$67.56–$72.59
76516 represents ultrasound A-scan biometry without intraocular lens power calculation; 76519 includes the calculation.
On this page
CMS RVU26D · Effective 2026-10-01
76516 Eye biometry Medicare reimbursement rates in Florida
Ultrasound A-scan biometry measures ocular dimensions, commonly for cataract assessment when the eye’s axial length must be determined. Compare 76516 office and facility rates across CMS payment localities in Florida.
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.
What does Medicare pay for 76516 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$46.60–$50.18
3 of 3 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 76516 pays more and less in Florida
3 payment localities
$46.60 to $50.18
Ophthalmology
About 76516: Ocular A-scan biometry
Ultrasound A-scan biometry measures ocular dimensions, commonly for cataract assessment when the eye’s axial length must be determined.
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.
CMS billing rules for 76516
- 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 RVU0.39 · 27%
- Practice expense (office) RVU1.02 · 71%
- Malpractice RVU0.02 · 1%
2K
Medicare services in 2024 · #2461 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.
76516 compared with similar codes
Office rates for Florida, from the same CMS release.
$56.20–$59.95
76511 is quantitative A-scan for diagnostic evaluation. 76516 is the biometry service used to measure ocular dimensions.
$67.14–$71.69
76510 combines B-scan imaging and quantitative A-scan for diagnostic evaluation; 76516 is A-scan biometry.
$47.79–$51.01
76512 is B-scan imaging, while 76516 measures ocular dimensions using A-scan biometry.
Compare 76516 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$48.75
Facility
Unavailable
Miami →
Office / nonfacility
$50.18
Facility
Unavailable
Rest Of Florida →
Office / nonfacility
$46.60
Facility
Unavailable
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76516 billing questions
When should 76516 be used instead of 76519?
Use 76516 for ultrasound A-scan biometry without an intraocular lens power calculation. When the study includes that calculation, 76519 is the relevant code.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Should modifier 50 be added when both eyes are examined?
No. CMS prices 76516 as bilateral, and modifier 50 does not increase payment.
What does the multiple-procedure reduction affect?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component of 76516.
What documentation supports reporting 76516?
Document the clinical reason for ultrasound biometry, the ocular measurements obtained, and the interpretation. The record should make clear whether intraocular lens power calculation was part of the service.
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.
8,71876514,,Echo exam of eye thickness,A,,0.14,0.19,,0.19,NA,0.02,0.35,0.35,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.89,0.89,0.08
8,71976514,26,Echo exam of eye thickness,A,,0.14,0.08,,0.08,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,72076514,TC,Echo exam of eye thickness,A,,0.00,0.11,,0.11,NA,0.01,0.12,0.12,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.81,0.81,0.07
8,72176516,,Echo exam of eye,A,,0.39,1.02,,1.02,NA,0.02,1.43,1.43,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,3.43,3.43,0.05
8,72276516,26,Echo exam of eye,A,,0.39,0.27,,0.27,,0.01,0.67,0.67,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,72376516,TC,Echo exam of eye,A,,0.00,0.75,,0.75,NA,0.01,0.76,0.76,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
8,72476519,,Echo exam of eye,A,,0.53,1.53,,1.53,NA,0.02,2.08,2.08,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,3.53,3.53,0.04