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CPT 76514: Contact B-Scan Corneal Thickness Measurement
CPT code 76514 denotes conventional contact B-scan imaging to measure corneal thickness in one or both eyes. This diagnostic ophthalmic imaging code captures pachymetry performed with contact B-scan technique and is used in evaluation of corneal edema, dystrophies, post-transplant status, and preoperative planning for corneal procedures. Nationally, accurate reporting of corneal thickness measurements informs clinical decision-making for ophthalmologists and impacts downstream care pathways.
Payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise information about the clinical context for use of CPT code 76514, typical sites of service, and how this service relates to other ophthalmic imaging codes. The publication summarizes common diagnostic indications and situates the code within routine ophthalmic workflows.
The content provides benchmarks and policy-relevant details where available, highlights commonly associated clinical scenarios such as corneal edema, bullous keratopathy, and corneal transplant follow-up, and notes related imaging services. Data not available in the input is identified explicitly. This summary is intended for administrators, coding professionals, and clinical leaders seeking a clear national-level reference for CPT code 76514.
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Billing Code Overview
CPT code 76514 describes contact B-scan ultrasonography of the anterior segment to measure corneal thickness in one or both eyes. The service involves conventional contact imaging of the cornea to obtain pachymetric measurements used in assessing corneal pathology and surgical planning.
Service type: Diagnostic ophthalmic imaging (anterior segment corneal pachymetry)
Typical site of service: Ophthalmology clinic or outpatient eye center
National Reimbursement Benchmarks
Commercial averages sit well above Medicare: Blue Cross Blue Shield and BUCA show mean commercial reimbursements of $37.2 and $26.6 respectively versus Medicare’s mean of $8.00, highlighting a substantial spread between public and commercial payers for CPT 76514. The median for Blue Cross Blue Shield ($37.9) and BUCA’s median ($26.1) also emphasize that typical commercial payments are multiple times higher than the Medicare center point of $8.00.
Dispersion varies meaningfully by payer. Blue Cross Blue Shield has a tight interquartile span (P75–P25 = $4.8) while Aetna (P75–P25 = $10.0) and Cigna (P75–P25 = $9.9) are wider, and UnitedHealth Group sits in between (P75–P25 = $8.1). BUCA’s interquartile range is $8.6 and Medicare’s is $7.00, so Blue Cross Blue Shield is the tightest and Aetna the widest in the set.