CPT code 65175: Ocular implant removal, implant removal alone2026 Medicare rate & RVUs in California
Removal of an existing ocular implant, such as an orbital implant after eye removal, when the implant itself must be taken out.
CMS doesn’t publish an office rate for 65175 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.
Your location
On this page 9 sections
What 65175 covers
An ophthalmologist, often an oculoplastic surgeon, removes an existing implant from the orbit or socket. This may be needed when an implant becomes exposed, displaced, or infected. The service concerns removal of the implant, not removal of the eye or evisceration of its contents. It is typically performed in an operating-room setting; 2024 Medicare claims show facility use for this code.
Report 65175 when the documented operation removes the ocular implant. The operative note should identify the implant and describe its removal; if the surgeon instead revises or reinserts an implant, select the code that describes that work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral services, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is 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 65175 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 | $738.72 |
| Chico, CA | Unavailable | $736.85 |
| El Centro, CA | Unavailable | $736.94 |
| Fresno, CA | Unavailable | $736.85 |
| Hanford, CA | Unavailable | $736.85 |
| Los Angeles, CA | Unavailable | $783.28 |
| Madera, CA | Unavailable | $736.85 |
| Marin County, CA | Unavailable | $892.11 |
| Merced, CA | Unavailable | $736.85 |
| Modesto, CA | Unavailable | $736.85 |
| Napa, CA | Unavailable | $844.91 |
| Oxnard, CA | Unavailable | $778.93 |
| Redding, CA | Unavailable | $736.85 |
| Rest of California | Unavailable | $736.85 |
| Riverside, CA | Unavailable | $743.12 |
| Sacramento, CA | Unavailable | $770.86 |
| Salinas, CA | Unavailable | $767.89 |
| San Benito County, CA | Unavailable | $911.24 |
| San Diego, CA | Unavailable | $784.02 |
| San Francisco, CA | Unavailable | $891.46 |
| San Luis Obispo, CA | Unavailable | $755.73 |
| Santa Clara County, CA | Unavailable | $908.60 |
| Santa Cruz, CA | Unavailable | $790.08 |
| Santa Maria, CA | Unavailable | $770.24 |
| Santa Rosa, CA | Unavailable | $797.96 |
| Stockton, CA | Unavailable | $736.85 |
| Vallejo, CA | Unavailable | $843.98 |
| Visalia, CA | Unavailable | $736.85 |
| Yuba City, CA | Unavailable | $736.85 |
How the 65175 rate is calculated
Each of 65175’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 · 65175
RVUs × geographic indexes × conversion factor
Work7.22
7.22 RVUs× 1.000 GPCI
Practice expense13.15
13.15 RVUs× 1.000 GPCI
Malpractice0.57
0.57 RVUs× 1.000 GPCI
Adjusted RVUs
20.9400
Conversion factor
$33.4009
Medicare rate
$699.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 65175
65175 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65175
Ocular implant removal, implant removal alone
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 65175
Ocular implant removal, implant removal alone
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
65175 without 50 · national facility
$699.41
Ocular implant removal, implant removal alone
65175-50 · Bilateral: 150%
$1,049.12
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).
65175 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 65125Ocular implant revisionWith graft
- Choose 65175 when the implant is removed. Choose the revision code when the operation revises the implant rather than taking it out.
- 65155Ocular implantReinsertion
- 65175 captures implant removal; 65155 concerns reinsertion. The operative plan and documented work distinguish removal alone from putting an implant back.
- 65101Eye removalWithout implant
- 65101 describes removal of the eye without an implant. 65175 is for removal of an ocular implant, not removal of the eye itself.
- 65103Eye removalImplant with muscle attachment
- 65103 describes removal of the eye with implant placement. 65175 describes removal of an existing implant.
65175 billing questions
When should 65175 be chosen instead of an implant revision code?
Use 65175 when the operation removes the implant. When the implant remains in place and is revised, report the applicable revision code instead.
Does 65175 describe removal of the eye?
No. It describes removal of the ocular implant. Enucleation or evisceration codes describe removal of the eye or its contents.
Can implant insertion be reported with 65175?
A separately performed insertion may be relevant when the surgeon removes the existing implant and places a new one during the same operation. The operative record should support both services; same-session procedures are subject to CMS multiple-procedure payment reduction.
What documentation supports 65175?
Document the implant being removed, the reason for removal, and the operative work showing that the implant was taken out rather than revised or reinserted.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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 · Coming soon
Put 65175 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist