CPT 76529
Global XXX ActiveEcho exam of eye
CPT 76529 Billing & Documentation Guide
CPT code 76529 (Echo exam of eye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.56, a non-facility practice expense RVU of 2.02, and a malpractice RVU of 0.03, a total non-facility RVU of 2.61 and facility RVU of 2.61. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $90.36, though rates vary from $77.18 to $118.59 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 76529, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 76529 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 76529 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 76529
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.56 | 0.56 |
| Practice Expense RVU | 2.02 | 2.02 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2.61 | 2.61 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 76529
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $99.75 | $99.75 | $93.51 - $118.59 | 29 |
| Florida | $88.35 | $88.35 | $84.71 - $91.47 | 3 |
| Georgia | $84.3 | $84.3 | $80.08 - $88.51 | 2 |
| Illinois | $85.88 | $85.88 | $81.87 - $89.9 | 4 |
| Michigan | $83.47 | $83.47 | $81.44 - $85.5 | 2 |
| North Carolina | $82.29 | $82.29 | $82.29 - $82.29 | 1 |
| New York | $96.22 | $96.22 | $83.51 - $101.98 | 5 |
| Ohio | $81.31 | $81.31 | $81.31 - $81.31 | 1 |
| Pennsylvania | $86.03 | $86.03 | $81.59 - $90.47 | 2 |
| Texas | $86.16 | $86.16 | $81.03 - $91.01 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 76529
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 76529 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76942 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76970 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76983 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 76986 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76998 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 92002 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 92004 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 92012 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 76529
What does CPT code 76529 mean? +
CPT code 76529 represents: Echo exam of eye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 76529? +
The 2026 Medicare national average non-facility payment for CPT 76529 is $90.36. Rates range from $77.18 to $118.59 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 76529? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 76529? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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