CPT code 65114: Eye removal, socket reconstruction2026 Medicare rate & RVUs

Medicare pays $1,359.08 for 65114 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 65114 covers

This code represents eye removal performed with reconstruction of the orbital socket. An ophthalmologist, often an oculoplastic surgeon, typically performs the operation in a surgical facility when the patient needs removal of the eye and substantial socket work during the same procedure. The operative report should make clear what was removed and describe the reconstructive work performed.

Choose this service when the documented operation includes socket reconstruction, rather than reporting a code for removal alone or removal with an implant alone. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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 65114 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

65114 rates by state

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

How the 65114 rate is calculated

Each of 65114’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 65114

65114 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

65114 compared with similar codes

How to choose

65112Eye eviscerationWith implant

Both relate to eye removal and socket work. Select 65114 when the documentation supports the more extensive socket reconstruction represented by this code.

65101Eye removalWithout implant

65101 describes eye removal without an implant; 65114 is for removal that includes socket reconstruction.

65103Eye removalImplant with muscle attachment

65103 describes eye removal with an implant. Choose 65114 when the documented service includes socket reconstruction rather than relying on the implant distinction alone.

65125Ocular implant revisionWith graft

65125 addresses revision of an existing ocular implant. It is not the eye-removal and socket-reconstruction service reported with 65114.

Codes related to 65114

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