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CPT code 65093: Eye evisceration, with implant2026 Medicare rate & RVUs

Reports removal of ocular contents while retaining the scleral shell and placing an implant, commonly for a blind, painful eye.

CMS RVU26DEffective Oct 1, 2026109 payment localities551 Medicare services in 2024

Medicare pays $659.67 for 65093 nationally in a facility.

Medicare rate · 65093

Eye evisceration, with implant

Office or facility?

Work RVUs
6.86
Total RVUs
19.75
Global days
090

National rate · 2026

$659.67

Facility setting, before claim adjustments.

See every locality for 65093 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 65093 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 65093 covers

In this operation, the surgeon removes the contents of the eye but leaves the scleral shell in place and places an implant within it. Ophthalmologists typically perform the procedure in a surgical facility for conditions such as a blind, painful eye when evisceration is selected. The implant supports the appearance and volume of the eye socket; a prosthetic eye may be fitted after healing.

Report 65093 when the operative record supports evisceration with implant placement, not removal of the entire globe. Documentation should identify the procedure performed and the implant. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 65093 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

65093 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$600.17
AlaskaUnavailable$792.78
ArizonaUnavailable$644.25
ArkansasUnavailable$592.64
Atlanta, GAUnavailable$670.64
Austin, TXUnavailable$681.94
Bakersfield, CAUnavailable$696.41
Baltimore area, MDUnavailable$697.78
Beaumont, TXUnavailable$621.27
Brazoria, TXUnavailable$653.75

65093 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
65093 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 65093 rate is calculated

Each of 65093’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 65093

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.86

6.86 RVUs× 1.000 GPCI

Practice expense12.34

12.34 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

19.7500

Conversion factor

$33.4009

Medicare rate

$659.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 65093

65093 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65093

Eye evisceration, with implant

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 65093

Eye evisceration, with implant

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

65093 without 50 · national facility

$659.67

Eye evisceration, with implant

65093-50 · Bilateral: 150%

$989.51

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

65093 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 65093

    Eye evisceration, with implant6.86 wRVU

    Not priced

  • 65091

    Eye evisceration, without implant7.08 wRVU

    Not priced

  • 65103

    Eye removal, implant with muscle attachment8.62 wRVU

    Not priced

  • 65101

    Eye removal, without implant8.09 wRVU

    Not priced

How to choose

65091Eye eviscerationWithout implant
Both are evisceration procedures. Choose 65093 when an implant is placed and 65091 when the procedure is performed without one.
65103Eye removalImplant with muscle attachment
65103 is enucleation with an implant, removing the entire globe; 65093 removes ocular contents while preserving the scleral shell.
65101Eye removalWithout implant
65101 is enucleation without an implant. It differs from 65093 in both the extent of removal and implant placement.

Codes related to 65093

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 65093
CodeHow it relatesNational office range
Same family
65091Eye evisceration, without implantEvisceration without implant; distinguish by whether an implant is placed.No office rate
Used instead
65103Eye removal, implant with muscle attachmentEnucleation with implant removes the globe rather than retaining the scleral shell.No office rate
65101Eye removal, without implantEnucleation without implant removes the globe and does not include implant placement.No office rate

65093 billing questions

How does 65093 differ from 65091?

Both describe evisceration, which retains the scleral shell. Use 65093 when an implant is placed; 65091 is the sibling code for evisceration without an implant.

When would 65103 be considered instead?

65103 describes enucleation with an implant, which removes the entire globe. Use 65093 when the surgeon removes the ocular contents but retains the scleral shell.

Is implant placement included in 65093?

Yes. The service represented by 65093 includes evisceration with implant placement; the operative documentation should support both.

What postoperative care is included in the global period?

CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral reporting handled?

CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted. Co-surgeons are paid only when supporting documentation is provided, and team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 65093PPRRVU2026_Oct_nonQPP.csv, line 7,289 (RVU26D)

Open CMS sourceHow we calculate rates

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