CPT code 65140: Ocular implant, secondary attachment2026 Medicare rate & RVUs in California
Reports secondary attachment of an ocular implant in an anophthalmic socket, rather than implant placement performed during removal of the eye.
CMS doesn’t publish an office rate for 65140 in California.
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 65140 covers
CPT 65140 describes secondary attachment of an ocular implant in a socket after the eye has previously been removed. An ophthalmic surgeon performs the procedure in an operating-room setting to place or secure an implant in the anophthalmic socket. It is distinct from implant placement performed as part of the original enucleation or evisceration, and from later revision, reinsertion, or removal of an existing implant.
Report 65140 when the operative record supports secondary implant attachment and identifies the treated side, the socket, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 identifies bilateral surgery and CMS pays the bilateral procedure at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 65140 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $868.25 |
| Chico, CA | Unavailable | $865.85 |
| El Centro, CA | Unavailable | $865.98 |
| Fresno, CA | Unavailable | $865.85 |
| Hanford, CA | Unavailable | $865.85 |
| Los Angeles, CA | Unavailable | $919.20 |
| Madera, CA | Unavailable | $865.85 |
| Marin County, CA | Unavailable | $1,042.59 |
| Merced, CA | Unavailable | $865.85 |
| Modesto, CA | Unavailable | $865.85 |
| Napa, CA | Unavailable | $988.63 |
| Oxnard, CA | Unavailable | $913.70 |
| Redding, CA | Unavailable | $865.85 |
| Rest of California | Unavailable | $865.85 |
| Riverside, CA | Unavailable | $873.89 |
| Sacramento, CA | Unavailable | $904.69 |
| Salinas, CA | Unavailable | $901.18 |
| San Benito County, CA | Unavailable | $1,064.84 |
| San Diego, CA | Unavailable | $919.24 |
| San Francisco, CA | Unavailable | $1,041.76 |
| San Luis Obispo, CA | Unavailable | $887.02 |
| Santa Clara County, CA | Unavailable | $1,061.45 |
| Santa Cruz, CA | Unavailable | $925.67 |
| Santa Maria, CA | Unavailable | $903.70 |
| Santa Rosa, CA | Unavailable | $934.84 |
| Stockton, CA | Unavailable | $865.85 |
| Vallejo, CA | Unavailable | $987.44 |
| Visalia, CA | Unavailable | $865.85 |
| Yuba City, CA | Unavailable | $865.85 |
How the 65140 rate is calculated
Each of 65140’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 · 65140
RVUs × geographic indexes × conversion factor
Work9.22
9.22 RVUs× 1.000 GPCI
Practice expense14.74
14.74 RVUs× 1.000 GPCI
Malpractice0.73
0.73 RVUs× 1.000 GPCI
Adjusted RVUs
24.6900
Conversion factor
$33.4009
Medicare rate
$824.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 65140
65140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65140
Ocular implant, secondary attachment
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 65140
Ocular implant, secondary attachment
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
65140 without 50 · national facility
$824.67
Ocular implant, secondary attachment
65140-50 · Bilateral: 150%
$1,237.01
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).
65140 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 65130Ocular implant insertionExtraocular muscles attached
- 65130 describes implant insertion; 65140 is for secondary attachment after prior eye removal.
- 65135Ocular implantExtraocular muscles attached
- 65135 describes implant insertion using a different muscle-attachment approach. Use 65140 for secondary attachment, not the initial insertion service.
- 65103Eye removalImplant with muscle attachment
- 65103 includes enucleation with implant placement in the same operation. 65140 describes secondary implant attachment in a previously created socket.
- 65125Ocular implant revisionWith graft
- 65125 is for revising an existing implant. 65140 is for secondary attachment, not revision of an implant already in place.
65140 billing questions
How is 65140 different from implant placement during eye removal?
65140 is for secondary attachment in a socket after the eye was previously removed. When implant placement is part of the current enucleation or evisceration, use the applicable combined procedure code instead.
What documentation supports 65140?
The operative report should establish that the procedure is secondary, identify the anophthalmic socket and side, and describe the implant attachment performed.
Can 65140 be reported with a revision or removal code?
Choose the code that matches the work on the implant. Revision, reinsertion, and removal describe different services; do not report them as separate procedures for the same work.
How does Medicare handle bilateral reporting?
CMS lists 65140 as a bilateral procedure. Modifier 50 is paid at 150%.
Are assistant or co-surgeon claims payable?
CMS lists a statutory restriction on assistant-at-surgery payment for 65140 and does not permit co-surgeons or team surgery.
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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