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

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, 2026One payment locality

In Montana, Medicare pays $629.91 for 65150 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$629.91Hospital or facility

Check a contract rate as a % of Medicare · 65150 nationwide

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

We’ll open 65150 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 65150 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Montana compares for 65150

Across 109 of 109 payment localities, the facility rate for 65150 runs from $565.13 in Arkansas to $824.32 in San Benito County, CA. Montana pays $629.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

65150 in Montana vs other payment areas
  1. Montana · this page$629.91
  2. Los Angeles, CA · California$707.16+$77.25
  3. Washington, DC area · District of Columbia$715.06+$85.15
  4. Miami, FL · Florida$671.04+$41.13
  5. Chicago, IL · Illinois$654.19+$24.28
  6. Manhattan, NY · New York$718.27+$88.36
  7. Alaska · Alaska$753.75+$123.84

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

65150 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$572.42
ArkansasArkansas—$565.13
ArizonaArizona—$615.09
Bakersfield, CACalifornia—$666.48
Chico, CACalifornia—$664.89
El Centro, CACalifornia—$664.97
Fresno, CACalifornia—$664.89
Hanford, CACalifornia—$664.89

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

See 65150 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,300

Code
65150
Physician work
6.27
Practice expense
12.11
Malpractice
0.48

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 65150 in Montana
ComponentRVULocality factorAdjusted
Physician work6.27× 1.0006.2700
Practice expense12.11× 1.00012.1100
Malpractice0.48× 0.9980.4790
Total RVUs18.8590
Conversion factor× 33.4009

Facility rate, Montana$629.91

Facility: (6.27 × 1 + 12.11 × 1 + 0.48 × 0.998) × $33.4009 = $629.91

Open 65150 in the RVU calculator

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

How 65150 has changed in Montana

65150 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$629.91RVU26D
2026-07-01Not available in this setting$629.91RVU26C
2026-04-01Not available in this setting$629.91RVU26B
2026-01-01Not available in this setting$629.91RVU26A
2025-10-01Not available in this setting$667.60RVU25D
2025-07-01Not available in this setting$667.60RVU25C
2025-04-01Not available in this setting$667.60RVU25B
2025-01-01Not available in this setting$667.60RVU25A
2024-10-01Not available in this setting$698.34RVU24D
2024-07-01Not available in this setting$698.34RVU24C
2024-04-01Not available in this setting$698.34RVU24B
2024-03-09Not available in this setting$698.34RVU24AR
2024-01-01Not available in this setting$686.94RVU24A
2023-10-01Not available in this setting$711.60RVU23D
2023-07-01Not available in this setting$711.60RVU23C
2023-04-01Not available in this setting$711.60RVU23B
2023-01-01Not available in this setting$711.60RVU23A
2022-10-01Not available in this setting$724.26RVU22D
2022-07-01Not available in this setting$724.26RVU22C
2022-04-01Not available in this setting$724.26RVU22B
2022-01-01Not available in this setting$724.26RVU22A
2021-10-01Not available in this setting$696.43RVU21D
2021-07-01Not available in this setting$696.43RVU21C
2021-04-01Not available in this setting$696.43RVU21B
2021-01-01Not available in this setting$696.43RVU21A
2020-10-01Not available in this setting$656.68RVU20D
2020-07-01Not available in this setting$656.68RVU20C
2020-04-01Not available in this setting$656.68RVU20B
2020-01-01Not available in this setting$656.68RVU20A
2019-10-01Not available in this setting$615.92RVU19D
2019-07-01Not available in this setting$615.92RVU19C
2019-04-01Not available in this setting$615.92RVU19B
2019-01-01Not available in this setting$615.92RVU19A
2018-10-01Not available in this setting$603.23RVU18D
2018-07-01Not available in this setting$603.23RVU18C
2018-04-01Not available in this setting$603.23RVU18B
2018-01-01Not available in this setting$603.23RVU18AR1
2017-10-01Not available in this setting$595.04RVU17D
2017-07-01Not available in this setting$595.04RVU17C
2017-04-01Not available in this setting$595.04RVU17B
2017-01-01Not available in this setting$595.04RVU17A
2016-10-01Not available in this setting$582.95RVU16D
2016-07-01Not available in this setting$582.95RVU16C
2016-04-01Not available in this setting$582.95RVU16B
2016-01-01Not available in this setting$582.95RVU16A
2015-10-01Not available in this setting$589.17RVU15D
2015-07-01Not available in this setting$589.17RVU15C
2015-04-01Not available in this setting$586.24RVU15B
2015-01-01Not available in this setting$586.24RVU15A
2014-10-01Not available in this setting$585.02RVU14D
2014-07-01Not available in this setting$585.02RVU14C
2014-04-01Not available in this setting$585.02RVU14B
2014-01-01Not available in this setting$585.02RVU14A
2013-10-01Not available in this setting$585.75RVU13D
2013-07-01Not available in this setting$585.75RVU13C
2013-04-01Not available in this setting$585.75RVU13B
2013-01-01Not available in this setting$585.75RVU13AR

Price 65150 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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