76512 Eye ultrasound Medicare reimbursement rates in California

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%.