CPT code 65114: Eye removal, socket reconstruction2026 Medicare rate & RVUs in Maryland
Reports removal of the eye with socket reconstruction when the operative service includes more than an uncomplicated eye-removal procedure.
CMS doesn’t publish an office rate for 65114 in Maryland.
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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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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $1,430.09 |
| Rest of Maryland | Unavailable | $1,369.37 |
| Washington, DC area | Unavailable | $1,518.37 |
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.
How the rate is built · 65114
RVUs × geographic indexes × conversion factor
Work19.16
19.16 RVUs× 1.000 GPCI
Practice expense20.02
20.02 RVUs× 1.000 GPCI
Malpractice1.51
1.51 RVUs× 1.000 GPCI
Adjusted RVUs
40.6900
Conversion factor
$33.4009
Medicare rate
$1,359.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 65114
65114 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65114
Eye removal, socket reconstruction
| 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 · 65114
Eye removal, socket reconstruction
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
65114 without 50 · national facility
$1,359.08
Eye removal, socket reconstruction
65114-50 · Bilateral: 150%
$2,038.62
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).
65114 compared with similar codes
Compare codes · National
5 codes, side by side
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.
65114 billing questions
How does this differ from a code for eye removal alone?
Use this code when the operation also includes socket reconstruction. A removal-only code describes a different operative scope.
How should the operative report support this code?
Document the eye-removal procedure and the socket reconstruction performed. The record should show why the service involved more than removal alone.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
Can the service be reported bilaterally?
For a bilateral procedure, modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. 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
Show the CMS file lines behind this rate
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