CPT code 65710: Corneal transplant, lamellar technique2026 Medicare rate & RVUs in Puerto Rico
Reports a partial-thickness corneal transplant that replaces diseased corneal layers while retaining healthy host layers, rather than replacing the full cornea.
In Puerto Rico, Medicare pays $987.64 for 65710 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 65710 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 65710 covers
An ophthalmic surgeon performs a lamellar corneal transplant to replace diseased corneal tissue while preserving healthy layers of the patient’s cornea. The graft is partial thickness, distinguishing this operation from a full-thickness penetrating transplant. It is generally performed in an operating room, with the surgeon documenting the corneal condition and the layers replaced.
Select this code when the operative report supports a lamellar transplant; use the applicable penetrating or endothelial transplant code when the documented technique is different. The 90-day global period includes 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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.
How Puerto Rico compares for 65710
Across 109 of 109 payment localities, the facility rate for 65710 runs from $897.76 in Arkansas to $1,232.20 in Alaska. Puerto Rico pays $987.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$987.64
- Los Angeles, CA · California$1,076.46+$88.82
- Washington, DC area · District of Columbia$1,097.15+$109.51
- Miami, FL · Florida$1,060.16+$72.52
- Chicago, IL · Illinois$1,037.53+$49.89
- Manhattan, NY · New York$1,112.12+$124.48
- Alaska · Alaska$1,232.20+$244.56
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $907.28 |
| ArkansasArkansas | — | $897.76 |
| ArizonaArizona | — | $962.84 |
| Bakersfield, CACalifornia | — | $1,022.74 |
| Chico, CACalifornia | — | $1,019.04 |
| El Centro, CACalifornia | — | $1,019.23 |
| Fresno, CACalifornia | — | $1,019.04 |
| Hanford, CACalifornia | — | $1,019.04 |
| Madera, CACalifornia | — | $1,019.04 |
| Merced, CACalifornia | — | $1,019.04 |
| Modesto, CACalifornia | — | $1,019.04 |
| Napa, CACalifornia | — | $1,145.00 |
| Oxnard, CACalifornia | — | $1,068.32 |
| Redding, CACalifornia | — | $1,019.04 |
| Rest of CaliforniaCalifornia | — | $1,019.04 |
| Riverside, CACalifornia | — | $1,031.48 |
| Sacramento, CACalifornia | — | $1,059.78 |
| Salinas, CACalifornia | — | $1,055.53 |
| San Diego, CACalifornia | — | $1,072.85 |
| Marin County, CACalifornia | — | $1,201.88 |
| San Francisco, CACalifornia | — | $1,200.59 |
| San Benito County, CACalifornia | — | $1,227.03 |
| Santa Clara County, CACalifornia | — | $1,221.78 |
| San Luis Obispo, CACalifornia | — | $1,039.45 |
| Santa Cruz, CACalifornia | — | $1,077.40 |
| Santa Maria, CACalifornia | — | $1,057.44 |
| Santa Rosa, CACalifornia | — | $1,087.81 |
| Stockton, CACalifornia | — | $1,019.04 |
| Vallejo, CACalifornia | — | $1,143.15 |
| Visalia, CACalifornia | — | $1,019.04 |
| Yuba City, CACalifornia | — | $1,019.04 |
| ColoradoColorado | — | $1,010.75 |
| ConnecticutConnecticut | — | $1,036.87 |
| DelawareDelaware | — | $975.83 |
| Fort Lauderdale, FLFlorida | — | $1,019.65 |
| Rest of FloridaFlorida | — | $981.09 |
| Atlanta, GAGeorgia | — | $999.58 |
| Rest of GeorgiaGeorgia | — | $938.98 |
| Hawaii, Guam, HIHawaii | — | $1,032.12 |
| IowaIowa | — | $919.89 |
| IdahoIdaho | — | $925.13 |
| East St. Louis, ILIllinois | — | $983.29 |
| Rest of IllinoisIllinois | — | $962.95 |
| Suburban Chicago, ILIllinois | — | $1,028.24 |
| IndianaIndiana | — | $928.94 |
| KansasKansas | — | $918.70 |
| KentuckyKentucky | — | $927.10 |
| New Orleans, LALouisiana | — | $960.12 |
| Rest of LouisianaLouisiana | — | $926.82 |
| Metropolitan Boston, MAMassachusetts | — | $1,090.21 |
| Rest of MassachusettsMassachusetts | — | $1,008.01 |
| Baltimore area, MDMaryland | — | $1,034.11 |
| Rest of MarylandMaryland | — | $990.30 |
| Rest of MaineMaine | — | $930.75 |
| Southern Maine, MEMaine | — | $964.79 |
| Detroit, MIMichigan | — | $992.27 |
| Rest of MichiganMichigan | — | $946.56 |
| MinnesotaMinnesota | — | $970.18 |
| Metropolitan Kansas City, MOMissouri | — | $953.17 |
| Metropolitan St. Louis, MOMissouri | — | $960.28 |
| Rest of MissouriMissouri | — | $916.51 |
| MississippiMississippi | — | $907.16 |
| MontanaMontana | — | $982.91 |
| North CarolinaNorth Carolina | — | $937.56 |
| North DakotaNorth Dakota | — | $960.57 |
| NebraskaNebraska | — | $922.97 |
| New HampshireNew Hampshire | — | $997.73 |
| Northern New JerseyNew Jersey | — | $1,091.14 |
| Rest of New JerseyNew Jersey | — | $1,049.14 |
| New MexicoNew Mexico | — | $951.18 |
| NevadaNevada | — | $977.16 |
| NYC suburbs and Long Island, NYNew York | — | $1,135.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,057.18 |
| Queens, NYNew York | — | $1,116.17 |
| Rest of New YorkNew York | — | $948.05 |
| OhioOhio | — | $942.00 |
| OklahomaOklahoma | — | $923.79 |
| Portland, OROregon | — | $1,033.54 |
| Rest of OregonOregon | — | $969.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,018.20 |
| Rest of PennsylvaniaPennsylvania | — | $941.99 |
| Rhode IslandRhode Island | — | $1,003.52 |
| South CarolinaSouth Carolina | — | $941.26 |
| South DakotaSouth Dakota | — | $957.93 |
| TennesseeTennessee | — | $922.32 |
| Austin, TXTexas | — | $1,007.16 |
| Beaumont, TXTexas | — | $937.59 |
| Brazoria, TXTexas | — | $974.18 |
| Dallas, TXTexas | — | $979.97 |
| Fort Worth, TXTexas | — | $975.71 |
| Galveston, TXTexas | — | $976.94 |
| Houston, TXTexas | — | $997.62 |
| Rest of TexasTexas | — | $955.12 |
| UtahUtah | — | $950.66 |
| VirginiaVirginia | — | $963.82 |
| Virgin Islands, VIUnited States Virgin Islands | — | $987.64 |
| VermontVermont | — | $959.60 |
| Rest of WashingtonWashington | — | $1,005.24 |
| King County, WAWashington | — | $1,107.35 |
| WisconsinWisconsin | — | $936.94 |
| West VirginiaWest Virginia | — | $937.08 |
| WyomingWyoming | — | $973.18 |
65710 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 65710 rate is calculated
Each of 65710’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 · 65710
RVUs × geographic indexes × conversion factor
Work14.09
14.09 RVUs× 1.000 GPCI
Practice expense14.21
14.21 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
29.4300
Conversion factor
$33.4009
Medicare rate
$982.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,327
- Code
- 65710
- Physician work
- 14.09
- Practice expense
- 14.21
- Malpractice
- 1.13
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.09 | × 1.000 | 14.0900 |
| Practice expense | 14.21 | × 1.011 | 14.3663 |
| Malpractice | 1.13 | × 0.985 | 1.1130 |
| Total RVUs | 29.5694 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$987.64
Facility: (14.09 × 1 + 14.21 × 1.011 + 1.13 × 0.985) × $33.4009 = $987.64
Payment rules and modifiers for 65710
65710 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65710
Corneal transplant, lamellar technique
| 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) | 2 | Paid. |
| 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 · 65710
Corneal transplant, lamellar technique
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
65710 without 50 · national facility
$982.99
Corneal transplant, lamellar technique
65710-50 · Bilateral: 150%
$1,474.49
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 65710 has changed in Puerto Rico
65710 · 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 | $987.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $987.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $987.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $987.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,096.46 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,096.46 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,096.46 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,096.46 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,130.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,130.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,130.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,130.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,111.92 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,144.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,140.30 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,140.30 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,140.30 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,153.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,153.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,153.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,153.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,153.70 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,153.70 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,153.70 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,153.70 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,153.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,153.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,153.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,153.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,148.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,148.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,148.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,148.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,137.29 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,137.29 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,137.29 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,137.29 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,029.17 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,029.17 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,029.17 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,029.17 | RVU17A |
| 2016-10-01 | Not available in this setting | $927.97 | RVU16D |
| 2016-07-01 | Not available in this setting | $927.97 | RVU16C |
| 2016-04-01 | Not available in this setting | $927.97 | RVU16B |
| 2016-01-01 | Not available in this setting | $927.97 | RVU16A |
| 2015-10-01 | Not available in this setting | $930.05 | RVU15D |
| 2015-07-01 | Not available in this setting | $930.05 | RVU15C |
| 2015-04-01 | Not available in this setting | $925.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $925.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $928.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $928.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $928.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $928.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $905.31 | RVU13D |
| 2013-07-01 | Not available in this setting | $905.31 | RVU13C |
| 2013-04-01 | Not available in this setting | $905.31 | RVU13B |
| 2013-01-01 | Not available in this setting | $905.31 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
65710 billing questions
How does this differ from a penetrating corneal transplant?
This code is for a partial-thickness lamellar graft that preserves healthy host layers. A penetrating transplant replaces the full thickness of the cornea and is reported with the code matching the patient’s lens status.
What documentation supports selecting the lamellar code?
The operative report should describe the transplant technique and identify the corneal tissue layers replaced and retained. A diagnosis alone does not establish that the procedure was lamellar.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
How is the code reported when both eyes are treated?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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
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