CPT code 65103: Eye removal, implant with muscle attachment2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $740.89 for 65103 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65103 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 65103 covers

An ophthalmic surgeon removes the globe intact and places an implant in the orbit, attaching the extraocular muscles to the implant. This enucleation may be performed for an intraocular malignancy or a severely damaged, blind, painful eye. The service is generally performed in a hospital or ambulatory surgical setting; Medicare recorded facility services for this code in 2024.

Select this code when the operative report supports enucleation, implant placement, and muscle attachment. Documentation should identify the eye, the reason for removal, and the implant and muscle work performed; use a different code when no implant is placed or when the procedure is evisceration rather than enucleation. The procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. 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 North Carolina compares for 65103

Across 109 of 109 payment localities, the facility rate for 65103 runs from $703.30 in Arkansas to $1,009.43 in San Benito County, CA. North Carolina pays $740.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65103 rates by state

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

See 65103 in every payment locality

How the 65103 rate is calculated

Each of 65103’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 65103

65103 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 65103

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

How 65103 has changed in North Carolina

Price 65103 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