CPT code 65101: Eye removal, without implant2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $720.47 for 65101 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65101 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 65101 covers

This procedure removes the entire eyeball while leaving the surrounding orbital tissues in place; no orbital implant is placed during the operation. An ophthalmologist, often an oculoplastic surgeon, typically performs it in an operating room. Clinical situations may include a painful, blind eye or an eye affected by disease requiring removal. The operative note should establish that the globe was removed intact rather than its contents evacuated, and document that no implant was placed.

Report the code for the eye treated and support the service with the indication, operative findings, and implant status. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 North Carolina compares for 65101

Across 109 of 109 payment localities, the facility rate for 65101 runs from $683.19 in Arkansas to $986.17 in San Benito County, CA. North Carolina pays $720.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65101 rates by state

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

See 65101 in every payment locality

How the 65101 rate is calculated

Each of 65101’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 65101

65101 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 65101

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

How 65101 has changed in North Carolina

Price 65101 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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