CPT code 65130: Ocular implant insertion, extraocular muscles attached2026 Medicare rate & RVUs in Arizona

In Arizona, Medicare pays $743.98 for 65130 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65130 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 65130 covers

An ophthalmic or oculoplastic surgeon inserts an implant into an anophthalmic socket and attaches the extraocular muscles to the implant. This is distinct from removing the eye and placing an implant during the same operation. The service is generally performed in an operating room when a patient needs implant placement in a socket after a prior eye removal or other circumstance leaving the socket without an implant.

Select this code when the operative report supports both implant insertion and attachment of the muscles; use the sibling code when the muscles are not attached. Document the socket and implant work, the muscle attachment, and whether another procedure was performed in the same session. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment is restricted; 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.

How Arizona compares for 65130

Across 109 of 109 payment localities, the facility rate for 65130 runs from $685.36 in Arkansas to $987.43 in San Benito County, CA. Arizona pays $743.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65130 rates by state

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

See 65130 in every payment locality

How the 65130 rate is calculated

Each of 65130’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 65130

65130 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 65130

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

How 65130 has changed in Arizona

Price 65130 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

• Aguila
• Ajo
• Ak Chin
• Ak-Chin Village
• Alamo Lake
• Ali Chuk
• Ali Chukson
• Ali Molina

Browse all communities in Arizona

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