CPT code 65756: Corneal transplant, endothelial keratoplasty2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $995.41 for 65756 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65756 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 65756 covers

An ophthalmic surgeon uses this code for endothelial keratoplasty, replacing the diseased inner corneal layer with donor tissue. Common clinical settings include endothelial failure associated with Fuchs dystrophy or pseudophakic bullous keratopathy. Techniques such as DSAEK and DMEK are examples of endothelial graft procedures. The service is generally performed in an operating room or ambulatory surgery center, with related postoperative care managed by the surgeon.

The operative report should establish that the transplanted tissue is an endothelial graft and identify the treated eye and surgical technique. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires 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 65756

Across 109 of 109 payment localities, the facility rate for 65756 runs from $914.13 in Arkansas to $1,272.21 in Alaska. Puerto Rico pays $995.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65756 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 65756 in every payment locality

How the 65756 rate is calculated

Each of 65756’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.

Payment rules and modifiers for 65756

65756 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 65756

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 65756 has changed in Puerto Rico

Price 65756 for an earlier date of service

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

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates