$71.07
Choose 76514 for ultrasonic measurement of corneal thickness. Code 76513 is ultrasound biomicroscopy of the anterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
76514 Corneal pachymetry Medicare reimbursement rates in Tennessee
Ultrasonic pachymetry measures corneal thickness in one or both eyes, supporting evaluation of glaucoma risk, corneal conditions, and other eye-care decisions. Compare 76514 office and facility rates across CMS payment localities in Tennessee.
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 76514 in Tennessee?
Tennessee 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
$10.80
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Ophthalmology
About 76514: Ultrasonic corneal thickness measurement
Ultrasonic pachymetry measures corneal thickness in one or both eyes, supporting evaluation of glaucoma risk, corneal conditions, and other eye-care decisions.
This service uses an ultrasound probe to measure corneal thickness, commonly the central cornea. Ophthalmologists and optometrists may order it during evaluation of glaucoma risk or corneal conditions, or when thickness information is needed for another eye-care decision. It is performed in settings such as an ophthalmology office or outpatient eye clinic.
Report the code for the ultrasonic thickness study whether one eye or both eyes are examined; CMS prices it as bilateral, so modifier 50 does not increase payment. Documentation should identify the clinical reason, eye or eyes assessed, measurements, and interpretation. The service has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and an unmodified claim represents the global service. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 76514
- 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 RVU0.14 · 40%
- Practice expense (office) RVU0.19 · 54%
- Malpractice RVU0.02 · 6%
419.3K
Medicare services in 2024 · #248 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.
76514 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$44.35
Code 76516 is ophthalmic ultrasound biometry for ocular dimensions; 76514 measures corneal thickness.
$64.51
Code 76519 includes ophthalmic biometry used for intraocular lens power calculation. Use 76514 when the service is corneal pachymetry.
Compare 76514 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
Tennessee →
Office / nonfacility
$10.80
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 76514 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
8,718
- Code
- 76514
- Physician work
- 0.14
- Practice expense
- 0.19
- Malpractice
- 0.02
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.14 | × 1.000 | 0.1400 |
| Practice expense | 0.19 | × 0.909 | 0.1727 |
| Malpractice | 0.02 | × 0.537 | 0.0107 |
| Total RVUs | 0.3235 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$10.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.14 | 1 |
| Practice expense | 0.19 | 0.909 |
| Malpractice | 0.02 | 0.537 |
(0.14 × 1 + 0.19 × 0.909 + 0.02 × 0.537) × $33.4009 = $10.80
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.
76514 billing questions
Should this code be reported for one eye or both eyes?
It covers ultrasonic corneal thickness measurement for one or both eyes. CMS prices it as bilateral, so modifier 50 does not increase payment.
How does this differ from 76513?
76514 measures corneal thickness. Code 76513 is ultrasound biomicroscopy of the anterior segment, a different diagnostic examination.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Billing without either modifier represents the global service.
Does the multiple-procedure reduction affect both components?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component.
What documentation supports reporting this service?
Document the clinical indication, the eye or eyes examined, the thickness measurements, and the interpretation.
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.
8,71576513,,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
8,71676513,26,Oph us dx ant sgm us uni/bi,A,,0.59,0.37,,0.37,,0.01,0.97,0.97,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,71776513,TC,Oph us dx ant sgm us uni/bi,A,,0.00,1.31,,1.31,NA,0.01,1.32,1.32,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,3.17,3.17,0.02
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
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780