$66.01
76510 is the combined B-scan and quantitative A-scan service. 76511 is for quantitative A-scan alone.
On this page
CMS RVU26D · Effective 2026-10-01
76511 Ocular ultrasound Medicare reimbursement rates in Utah
Reports diagnostic eye ultrasound using quantitative A-scan measurements alone to assess ocular dimensions or structures when a B-scan is not performed. Compare 76511 office and facility rates across CMS payment localities in Utah.
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 76511 in Utah?
Utah 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
$55.22
1 of 1 localities have a supported rate.
Payment area: Utah
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 76511: Quantitative ocular A-scan ultrasound
Reports diagnostic eye ultrasound using quantitative A-scan measurements alone to assess ocular dimensions or structures when a B-scan is not performed.
This diagnostic study uses reflected ultrasound signals to produce quantitative measurements of the eye. An ophthalmologist interprets the findings; trained ophthalmic staff may acquire the scan in an eye-care office or outpatient facility. It is appropriate when quantitative A-scan information is needed without a B-scan. It is distinct from A-scan biometry performed to support intraocular lens selection.
Report 76511 for the quantitative A-scan study alone, and retain documentation of the eye examined, diagnostic reason, measurements, and physician interpretation. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. When multiple ophthalmic diagnostic procedures are billed, the CMS multiple-procedure reduction applies to the technical component. For bilateral services, each side is paid separately at 100%.
CMS billing rules for 76511
- 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 RVU0.62 · 36%
- Practice expense (office) RVU1.08 · 63%
- Malpractice RVU0.02 · 1%
4.4K
Medicare services in 2024 · #1963 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.
76511 compared with similar codes
Office rates for Utah, from the same CMS release.
$46.91
76512 reports diagnostic B-scan alone; 76511 reports quantitative A-scan alone.
$45.65
76516 is A-scan biometry, not a diagnostic quantitative A-scan study. Select it when the service is ocular biometry without intraocular lens power calculation.
$66.34
76519 reports A-scan biometry with intraocular lens power calculation; 76511 does not describe that biometry service.
Compare 76511 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
Utah →
Office / nonfacility
$55.22
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 76511 in Utah.
PPRRVU2026_Oct_nonQPP.csv
8,709
- Code
- 76511
- Physician work
- 0.62
- Practice expense
- 1.08
- Malpractice
- 0.02
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.62 | × 1.000 | 0.6200 |
| Practice expense | 1.08 | × 0.940 | 1.0152 |
| Malpractice | 0.02 | × 0.898 | 0.0180 |
| Total RVUs | 1.6532 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$55.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.62 | 1 |
| Practice expense | 1.08 | 0.94 |
| Malpractice | 0.02 | 0.898 |
(0.62 × 1 + 1.08 × 0.94 + 0.02 × 0.898) × $33.4009 = $55.22
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.
76511 billing questions
When should 76511 be reported instead of 76510?
Use 76511 for quantitative A-scan alone. Report 76510 when both B-scan and quantitative A-scan are performed during the same encounter.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.
How is bilateral 76511 handled?
CMS pays each side separately at 100% when the study is performed bilaterally. Document which eye or eyes were examined.
How does 76511 differ from A-scan biometry?
76511 is a diagnostic quantitative A-scan without B-scan imaging. Use 76516 for A-scan biometry without intraocular lens power calculation, or 76519 when that calculation is included.
What documentation supports reporting 76511?
Record the diagnostic indication, eye examined, quantitative findings, and physician interpretation. Documentation should show that the service was a quantitative A-scan only.
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.
8,70676510,,Oph us dx b-scan&quan a-scan,A,,0.68,1.36,,1.36,NA,0.02,2.06,2.06,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,4.48,4.48,0.06
8,70776510,26,Oph us dx b-scan&quan a-scan,A,,0.68,0.46,,0.46,,0.01,1.15,1.15,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,70876510,TC,Oph us dx b-scan&quan a-scan,A,,0.00,0.90,,0.90,NA,0.01,0.91,0.91,1,XXX,0.00,0.00,0.00,7,3,0,0,0,9,,33.4009,02,0,99,4.02,4.02,0.05
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985