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CMS RVU26D · Effective 2026-10-01

76513 in Wyoming**

Office / nonfacility

$76.31

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 76513: Anterior segment eye ultrasound

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

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.

CMS billing rules for 76513

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 RVU0.59 · 26%
  • Practice expense (office) RVU1.68 · 73%
  • Malpractice RVU0.02 · 1%

11K

Medicare services in 2024 · #1429 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.

76513 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

76512

Eye ultrasound

Diagnostic B-scan

$48.59

Choose 76513 for anterior-segment imaging; choose 76512 for B-scan evaluation of the posterior segment.

76510

Eye ultrasound

B-scan and quantitative A-scan

$68.63

76510 combines B-scan and quantitative A-scan components. It is not the anterior-segment study reported with 76513.

76514

Corneal pachymetry

Ultrasonic thickness measurement

$11.52

76514 measures eye thickness, while 76513 images anterior-segment structures such as the angle or ciliary body.

76516

Eye biometry

Ultrasound A-scan

$47.59

76516 is used for ocular biometry; 76513 evaluates the anterior segment rather than measuring the eye for biometry.

The same code, a different location

How does Wyoming** compare?

76513 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $76.31

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

    $87.34

    $11.03 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $87.62

    $11.31 higher than Wyoming**

  4. Miami

    $79.81

    $3.50 higher than Wyoming**

  5. Chicago

    $77.77

    $1.46 higher than Wyoming**

  6. Manhattan

    $87.23

    $10.92 higher than Wyoming**

  7. Alaska*

    $89.69

    $13.38 higher than Wyoming**

Other payment areas listed in Wyoming 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, 76513 ranges from $68.25 in Arkansas to $103.15 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

  • Alabama

    Alabama · 76513

    Office

    $69.18

    Facility

    Unavailable

    $7.13 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 76513

    Office

    $68.25

    Facility

    Unavailable

    $8.06 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 76513

    Office

    $74.65

    Facility

    Unavailable

    $1.66 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 76513

    Office

    $81.99

    Facility

    Unavailable

    $5.68 higher than Wyoming** for the office setting.

  • Chico

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • El Centro

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Fresno

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Madera

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Merced

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Modesto

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Napa

    California · 76513

    Office

    $95.25

    Facility

    Unavailable

    $18.94 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76513

    Office

    $87.00

    Facility

    Unavailable

    $10.69 higher than Wyoming** for the office setting.

  • Redding

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76513

    Office

    $82.13

    Facility

    Unavailable

    $5.82 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76513

    Office

    $86.03

    Facility

    Unavailable

    $9.72 higher than Wyoming** for the office setting.

  • Salinas

    California · 76513

    Office

    $85.71

    Facility

    Unavailable

    $9.40 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76513

    Office

    $87.77

    Facility

    Unavailable

    $11.46 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76513

    Office

    $101.01

    Facility

    Unavailable

    $24.70 higher than Wyoming** for the office setting.

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

    California · 76513

    Office

    $100.98

    Facility

    Unavailable

    $24.67 higher than Wyoming** for the office setting.

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

    California · 76513

    Office

    $103.15

    Facility

    Unavailable

    $26.84 higher than Wyoming** for the office setting.

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

    California · 76513

    Office

    $103.06

    Facility

    Unavailable

    $26.75 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76513

    Office

    $84.31

    Facility

    Unavailable

    $8.00 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 76513

    Office

    $88.66

    Facility

    Unavailable

    $12.35 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 76513

    Office

    $86.04

    Facility

    Unavailable

    $9.73 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 76513

    Office

    $89.56

    Facility

    Unavailable

    $13.25 higher than Wyoming** for the office setting.

  • Stockton

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Vallejo

    California · 76513

    Office

    $95.21

    Facility

    Unavailable

    $18.90 higher than Wyoming** for the office setting.

  • Visalia

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Yuba City

    California · 76513

    Office

    $81.90

    Facility

    Unavailable

    $5.59 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 76513

    Office

    $80.17

    Facility

    Unavailable

    $3.86 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 76513

    Office

    $81.34

    Facility

    Unavailable

    $5.03 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 76513

    Office

    $75.85

    Facility

    Unavailable

    $0.46 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 76513

    Office

    $77.76

    Facility

    Unavailable

    $1.45 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 76513

    Office

    $74.36

    Facility

    Unavailable

    $1.95 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 76513

    Office

    $77.58

    Facility

    Unavailable

    $1.27 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 76513

    Office

    $70.56

    Facility

    Unavailable

    $5.75 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 76513

    Office

    $83.89

    Facility

    Unavailable

    $7.58 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 76513

    Office

    $71.32

    Facility

    Unavailable

    $4.99 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 76513

    Office

    $71.65

    Facility

    Unavailable

    $4.66 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 76513

    Office

    $72.68

    Facility

    Unavailable

    $3.63 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 76513

    Office

    $71.98

    Facility

    Unavailable

    $4.33 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 76513

    Office

    $78.66

    Facility

    Unavailable

    $2.35 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 76513

    Office

    $72.05

    Facility

    Unavailable

    $4.26 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 76513

    Office

    $70.77

    Facility

    Unavailable

    $5.54 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 76513

    Office

    $70.20

    Facility

    Unavailable

    $6.11 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 76513

    Office

    $73.27

    Facility

    Unavailable

    $3.04 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 76513

    Office

    $70.01

    Facility

    Unavailable

    $6.30 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 76513

    Office

    $88.11

    Facility

    Unavailable

    $11.80 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76513

    Office

    $79.64

    Facility

    Unavailable

    $3.33 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76513

    Office

    $81.06

    Facility

    Unavailable

    $4.75 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 76513

    Office

    $77.30

    Facility

    Unavailable

    $0.99 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 76513

    Office

    $71.75

    Facility

    Unavailable

    $4.56 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 76513

    Office

    $75.74

    Facility

    Unavailable

    $0.57 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 76513

    Office

    $74.98

    Facility

    Unavailable

    $1.33 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 76513

    Office

    $71.69

    Facility

    Unavailable

    $4.62 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 76513

    Office

    $77.65

    Facility

    Unavailable

    $1.34 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 76513

    Office

    $73.05

    Facility

    Unavailable

    $3.26 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 76513

    Office

    $73.80

    Facility

    Unavailable

    $2.51 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 76513

    Office

    $68.73

    Facility

    Unavailable

    $7.58 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 76513

    Office

    $68.51

    Facility

    Unavailable

    $7.80 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 76513

    Office

    $76.49

    Facility

    Unavailable

    $0.18 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 76513

    Office

    $72.49

    Facility

    Unavailable

    $3.82 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 76513

    Office

    $76.09

    Facility

    Unavailable

    $0.22 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 76513

    Office

    $71.75

    Facility

    Unavailable

    $4.56 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 76513

    Office

    $78.71

    Facility

    Unavailable

    $2.40 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 76513

    Office

    $86.75

    Facility

    Unavailable

    $10.44 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 76513

    Office

    $82.50

    Facility

    Unavailable

    $6.19 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 76513

    Office

    $71.96

    Facility

    Unavailable

    $4.35 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 76513

    Office

    $76.43

    Facility

    Unavailable

    $0.12 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76513

    Office

    $88.93

    Facility

    Unavailable

    $12.62 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76513

    Office

    $82.85

    Facility

    Unavailable

    $6.54 higher than Wyoming** for the office setting.

  • Queens

    New York · 76513

    Office

    $88.26

    Facility

    Unavailable

    $11.95 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 76513

    Office

    $73.48

    Facility

    Unavailable

    $2.83 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 76513

    Office

    $71.61

    Facility

    Unavailable

    $4.70 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 76513

    Office

    $70.33

    Facility

    Unavailable

    $5.98 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 76513

    Office

    $82.86

    Facility

    Unavailable

    $6.55 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 76513

    Office

    $76.07

    Facility

    Unavailable

    $0.24 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76513

    Office

    $79.27

    Facility

    Unavailable

    $2.96 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76513

    Office

    $71.85

    Facility

    Unavailable

    $4.46 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 76513

    Office

    $77.10

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 76513

    Office

    $78.64

    Facility

    Unavailable

    $2.33 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 76513

    Office

    $72.12

    Facility

    Unavailable

    $4.19 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 76513

    Office

    $76.04

    Facility

    Unavailable

    $0.27 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 76513

    Office

    $71.07

    Facility

    Unavailable

    $5.24 lower than Wyoming** for the office setting.

  • Austin

    Texas · 76513

    Office

    $79.71

    Facility

    Unavailable

    $3.40 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 76513

    Office

    $71.39

    Facility

    Unavailable

    $4.92 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 76513

    Office

    $75.99

    Facility

    Unavailable

    $0.32 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 76513

    Office

    $76.35

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 76513

    Office

    $75.79

    Facility

    Unavailable

    $0.52 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 76513

    Office

    $76.14

    Facility

    Unavailable

    $0.17 lower than Wyoming** for the office setting.

  • Houston

    Texas · 76513

    Office

    $76.50

    Facility

    Unavailable

    $0.19 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 76513

    Office

    $73.56

    Facility

    Unavailable

    $2.75 lower than Wyoming** for the office setting.

  • Utah

    Utah · 76513

    Office

    $73.05

    Facility

    Unavailable

    $3.26 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 76513

    Office

    $75.34

    Facility

    Unavailable

    $0.97 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76513

    Office

    $77.10

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 76513

    Office

    $75.60

    Facility

    Unavailable

    $0.71 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 76513

    Office

    $79.56

    Facility

    Unavailable

    $3.25 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 76513

    Office

    $90.09

    Facility

    Unavailable

    $13.78 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 76513

    Office

    $73.67

    Facility

    Unavailable

    $2.64 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 76513

    Office

    $69.43

    Facility

    Unavailable

    $6.88 lower than Wyoming** for the office setting.

See how rates vary across the country

76513 · 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.

$68.25

$92.53

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

View all state and territory rates as a table
State / territoryRate 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

Explore 76513 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76513 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$83.94

$76.31 × 110% = $83.94

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 76513 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,715

Code
76513
Physician work
0.59
Practice expense
1.68
Malpractice
0.02

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 76513 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense1.68× 1.0001.6800
Malpractice0.02× 0.7400.0148
Total RVUs2.2848
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$76.31

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

Open 76513 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.591
Practice expense1.681
Malpractice0.020.74

(0.59 × 1 + 1.68 × 1 + 0.02 × 0.74) × $33.4009 = $76.31

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

76513 · Office / nonfacility

$76.31

Effective 2026-10-01

The base rate is $4.35 higher than on 2025-10-01, moving from $71.96 to $76.31 (6.0%).

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

    $71.96changed to$76.31

    • 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
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $71.96

    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$76.31Not available in this settingRVU26D
2026-07-01$76.31Not available in this settingRVU26C
2026-04-01$76.31Not available in this settingRVU26B
2026-01-01$76.31Not available in this settingRVU26A
2025-10-01$71.96Not available in this settingRVU25D
2025-07-01$71.96Not available in this settingRVU25C
2025-04-01$71.96Not available in this settingRVU25B
2025-01-01$71.96Not available in this settingRVU25A

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 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 76513PPRRVU2026_Oct_nonQPP.csv, line 8,715 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet