$64.82
76510 identifies a combined B-scan and quantitative A-scan service. Use it when both scan types are documented rather than reporting the broader diagnostic eye ultrasound service under 76529.
On this page
CMS RVU26D · Effective 2026-10-01
76529 Eye ultrasound Medicare reimbursement rates in Idaho
Diagnostic ultrasound imaging of the eye is reported for an ocular echography service documented under this code, with separate reporting for each side when bilateral. Compare 76529 office and facility rates across CMS payment localities in Idaho.
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 76529 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$81.25
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
Ophthalmic imaging
About 76529: Diagnostic ocular ultrasound examination
Diagnostic ultrasound imaging of the eye is reported for an ocular echography service documented under this code, with separate reporting for each side when bilateral.
This service uses ultrasound to examine the eye for diagnostic purposes. Ophthalmologists and other qualified eye-care clinicians may perform or interpret ocular echography in an ophthalmology office, eye clinic, or facility. The documented examination should identify the eye or eyes studied and the diagnostic ultrasound service performed; the record should support choosing this code rather than a neighboring code for a specifically defined scan or measurement.
Report the service according to the documented work and applicable claim format. CMS recognizes a professional component for interpretation and a technical component for the equipment and staff; modifier 26 identifies the professional portion, modifier TC the technical portion, and no component modifier represents the global service. When both eyes are examined, CMS pays each side separately at 100%, so document laterality and report each side as required by the claim format.
CMS billing rules for 76529
- 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.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.56 · 21%
- Practice expense (office) RVU2.02 · 77%
- Malpractice RVU0.03 · 1%
856
Medicare services in 2024 · #3090 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.
76529 compared with similar codes
Office rates for Idaho, from the same CMS release.
$46.04
76512 is specifically for B-scan imaging. Select it when the documented examination is that defined scan.
$71.65
76513 is for ultrasound examination of the anterior segment. Distinguish it from 76529 by the documented anatomy and service.
$65.03
76519 reports ocular ultrasound biometry with intraocular lens power calculation, typically in cataract surgical planning. It is not a general diagnostic eye ultrasound.
Compare 76529 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
$81.25
Facility
Unavailable
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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 76529 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
8,727
- Code
- 76529
- Physician work
- 0.56
- Practice expense
- 2.02
- Malpractice
- 0.03
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.56 | × 1.000 | 0.5600 |
| Practice expense | 2.02 | × 0.920 | 1.8584 |
| Malpractice | 0.03 | × 0.473 | 0.0142 |
| Total RVUs | 2.4326 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$81.25
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.56 | 1 |
| Practice expense | 2.02 | 0.92 |
| Malpractice | 0.03 | 0.473 |
(0.56 × 1 + 2.02 × 0.92 + 0.03 × 0.473) × $33.4009 = $81.25
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.
76529 billing questions
How should this code be distinguished from 76510, 76511, and 76512?
Check the documented ultrasound technique and service. Those neighboring codes identify B-scan with quantitative A-scan, quantitative A-scan alone, and B-scan alone, respectively; use a specifically defined code when the documented service matches it.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, which includes equipment and staff. Without either component modifier, the claim represents the global service.
How is bilateral testing reported?
CMS pays each side separately at 100% when the service is performed bilaterally. Document which eye was examined and follow the applicable claim format for reporting each side.
Is this interchangeable with ocular biometry codes 76516 or 76519?
No. Those codes describe ocular biometry by ultrasound, with 76519 including intraocular lens power calculation. Choose based on whether the documented service is biometry or the diagnostic eye ultrasound reported under 76529.
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.
8,72476519,,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
8,72576519,26,Echo exam of eye,A,,0.53,0.36,,0.36,,0.01,0.90,0.90,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,72676519,TC,Echo exam of eye,A,,0.00,1.17,,1.17,NA,0.01,1.18,1.18,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,72776529,,Echo exam of eye,A,,0.56,2.02,,2.02,NA,0.03,2.61,2.61,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.03,3.03,0.04
8,72876529,26,Echo exam of eye,A,,0.56,0.38,,0.38,,0.02,0.96,0.96,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,72976529,TC,Echo exam of eye,A,,0.00,1.64,,1.64,NA,0.01,1.65,1.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,2.65,2.65,0.02
8,73076536,,Us exam of head and neck,A,,0.55,2.66,,2.66,NA,0.04,3.25,3.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.39,3.39,0.04
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772