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

In Vermont, Medicare pays $1,276.33 for 65112 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65112 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 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.

How Vermont compares for 65112

Across 109 of 109 payment localities, the facility rate for 65112 runs from $1,190.87 in Arkansas to $1,640.45 in San Benito County, CA. Vermont pays $1,276.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65112 rates by state

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

See 65112 in every payment locality

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

Codes related to 65112

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

How 65112 has changed in Vermont

Price 65112 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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