the country

76519 · 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.

$61.94

$84.04

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$81.351
AL$62.801
AR$61.941
AZ$67.791
CA$74.37–$93.7029
CO$72.811
CT$73.901
DC$79.601
DE$68.881
FL$67.56–$72.593
GA$64.08–$70.482
GU$76.191
HI$76.191
IA$64.731
ID$65.031
IL$65.40–$71.494
IN$65.401
KS$64.241
KY$63.741
LA$63.57–$66.552
MA$72.33–$80.042
MD$70.21–$79.603
ME$65.13–$68.772
MI$65.11–$68.142
MN$70.491
MO$62.40–$67.023
MS$62.201
MT$69.471
NC$65.811
ND$69.081
NE$65.121
NH$71.491
NJ$74.95–$78.812
NM$65.371
NV$69.411
NY$66.72–$80.845
OH$65.031
OK$63.861
OR$69.07–$75.262
PA$65.25–$72.022
PR$70.031
RI$71.421
SC$65.491
SD$69.031
TN$64.511
TX$64.83–$72.408
UT$66.341
VA$68.41–$79.602
VI$70.031
VT$68.631
WA$72.25–$81.842
WI$66.871
WV$63.071
WY$69.301

Explore 76519 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 76519 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$81.81

$74.37 × 110% = $81.81

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 76519 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,724

Code
76519
Physician work
0.53
Practice expense
1.53
Malpractice
0.02

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 76519 in Redding
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0170.5390
Practice expense1.53× 1.0961.6769
Malpractice0.02× 0.5360.0107
Total RVUs2.2266
Conversion factor× 33.4009

Office / nonfacility rate, Redding$74.37

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 76519 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.531.017
Practice expense1.531.096
Malpractice0.020.536

(0.53 × 1.017 + 1.53 × 1.096 + 0.02 × 0.536) × $33.4009 = $74.37

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

76519 · Office / nonfacility

$74.37

Effective 2026-10-01

The base rate is $3.97 higher than on 2025-10-01, moving from $70.40 to $74.37 (5.6%).

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

    $70.40changed to$74.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.54 changed to 0.53
    • Practice expense RVU 1.48 changed to 1.53
    • 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: $70.40

    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$74.37Not available in this settingRVU26D
2026-07-01$74.37Not available in this settingRVU26C
2026-04-01$74.37Not available in this settingRVU26B
2026-01-01$74.37Not available in this settingRVU26A
2025-10-01$70.40Not available in this settingRVU25D
2025-07-01$70.40Not available in this settingRVU25C
2025-04-01$70.40Not available in this settingRVU25B
2025-01-01$70.40Not available in this settingRVU25A

76519 billing questions

When should 76519 be chosen instead of 76516?

Use 76519 when ultrasound biometry includes an intraocular lens power calculation. Use 76516 for ultrasound biometry without that calculation.

Does 76519 include the lens power calculation?

Yes. The calculation is part of the service represented by 76519; do not report it as a separate service under 76516 for the same work.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the interpretation or TC for the equipment and staff portion when billing only that component. Without either modifier, the claim represents the global service.

Should modifier 50 be added for measurements of both eyes?

No. CMS prices 76519 as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 76519?

Document the ultrasound measurements, the intraocular lens power calculation, and the reason for the service, such as planning an implant for cataract surgery.

Which portion is subject to the ophthalmology multiple procedure reduction?

The reduction applies to the technical component of 76519.

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 76519PPRRVU2026_Oct_nonQPP.csv, line 8,724 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet