CPT code 65112: Eye evisceration, with implant2026 Medicare rate & RVUs

Medicare pays $1,306.64 for 65112 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 65112 covers

This operation removes the eye’s internal contents while preserving the scleral shell and placing an orbital implant. An ophthalmologist, typically an oculoplastic or other ophthalmic surgeon, may perform it in a hospital or ambulatory surgery setting for a severely damaged or painful eye. Evisceration is distinct from enucleation, which removes the globe itself. The implant and the muscle-attachment details help distinguish this service from nearby procedures.

Report 65112 when the operative record supports evisceration with implant placement, rather than evisceration without an implant or enucleation. Documentation should identify the procedure performed, the implant placement, and relevant operative findings. The CMS global period is 90 days and includes the day-before preoperative visit and 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 the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation. 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 65112 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

65112 rates by state

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

How the 65112 rate is calculated

Each of 65112’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 65112

65112 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

65112 compared with similar codes

How to choose

65110Eye removalGlobe removal procedure

65110 is evisceration without an implant. 65112 includes implant placement while retaining the scleral shell.

65114Eye removalSocket reconstruction

Both include evisceration and an implant; 65114 is the muscle-attachment variant. Use the operative details to distinguish them.

65101Eye removalWithout implant

65101 removes the entire globe without an implant. 65112 removes the internal contents, retains the scleral shell, and includes an implant.

65103Eye removalImplant with muscle attachment

65103 is enucleation with an implant, so the globe is removed. 65112 is evisceration with the scleral shell retained.

Codes related to 65112

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