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

In Puerto Rico, Medicare pays $663.93 for 65093 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65093 nationwide

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

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.

How Puerto Rico compares for 65093

Across 109 of 109 payment localities, the facility rate for 65093 runs from $592.64 in Arkansas to $858.53 in San Benito County, CA. Puerto Rico pays $663.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65093 rates by state

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

See 65093 in every payment locality

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.

Payment rules and modifiers for 65093

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

What modifiers do to the payment

When to use modifier 50

Codes related to 65093

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

How 65093 has changed in Puerto Rico

Price 65093 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates