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CPT code 65150: Ocular implant revision, with graft2026 Medicare rate & RVUs

Revision of an existing orbital implant with graft material, reported when an ophthalmic surgeon addresses implant-related socket coverage or contour problems.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $629.94 for 65150 nationally in a facility.

Medicare rate · 65150

Ocular implant revision, with graft

Office or facility?

Work RVUs
6.27
Total RVUs
18.86
Global days
090

National rate · 2026

$629.94

Facility setting, before claim adjustments.

See every locality for 65150 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 65150 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 65150 covers

CPT 65150 describes revision of an existing orbital implant using graft material. An ophthalmologist, often an oculoplastic surgeon, performs the operation in an operating room for an anophthalmic socket, such as after enucleation or evisceration. Situations may include implant exposure or inadequate tissue coverage that requires grafting as part of the revision. This is an orbital socket implant, not an intraocular lens.

Report 65150 when the surgeon revises the existing implant and uses a graft; the operative note should identify the implant, the revision performed, the graft, and the reason for surgery. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 65150 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

65150 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$572.42
AlaskaUnavailable$753.75
ArizonaUnavailable$615.09
ArkansasUnavailable$565.13
Atlanta, GAUnavailable$640.26
Austin, TXUnavailable$651.99
Bakersfield, CAUnavailable$666.48
Baltimore area, MDUnavailable$666.62
Beaumont, TXUnavailable$592.40
Brazoria, TXUnavailable$624.45

65150 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
65150 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 65150 rate is calculated

Each of 65150’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 · 65150

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.27

6.27 RVUs× 1.000 GPCI

Practice expense12.11

12.11 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

18.8600

Conversion factor

$33.4009

Medicare rate

$629.94

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 65150

65150 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65150

Ocular implant revision, with graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 65150

Ocular implant revision, with graft

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

65150 without 50 · national facility

$629.94

Ocular implant revision, with graft

65150-50 · Bilateral: 150%

$944.91

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).

When to use modifier 50

65150 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 65150

    Ocular implant revision, with graft6.27 wRVU

    Not priced

  • 65125

    Ocular implant revision, with graft3.19 wRVU

    $455.59

  • 65155

    Ocular implant, reinsertion9.85 wRVU

    Not priced

  • 65175

    Ocular implant removal, implant removal alone7.22 wRVU

    Not priced

  • 65130

    Ocular implant insertion, extraocular muscles attached8.21 wRVU

    Not priced

How to choose

65125Ocular implant revisionWith graft
65125 describes ocular implant revision without a graft; 65150 is the graft-based revision.
65155Ocular implantReinsertion
Choose 65155 for reinsertion of an existing implant. Choose 65150 when the work is graft-assisted revision of the implant.
65175Ocular implant removalImplant removal alone
65175 describes removal of an ocular implant. It does not represent graft-assisted revision of an implant left in place.
65130Ocular implant insertionExtraocular muscles attached
65130 describes insertion of an ocular implant; 65150 revises an implant that is already present.

Codes related to 65150

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

Codes related to 65150
CodeHow it relatesNational office range
Same family
65125Ocular implant revision, with graftRevision without graft; 65150 is the graft-based revision.$403.50–$614.02
Used instead
65155Ocular implant, reinsertionReinsertion applies when an existing ocular implant is returned to position.No office rate
65175Ocular implant removal, implant removal aloneRemoval applies when the ocular implant is taken out rather than revised.No office rate
65130Ocular implant insertion, extraocular muscles attachedInsertion applies when a new ocular implant is placed rather than an existing one revised.No office rate

65150 billing questions

How does 65150 differ from 65125?

65150 is the graft-based revision. Use 65125 for revision without a graft.

Does 65150 describe placing a new orbital implant?

No. It describes graft-assisted revision of an existing implant. A new implant placement is a different service.

What should the operative note document?

Document the existing implant, the specific revision, the graft used, and the clinical problem, such as implant exposure or inadequate tissue coverage.

How is bilateral 65150 reported?

For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant-at-surgery be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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
RVUs for 65150PPRRVU2026_Oct_nonQPP.csv, line 7,300 (RVU26D)

Open CMS sourceHow we calculate rates

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