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See a sample rate comparisonCPT 76529 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ophthalmic U/S For.Body Localizatn
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76529 |
| Medicaid Fee Schedule | View Medicaid rates for 76529 |
National average reimbursement for CPT 76529 by major payers:
$120.94
$94.45
$94.66
$121.01
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CPT 76529
5 of 25 sample ratesHigher to lower in this preview
David Williams
Radiology Associates Of North Texas, PA
$202.10Published rateJessica Courtney
Northern Arizona Healthcare Corporation
$84.80Published rateCandace Schuierer
Northern Arizona Healthcare Corporation
$64.19Published rateSarah Salce
Northern Arizona Healthcare Corporation
$48.61Published rateEdward Campbell
Northern Arizona Healthcare Corporation
$33.56Published rate
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See a sample payer proposalCPT 76529 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76529 code is part of the Radiology Procedures services used for Diagnostic Ultrasound Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76529 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76510-CPT | Low | Oph Us Dx B Scan Quan A Scan, Ophthalmic Ultrasound Diagnostic B Scan And Quantitative A Scan Performed During The Same Patient Encounter |
| 76512-CPT | Low | Ophthalmic Ultrasound Echogra, Ophthalmic Ultrasound Echography Diagnostic Contactb-Scan (With Or Without Simultaneous A-Scan) |
| 76516-CPT | Low | Biometry By Ultras. Echo.;A Scan |
| 76529-CPT | Low | Ophthalmic U/S For.Body Localizatn |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76529. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76529 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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