CPT code 65755: Corneal transplant, penetrating, pseudophakic eye2026 Medicare rate & RVUs in Washington, DC area

Reports penetrating corneal transplantation in a pseudophakic eye, replacing diseased full-thickness corneal tissue with donor tissue.

CMS RVU26DEffective Oct 1, 2026One payment locality2.4K Medicare services in 2024

In Washington, DC area, Medicare pays $1,183.71 for 65755 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,183.71Hospital or facility

Check a contract rate as a % of Medicare · 65755 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 65755 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 65755 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 65755 covers

An ophthalmic surgeon performs penetrating keratoplasty to replace diseased or damaged full-thickness corneal tissue with donor cornea. The procedure may be used for problems such as corneal scarring, opacity, dystrophy, or a failed prior graft. Code 65755 identifies the penetrating transplant in a pseudophakic eye, where an intraocular lens is already present. These operations are generally performed in a surgical facility, though CMS records services in both office and facility settings.

Select the code from the operative report’s description of the transplant and the eye’s lens status; documentation should establish the full-thickness transplant and pseudophakia. CMS assigns 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 identifies bilateral surgery, paid at 150%. An assistant at surgery may be paid; 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.

How Washington, DC area compares for 65755

Across 109 of 109 payment localities, the facility rate for 65755 runs from $976.72 in Arkansas to $1,349.39 in Alaska. Washington, DC area pays $1,183.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

65755 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,183.71
  2. Los Angeles, CA · California$1,159.33−$24.38
  3. Miami, FL · Florida$1,151.17−$32.54
  4. Chicago, IL · Illinois$1,127.68−$56.03
  5. Manhattan, NY · New York$1,202.29+$18.58
  6. Alaska · Alaska$1,349.39+$165.68
  7. Alabama · Alabama$986.54−$197.17

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

65755 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$976.72
ArizonaArizona—$1,043.82
Bakersfield, CACalifornia—$1,103.63
Chico, CACalifornia—$1,099.35
El Centro, CACalifornia—$1,099.56
Fresno, CACalifornia—$1,099.35
Hanford, CACalifornia—$1,099.35
Madera, CACalifornia—$1,099.35

65755 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
65755 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 65755 in every payment locality

How the 65755 rate is calculated

Each of 65755’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 · 65755

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.37

16.37 RVUs× 1.000 GPCI

Practice expense14.20

14.20 RVUs× 1.000 GPCI

Malpractice1.31

1.31 RVUs× 1.000 GPCI

Adjusted RVUs

31.8800

Conversion factor

$33.4009

Medicare rate

$1,064.82

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,330

Code
65755
Physician work
16.37
Practice expense
14.20
Malpractice
1.31

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 65755 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work16.37× 1.05417.2540
Practice expense14.20× 1.17816.7276
Malpractice1.31× 1.1131.4580
Total RVUs35.4396
Conversion factor× 33.4009

Facility rate, Washington, DC area$1183.71

Facility: (16.37 × 1.054 + 14.2 × 1.178 + 1.31 × 1.113) × $33.4009 = $1183.71

Open 65755 in the RVU calculator

Payment rules and modifiers for 65755

65755 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65755

Corneal transplant, penetrating, pseudophakic eye

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 65755

Corneal transplant, penetrating, pseudophakic eye

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

65755 without 50 · national facility

$1,064.82

Corneal transplant, penetrating, pseudophakic eye

65755-50 · Bilateral: 150%

$1,597.23

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 65755 has changed in Washington, DC area

65755 · 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$1,183.71RVU26D
2026-07-01Not available in this setting$1,183.71RVU26C
2026-04-01Not available in this setting$1,183.71RVU26B
2026-01-01Not available in this setting$1,183.71RVU26A
2025-10-01Not available in this setting$1,357.30RVU25D
2025-07-01Not available in this setting$1,357.30RVU25C
2025-04-01Not available in this setting$1,357.30RVU25B
2025-01-01Not available in this setting$1,357.30RVU25A
2024-10-01Not available in this setting$1,403.11RVU24D
2024-07-01Not available in this setting$1,403.11RVU24C
2024-04-01Not available in this setting$1,403.11RVU24B
2024-03-09Not available in this setting$1,403.11RVU24AR
2024-01-01Not available in this setting$1,380.21RVU24A
2023-10-01Not available in this setting$1,432.99RVU23D
2023-07-01Not available in this setting$1,432.99RVU23C
2023-04-01Not available in this setting$1,432.99RVU23B
2023-01-01Not available in this setting$1,432.99RVU23A
2022-10-01Not available in this setting$1,459.35RVU22D
2022-07-01Not available in this setting$1,459.35RVU22C
2022-04-01Not available in this setting$1,459.35RVU22B
2022-01-01Not available in this setting$1,459.35RVU22A
2021-10-01Not available in this setting$1,458.86RVU21D
2021-07-01Not available in this setting$1,458.86RVU21C
2021-04-01Not available in this setting$1,458.86RVU21B
2021-01-01Not available in this setting$1,458.86RVU21A
2020-10-01Not available in this setting$1,452.05RVU20D
2020-07-01Not available in this setting$1,452.05RVU20C
2020-04-01Not available in this setting$1,452.05RVU20B
2020-01-01Not available in this setting$1,452.05RVU20A
2019-10-01Not available in this setting$1,431.68RVU19D
2019-07-01Not available in this setting$1,431.68RVU19C
2019-04-01Not available in this setting$1,431.68RVU19B
2019-01-01Not available in this setting$1,431.68RVU19A
2018-10-01Not available in this setting$1,422.28RVU18D
2018-07-01Not available in this setting$1,422.28RVU18C
2018-04-01Not available in this setting$1,422.28RVU18B
2018-01-01Not available in this setting$1,422.28RVU18AR1
2017-10-01Not available in this setting$1,412.79RVU17D
2017-07-01Not available in this setting$1,412.79RVU17C
2017-04-01Not available in this setting$1,412.79RVU17B
2017-01-01Not available in this setting$1,412.79RVU17A
2016-10-01Not available in this setting$1,409.96RVU16D
2016-07-01Not available in this setting$1,409.96RVU16C
2016-04-01Not available in this setting$1,409.96RVU16B
2016-01-01Not available in this setting$1,409.96RVU16A
2015-10-01Not available in this setting$1,412.88RVU15D
2015-07-01Not available in this setting$1,412.88RVU15C
2015-04-01Not available in this setting$1,405.85RVU15B
2015-01-01Not available in this setting$1,405.85RVU15A
2014-10-01Not available in this setting$1,448.60RVU14D
2014-07-01Not available in this setting$1,448.60RVU14C
2014-04-01Not available in this setting$1,448.60RVU14B
2014-01-01Not available in this setting$1,448.60RVU14A
2013-10-01Not available in this setting$1,428.29RVU13D
2013-07-01Not available in this setting$1,428.29RVU13C
2013-04-01Not available in this setting$1,428.29RVU13B
2013-01-01Not available in this setting$1,428.29RVU13AR

Price 65755 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

65755 billing questions

How is 65755 distinguished from other penetrating keratoplasty codes?

Confirm that the operation is a penetrating corneal transplant and that the operative documentation supports the circumstances specified for 65755, including pseudophakia. Compare the complete operative details with the descriptors for the other codes in the 65710–65750 family.

Is an endothelial keratoplasty reported with 65755?

No. Code 65755 represents a penetrating transplant; 65756 describes an endothelial transplant, which replaces a different portion of the cornea.

Does the transplant include routine postoperative visits?

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

How is bilateral surgery reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided.

Can 65755 be reported with another procedure performed in the same session?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. The operative record should support each reported procedure.

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 65755PPRRVU2026_Oct_nonQPP.csv, line 7,330 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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