CPT code 65105: Eye removal, implant with muscles attached2026 Medicare rate & RVUs in Texas
Reports removal of an entire eye with placement of an orbital implant to which the extraocular muscles are attached during the same operation.
CMS doesn’t publish an office rate for 65105 in Texas.
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 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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $874.24 |
| Beaumont, TX | Unavailable | $801.02 |
| Brazoria, TX | Unavailable | $840.01 |
| Dallas, TX | Unavailable | $844.89 |
| Fort Worth, TX | Unavailable | $840.25 |
| Galveston, TX | Unavailable | $842.28 |
| Houston, TX | Unavailable | $856.74 |
| Rest of Texas | Unavailable | $819.76 |
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.
How the rate is built · 65105
RVUs × geographic indexes × conversion factor
Work9.68
9.68 RVUs× 1.000 GPCI
Practice expense14.91
14.91 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
25.3800
Conversion factor
$33.4009
Medicare rate
$847.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 65105
65105 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65105
Eye removal, implant with muscles attached
| 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) | 2 | Paid. |
| 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 · 65105
Eye removal, implant with muscles attached
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
65105 without 50 · national facility
$847.71
Eye removal, implant with muscles attached
65105-50 · Bilateral: 150%
$1,271.57
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).
65105 compared with similar codes
Compare codes · National
4 codes, side by side
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.
65105 billing questions
How is 65105 different from 65103?
Both include enucleation and an implant. Use 65105 when the extraocular muscles are attached to the implant; 65103 describes an implant without that muscle attachment.
When is 65101 a better fit?
65101 describes enucleation without placement of an implant. Report 65105 when an implant is placed and the extraocular muscles are attached to it.
Does 65105 include the external eye prosthesis?
No. The implant is placed within the orbit during surgery; an external ocular prosthesis is a separate device fitted after healing.
What documentation supports reporting 65105?
The operative report should document removal of the globe, placement of the implant, and attachment of the extraocular muscles to that implant.
How does Medicare handle bilateral 65105?
CMS lists modifier 50 for bilateral reporting and pays the bilateral procedure at 150%. The code also has a 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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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