CPT code 65155: Ocular implant, reinsertion2026 Medicare rate & RVUs in Beaumont, TX

Reports surgery to return a previously placed ocular implant to its position in the socket, such as after displacement or extrusion.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Beaumont, TX, Medicare pays $808.22 for 65155 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$808.22Hospital or facility

Check a contract rate as a % of Medicare · 65155 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 65155 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Beaumont, TX
  2. What 65155 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 65155 covers

An ophthalmic or oculoplastic surgeon reports this service when a previously placed ocular implant has shifted or come out of position and is surgically returned to the socket. The operative work centers on reinserting the existing implant, rather than placing a new implant or removing the eye as part of the same procedure. These cases are typically managed in an operating room.

The operative report should identify the implant, describe its position or displacement, and document the steps taken to reinsert it. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery reported with modifier 50, payment is at 150%. Assistant-at-surgery services are not paid; 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 Beaumont, TX compares for 65155

Across 109 of 109 payment localities, the facility rate for 65155 runs from $771.81 in Arkansas to $1,099.87 in San Benito County, CA. Beaumont, TX pays $808.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

65155 in Beaumont, TX vs other payment areas
  1. Beaumont, TX · this page$808.22
  2. Austin, TX · Texas$881.69+$73.47
  3. Brazoria, TX · Texas$847.39+$39.17
  4. Dallas, TX · Texas$852.28+$44.06
  5. Fort Worth, TX · Texas$847.62+$39.40
  6. Galveston, TX · Texas$849.66+$41.44
  7. Houston, TX · Texas$864.12+$55.90

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

Every other payment area

65155 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas—$827.02
Los Angeles, CACalifornia—$951.13
Washington, DC areaDistrict of Columbia—$964.75
Miami, FLFlorida—$915.90
Chicago, ILIllinois—$894.04
Manhattan, NYNew York—$972.53
AlaskaAlaska—$1,040.19
AlabamaAlabama—$781.15

65155 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.

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65155 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 65155 in every payment locality

How the 65155 rate is calculated

Each of 65155’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 · 65155

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.85

9.85 RVUs× 1.000 GPCI

Practice expense14.96

14.96 RVUs× 1.000 GPCI

Malpractice0.79

0.79 RVUs× 1.000 GPCI

Adjusted RVUs

25.6000

Conversion factor

$33.4009

Medicare rate

$855.06

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

The exact Beaumont, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,301

Code
65155
Physician work
9.85
Practice expense
14.96
Malpractice
0.79

GPCI2026.csv

97

Locality
Beaumont, TX
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Facility calculation for 65155 in Beaumont, TX
ComponentRVULocality factorAdjusted
Physician work9.85× 1.0009.8500
Practice expense14.96× 0.91013.6136
Malpractice0.79× 0.9290.7339
Total RVUs24.1975
Conversion factor× 33.4009

Facility rate, Beaumont, TX$808.22

Facility: (9.85 × 1 + 14.96 × 0.91 + 0.79 × 0.929) × $33.4009 = $808.22

Open 65155 in the RVU calculator

Payment rules and modifiers for 65155

65155 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65155

Ocular implant, reinsertion

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)1Not paid (statutory restriction).
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 · 65155

Ocular implant, reinsertion

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

65155 without 50 · national facility

$855.06

Ocular implant, reinsertion

65155-50 · Bilateral: 150%

$1,282.59

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 65155 has changed in Beaumont, TX

65155 · 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$808.22RVU26D
2026-07-01Not available in this setting$808.22RVU26C
2026-04-01Not available in this setting$808.22RVU26B
2026-01-01Not available in this setting$808.22RVU26A
2025-10-01Not available in this setting$866.74RVU25D
2025-07-01Not available in this setting$866.74RVU25C
2025-04-01Not available in this setting$866.74RVU25B
2025-01-01Not available in this setting$866.74RVU25A
2024-10-01Not available in this setting$901.26RVU24D
2024-07-01Not available in this setting$901.26RVU24C
2024-04-01Not available in this setting$901.26RVU24B
2024-03-09Not available in this setting$901.26RVU24AR
2024-01-01Not available in this setting$886.55RVU24A
2023-10-01Not available in this setting$923.17RVU23D
2023-07-01Not available in this setting$923.17RVU23C
2023-04-01Not available in this setting$923.17RVU23B
2023-01-01Not available in this setting$923.17RVU23A
2022-10-01Not available in this setting$943.06RVU22D
2022-07-01Not available in this setting$943.06RVU22C
2022-04-01Not available in this setting$943.06RVU22B
2022-01-01Not available in this setting$943.06RVU22A
2021-10-01Not available in this setting$919.34RVU21D
2021-07-01Not available in this setting$919.34RVU21C
2021-04-01Not available in this setting$919.34RVU21B
2021-01-01Not available in this setting$919.34RVU21A
2020-10-01Not available in this setting$880.42RVU20D
2020-07-01Not available in this setting$880.42RVU20C
2020-04-01Not available in this setting$880.42RVU20B
2020-01-01Not available in this setting$880.42RVU20A
2019-10-01Not available in this setting$837.95RVU19D
2019-07-01Not available in this setting$837.95RVU19C
2019-04-01Not available in this setting$837.95RVU19B
2019-01-01Not available in this setting$837.95RVU19A
2018-10-01Not available in this setting$826.72RVU18D
2018-07-01Not available in this setting$826.72RVU18C
2018-04-01Not available in this setting$826.72RVU18B
2018-01-01Not available in this setting$826.72RVU18AR1
2017-10-01Not available in this setting$814.55RVU17D
2017-07-01Not available in this setting$814.55RVU17C
2017-04-01Not available in this setting$814.55RVU17B
2017-01-01Not available in this setting$814.55RVU17A
2016-10-01Not available in this setting$809.03RVU16D
2016-07-01Not available in this setting$809.03RVU16C
2016-04-01Not available in this setting$809.03RVU16B
2016-01-01Not available in this setting$809.03RVU16A
2015-10-01Not available in this setting$810.63RVU15D
2015-07-01Not available in this setting$810.63RVU15C
2015-04-01Not available in this setting$806.60RVU15B
2015-01-01Not available in this setting$806.60RVU15A
2014-10-01Not available in this setting$845.64RVU14D
2014-07-01Not available in this setting$845.64RVU14C
2014-04-01Not available in this setting$845.64RVU14B
2014-01-01Not available in this setting$845.64RVU14A
2013-10-01Not available in this setting$839.90RVU13D
2013-07-01Not available in this setting$839.90RVU13C
2013-04-01Not available in this setting$839.90RVU13B
2013-01-01Not available in this setting$839.90RVU13AR

Price 65155 for an earlier date of service

Where the Beaumont, TX rate applies

Beaumont, TX is a Medicare payment area, not a city. Our Census mapping connects it to 13 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Beaumont
  • Beauxart Gardens
  • Bevil Oaks
  • Central Gardens
  • China
  • Fannett
  • Groves
  • Hamshire

Browse all communities in Texas

65155 billing questions

When should 65155 be chosen instead of 65130 or 65135?

Use 65155 when the surgical service is reinsertion of an existing ocular implant. Codes 65130 and 65135 describe insertion of an implant, rather than returning an existing implant to position.

How does reinsertion differ from implant revision?

65155 describes reinserting the implant. Consider 65150 when the work is revision of the implant rather than reinsertion.

What documentation supports 65155?

The operative note should establish that an ocular implant was already present, describe its displacement or position, and record the reinsertion performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is 65155 paid when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Bilateral surgery reported with modifier 50 is paid at 150%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery services are not paid for this code. 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 65155PPRRVU2026_Oct_nonQPP.csv, line 7,301 (RVU26D)
Geographic factors for Beaumont, TXGPCI2026.csv, line 97 (RVU26D)

Open CMS sourceHow we calculate rates

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