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.
In Montana, Medicare pays $629.91 for 65150 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Montana · this page$629.91
- Los Angeles, CA · California$707.16+$77.25
- Washington, DC area · District of Columbia$715.06+$85.15
- Miami, FL · Florida$671.04+$41.13
- Chicago, IL · Illinois$654.19+$24.28
- Manhattan, NY · New York$718.27+$88.36
- Alaska · Alaska$753.75+$123.84
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $664.89 |
| Merced, CACalifornia | — | $664.89 |
| Modesto, CACalifornia | — | $664.89 |
| Napa, CACalifornia | — | $763.87 |
| Oxnard, CACalifornia | — | $703.38 |
| Redding, CACalifornia | — | $664.89 |
| Rest of CaliforniaCalifornia | — | $664.89 |
| Riverside, CACalifornia | — | $670.18 |
| Sacramento, CACalifornia | — | $695.97 |
| Salinas, CACalifornia | — | $693.31 |
| San Diego, CACalifornia | — | $708.16 |
| Marin County, CACalifornia | — | $807.00 |
| San Francisco, CACalifornia | — | $806.46 |
| San Benito County, CACalifornia | — | $824.32 |
| Santa Clara County, CACalifornia | — | $822.09 |
| San Luis Obispo, CACalifornia | — | $682.29 |
| Santa Cruz, CACalifornia | — | $713.86 |
| Santa Maria, CACalifornia | — | $695.51 |
| Santa Rosa, CACalifornia | — | $721.01 |
| Stockton, CACalifornia | — | $664.89 |
| Vallejo, CACalifornia | — | $763.09 |
| Visalia, CACalifornia | — | $664.89 |
| Yuba City, CACalifornia | — | $664.89 |
| ColoradoColorado | — | $654.83 |
| ConnecticutConnecticut | — | $668.64 |
| DelawareDelaware | — | $624.51 |
| Fort Lauderdale, FLFlorida | — | $648.15 |
| Rest of FloridaFlorida | — | $620.21 |
| Atlanta, GAGeorgia | — | $640.26 |
| Rest of GeorgiaGeorgia | — | $589.33 |
| Hawaii, Guam, HIHawaii | — | $678.61 |
| IowaIowa | — | $585.89 |
| IdahoIdaho | — | $589.13 |
| East St. Louis, ILIllinois | — | $613.84 |
| Rest of IllinoisIllinois | — | $603.78 |
| Suburban Chicago, ILIllinois | — | $654.71 |
| IndianaIndiana | — | $592.17 |
| KansasKansas | — | $583.16 |
| KentuckyKentucky | — | $583.68 |
| New Orleans, LALouisiana | — | $608.26 |
| Rest of LouisianaLouisiana | — | $582.75 |
| Metropolitan Boston, MAMassachusetts | — | $715.23 |
| Rest of MassachusettsMassachusetts | — | $651.47 |
| Baltimore area, MDMaryland | — | $666.62 |
| Rest of MarylandMaryland | — | $635.57 |
| Rest of MaineMaine | — | $591.52 |
| Southern Maine, MEMaine | — | $620.38 |
| Detroit, MIMichigan | — | $626.78 |
| Rest of MichiganMichigan | — | $596.82 |
| MinnesotaMinnesota | — | $630.38 |
| Metropolitan Kansas City, MOMissouri | — | $604.90 |
| Metropolitan St. Louis, MOMissouri | — | $610.56 |
| Rest of MissouriMissouri | — | $573.71 |
| MississippiMississippi | — | $569.53 |
| North CarolinaNorth Carolina | — | $597.05 |
| North DakotaNorth Dakota | — | $620.42 |
| NebraskaNebraska | — | $588.82 |
| New HampshireNew Hampshire | — | $644.52 |
| Northern New JerseyNew Jersey | — | $708.94 |
| Rest of New JerseyNew Jersey | — | $677.09 |
| New MexicoNew Mexico | — | $599.59 |
| NevadaNevada | — | $627.67 |
| NYC suburbs and Long Island, NYNew York | — | $733.53 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $681.16 |
| Queens, NYNew York | — | $724.05 |
| Rest of New YorkNew York | — | $604.96 |
| OhioOhio | — | $594.88 |
| OklahomaOklahoma | — | $583.09 |
| Portland, OROregon | — | $674.09 |
| Rest of OregonOregon | — | $623.56 |
| Metropolitan Philadelphia, PAPennsylvania | — | $653.39 |
| Rest of PennsylvaniaPennsylvania | — | $595.89 |
| Puerto RicoPuerto Rico | — | $634.15 |
| Rhode IslandRhode Island | — | $645.54 |
| South CarolinaSouth Carolina | — | $596.80 |
| South DakotaSouth Dakota | — | $619.30 |
| TennesseeTennessee | — | $585.71 |
| Austin, TXTexas | — | $651.99 |
| Beaumont, TXTexas | — | $592.40 |
| Brazoria, TXTexas | — | $624.45 |
| Dallas, TXTexas | — | $627.93 |
| Fort Worth, TXTexas | — | $624.09 |
| Galveston, TXTexas | — | $626.03 |
| Houston, TXTexas | — | $634.81 |
| Rest of TexasTexas | — | $607.76 |
| UtahUtah | — | $604.04 |
| VirginiaVirginia | — | $618.35 |
| Virgin Islands, VIUnited States Virgin Islands | — | $634.15 |
| VermontVermont | — | $617.98 |
| Rest of WashingtonWashington | — | $650.27 |
| King County, WAWashington | — | $729.30 |
| WisconsinWisconsin | — | $601.86 |
| West VirginiaWest Virginia | — | $583.86 |
| WyomingWyoming | — | $625.77 |
65150 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.27 | × 1.000 | 6.2700 |
| Practice expense | 12.11 | × 1.000 | 12.1100 |
| Malpractice | 0.48 | × 0.998 | 0.4790 |
| Total RVUs | 18.8590 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$629.91
Facility: (6.27 × 1 + 12.11 × 1 + 0.48 × 0.998) × $33.4009 = $629.91
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
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 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.
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).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $629.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $629.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $629.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $629.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $667.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $667.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $667.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $667.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $698.34 | RVU24D |
| 2024-07-01 | Not available in this setting | $698.34 | RVU24C |
| 2024-04-01 | Not available in this setting | $698.34 | RVU24B |
| 2024-03-09 | Not available in this setting | $698.34 | RVU24AR |
| 2024-01-01 | Not available in this setting | $686.94 | RVU24A |
| 2023-10-01 | Not available in this setting | $711.60 | RVU23D |
| 2023-07-01 | Not available in this setting | $711.60 | RVU23C |
| 2023-04-01 | Not available in this setting | $711.60 | RVU23B |
| 2023-01-01 | Not available in this setting | $711.60 | RVU23A |
| 2022-10-01 | Not available in this setting | $724.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $724.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $724.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $724.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $696.43 | RVU21D |
| 2021-07-01 | Not available in this setting | $696.43 | RVU21C |
| 2021-04-01 | Not available in this setting | $696.43 | RVU21B |
| 2021-01-01 | Not available in this setting | $696.43 | RVU21A |
| 2020-10-01 | Not available in this setting | $656.68 | RVU20D |
| 2020-07-01 | Not available in this setting | $656.68 | RVU20C |
| 2020-04-01 | Not available in this setting | $656.68 | RVU20B |
| 2020-01-01 | Not available in this setting | $656.68 | RVU20A |
| 2019-10-01 | Not available in this setting | $615.92 | RVU19D |
| 2019-07-01 | Not available in this setting | $615.92 | RVU19C |
| 2019-04-01 | Not available in this setting | $615.92 | RVU19B |
| 2019-01-01 | Not available in this setting | $615.92 | RVU19A |
| 2018-10-01 | Not available in this setting | $603.23 | RVU18D |
| 2018-07-01 | Not available in this setting | $603.23 | RVU18C |
| 2018-04-01 | Not available in this setting | $603.23 | RVU18B |
| 2018-01-01 | Not available in this setting | $603.23 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $595.04 | RVU17D |
| 2017-07-01 | Not available in this setting | $595.04 | RVU17C |
| 2017-04-01 | Not available in this setting | $595.04 | RVU17B |
| 2017-01-01 | Not available in this setting | $595.04 | RVU17A |
| 2016-10-01 | Not available in this setting | $582.95 | RVU16D |
| 2016-07-01 | Not available in this setting | $582.95 | RVU16C |
| 2016-04-01 | Not available in this setting | $582.95 | RVU16B |
| 2016-01-01 | Not available in this setting | $582.95 | RVU16A |
| 2015-10-01 | Not available in this setting | $589.17 | RVU15D |
| 2015-07-01 | Not available in this setting | $589.17 | RVU15C |
| 2015-04-01 | Not available in this setting | $586.24 | RVU15B |
| 2015-01-01 | Not available in this setting | $586.24 | RVU15A |
| 2014-10-01 | Not available in this setting | $585.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $585.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $585.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $585.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $585.75 | RVU13D |
| 2013-07-01 | Not available in this setting | $585.75 | RVU13C |
| 2013-04-01 | Not available in this setting | $585.75 | RVU13B |
| 2013-01-01 | Not available in this setting | $585.75 | RVU13AR |
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
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
Fee sheets
Put 65150 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet