$56.76
Choose 76511 when quantitative A-scan is performed without B-scan imaging; 76510 includes both components.
On this page
CMS RVU26D · Effective 2026-10-01
76510 Eye ultrasound Medicare reimbursement rates in Vermont
Reports an eye ultrasound combining B-scan imaging with quantitative A-scan measurements, often when the posterior segment cannot be viewed directly. Compare 76510 office and facility rates across CMS payment localities in Vermont.
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 76510 in Vermont?
Vermont 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
$68.02
1 of 1 localities have a supported rate.
Payment area: Vermont
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 76510: Ophthalmic B-scan with quantitative A-scan
Reports an eye ultrasound combining B-scan imaging with quantitative A-scan measurements, often when the posterior segment cannot be viewed directly.
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.
CMS billing rules for 76510
- 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 RVU0.68 · 33%
- Practice expense (office) RVU1.36 · 66%
- Malpractice RVU0.02 · 1%
12.7K
Medicare services in 2024 · #1352 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.
76510 compared with similar codes
Office rates for Vermont, from the same CMS release.
$48.14
Choose 76512 when the diagnostic examination includes B-scan alone. 76510 also includes quantitative A-scan measurement.
$68.63
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.
Compare 76510 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
Vermont →
Office / nonfacility
$68.02
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 76510 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
8,706
- Code
- 76510
- Physician work
- 0.68
- Practice expense
- 1.36
- Malpractice
- 0.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.000 | 0.6800 |
| Practice expense | 1.36 | × 0.990 | 1.3464 |
| Malpractice | 0.02 | × 0.506 | 0.0101 |
| Total RVUs | 2.0365 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$68.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1 |
| Practice expense | 1.36 | 0.99 |
| Malpractice | 0.02 | 0.506 |
(0.68 × 1 + 1.36 × 0.99 + 0.02 × 0.506) × $33.4009 = $68.02
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.
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 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.
8,70376506,,Echo exam of head,A,,0.61,2.60,,2.60,NA,0.05,3.26,3.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.41,3.41,0.05
8,70476506,26,Echo exam of head,A,,0.61,0.23,,0.23,,0.04,0.88,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,70576506,TC,Echo exam of head,A,,0.00,2.37,,2.37,NA,0.01,2.38,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.18,3.18,0.01
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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817