Billing code 76510: Eye ultrasoundMedicare rate & RVUs in Utah
Reports an eye ultrasound combining B-scan imaging with quantitative A-scan measurements, often when the posterior segment cannot be viewed directly.
Medicare pays $66.01 for 76510 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76510 covers
This diagnostic study combines B-scan imaging of ocular structures with quantitative A-scan measurements. Ophthalmologists and other qualified eye-care professionals may use it to assess the posterior segment when cataract, vitreous hemorrhage, or another opacity prevents a clear view of the fundus. The B-scan provides structural information, while the quantitative A-scan supplies measurements; the documented clinical question should support performing both parts of the study.
Report this code when both the B-scan and quantitative A-scan are performed as a diagnostic examination. Documentation should identify the eye examined, the reason for imaging, the findings, and the interpretation. CMS separately prices the professional interpretation (modifier 26) and technical services (modifier TC); billing without either modifier represents the global service. When bilateral, each side is paid separately at 100%. The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when it is subject to that reduction.
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.
76510 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $66.01 | Unavailable |
How the 76510 rate is calculated
Each of 76510’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76510
RVUs × geographic indexes × conversion factor
Work0.68
0.68 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
2.0600
Conversion factor
$33.4009
Medicare rate
$68.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 76510
The CMS indicators that decide how 76510 is paid alongside other services.
CMS payment indicators · 76510
Eye ultrasound
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
76510 without 26 · national office
$68.81
Eye ultrasound
76510-26 · Professional component
$38.41
Pays only the interpretation and report.
76510 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76511Ocular ultrasound
- Choose 76511 when quantitative A-scan is performed without B-scan imaging; 76510 includes both components.
- 76512Eye ultrasound
- Choose 76512 when the diagnostic examination includes B-scan alone. 76510 also includes quantitative A-scan measurement.
- 76519Ocular biometry
- 76519 describes A-scan biometry with intraocular lens power calculation, typically for cataract surgery planning. 76510 is the combined diagnostic B-scan and quantitative A-scan study.
76510 billing questions
When should this code be selected instead of 76511 or 76512?
Use 76510 when the diagnostic study includes both B-scan imaging and quantitative A-scan measurement. Use 76511 for quantitative A-scan alone or 76512 for B-scan alone.
Can the two scan components be billed separately?
This code represents the combined B-scan and quantitative A-scan study. Do not separately report the single-component codes for the same components of that combined study.
How are the professional and technical services reported?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
How is bilateral performance paid?
CMS pays each side separately at 100% when the study is performed bilaterally. Document which eye was examined on each side.
Does a multiple-procedure reduction affect this code?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component. It does not change the stated professional-component treatment.
How does this differ from 76519?
76519 is used for ocular A-scan biometry with intraocular lens power calculation. Choose 76510 for the combined diagnostic B-scan and quantitative A-scan study.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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