CPT code 65105: Eye removal, implant with muscles attached2026 Medicare rate & RVUs

Medicare pays $847.71 for 65105 nationally in a facility.

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

What 65105 covers

An ophthalmic surgeon, often an oculoplastic surgeon, removes the entire globe and places an orbital implant, attaching the extraocular muscles to it. Enucleation may be selected for an intraocular malignancy, a severely damaged eye, or an irreversibly blind, painful eye. The implant replaces volume within the orbit; it is not the external ocular prosthesis worn later. These operations are commonly performed in a surgical facility.

Report 65105 when the operative record supports both removal of the globe and muscle attachment to the implant. Distinguish it from enucleation with an implant but no muscle attachment, and from removal without an implant. The note should identify the operative method, implant placement, and muscle attachment. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures receive the standard reduction. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 65105 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

65105 rates by state

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

How the 65105 rate is calculated

Each of 65105’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 65105

65105 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

65105 compared with similar codes

How to choose

65101Eye removalWithout implant

65101 is enucleation without an implant. Choose 65105 when an orbital implant is placed and the extraocular muscles are attached to it.

65103Eye removalImplant with muscle attachment

65103 includes an implant but not attachment of the extraocular muscles to it. That muscle attachment distinguishes 65105.

65112Eye eviscerationWith implant

65112 uses evisceration, removing ocular contents while retaining the scleral shell, rather than removing the entire globe as in 65105.

Codes related to 65105

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

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