Reimbursement for Ultrasonic Biomicroscopy

Topic: Ultrasonic Biomicroscopy

Sponsor: Ellex

Updated: 04/23/2021


This FAQ addresses the following:

  1. What is ultrasonic biomicroscopy ?
  2. What are the indications for UBM?
  3. What CPT code describes UBM?
  4. Is UBM covered by Medicare and other third party payers?
  5. What does Medicare allow for UBM?
  6. Must the physician be present while this test is performed?
  7. What documentation is required in the medical record to support a claim for 76513?
  8. How often may this test be repeated?
  9. Is UBM bundled with other services?
  10. If coverage is unlikely or uncertain, how should we proceed?