CPT code 65093: Eye evisceration, with implant2026 Medicare rate & RVUs in Illinois
Reports removal of ocular contents while retaining the scleral shell and placing an implant, commonly for a blind, painful eye.
CMS doesn’t publish an office rate for 65093 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | $687.12 |
| East St. Louis, IL | Unavailable | $645.32 |
| Rest of Illinois | Unavailable | $634.15 |
| Suburban Chicago, IL | Unavailable | $686.58 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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).
65093 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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