$68.74
76510 includes B-scan imaging with quantitative A-scan measurement; 76512 is for diagnostic B-scan imaging without that quantitative A-scan service.
On this page
CMS RVU26D · Effective 2026-10-01
76512 Eye ultrasound Medicare reimbursement rates in Nevada
Reports diagnostic B-scan ultrasound of the eye, commonly used to assess the posterior segment when direct visualization is limited by opaque media. Compare 76512 office and facility rates across CMS payment localities in Nevada.
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 76512 in Nevada?
Nevada 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
$48.68
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 ultrasound
About 76512: Diagnostic ophthalmic B-scan ultrasound
Reports diagnostic B-scan ultrasound of the eye, commonly used to assess the posterior segment when direct visualization is limited by opaque media.
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%.
CMS billing rules for 76512
- 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 RVU0.55 · 38%
- Practice expense (office) RVU0.89 · 61%
- Malpractice RVU0.02 · 1%
201.7K
Medicare services in 2024 · #385 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.
76512 compared with similar codes
Office rates for Nevada, from the same CMS release.
$57.37
76511 is quantitative A-scan only. Choose 76512 when the diagnostic service is B-scan imaging of the eye.
$76.43
76513 evaluates the anterior segment with ultrasound. 76512 is used for diagnostic B-scan imaging, typically of the posterior segment.
Compare 76512 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
Nevada** →
Office / nonfacility
$48.68
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 76512 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
8,712
- Code
- 76512
- Physician work
- 0.55
- Practice expense
- 0.89
- Malpractice
- 0.02
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.55 | × 1.000 | 0.5500 |
| Practice expense | 0.89 | × 1.001 | 0.8909 |
| Malpractice | 0.02 | × 0.833 | 0.0167 |
| Total RVUs | 1.4575 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$48.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.55 | 1 |
| Practice expense | 0.89 | 1.001 |
| Malpractice | 0.02 | 0.833 |
(0.55 × 1 + 0.89 × 1.001 + 0.02 × 0.833) × $33.4009 = $48.68
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.
76512 billing questions
When should 76512 be selected instead of 76510?
Use 76512 for diagnostic B-scan imaging. Use 76510 when the service includes both B-scan imaging and quantitative A-scan measurement.
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 the code reported when both eyes are scanned?
CMS pays each side separately at 100%. Documentation should identify which eye was examined.
Does the multiple-procedure reduction affect the interpretation?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when multiple applicable procedures are performed.
What documentation supports a diagnostic B-scan?
Record the clinical reason for imaging, the eye examined, the ultrasound findings, and the interpretation. Examples of indications include an obscured posterior view or evaluation for suspected retinal detachment.
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.
8,70976511,,Oph us dx quan a-scan only,A,,0.62,1.08,,1.08,NA,0.02,1.72,1.72,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,3.57,3.57,0.06
8,71076511,26,Oph us dx quan a-scan only,A,,0.62,0.42,,0.42,,0.01,1.05,1.05,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,71176511,TC,Oph us dx quan a-scan only,A,,0.00,0.66,,0.66,NA,0.01,0.67,0.67,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,3.15,3.15,0.05
8,71276512,,Oph us dx b-scan,A,,0.55,0.89,,0.89,NA,0.02,1.46,1.46,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,3.49,3.49,0.07
8,71376512,26,Oph us dx b-scan,A,,0.55,0.35,,0.35,,0.01,0.91,0.91,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,71476512,TC,Oph us dx b-scan,A,,0.00,0.54,,0.54,NA,0.01,0.55,0.55,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,3.14,3.14,0.06
8,71576513,,Oph us dx ant sgm us uni/bi,A,,0.59,1.68,,1.68,NA,0.02,2.29,2.29,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,3.54,3.54,0.03
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097