Reimbursement for Ultrasonic Biomicroscopy

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Topic: Ultrasonic Biomicroscopy

Sponsor: Ellex

Updated: 04/23/2021

This FAQ addresses the following:

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

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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