CPT code 65779: Amniotic membrane, single layer, sutured2026 Medicare rate & RVUs in Queens, NY

Reports sutured placement of a single amniotic membrane layer on the ocular surface to support healing of a damaged or persistently defective surface.

CMS RVU26DEffective Oct 1, 2026One payment locality591 Medicare services in 2024

In Queens, NY, Medicare pays $1,341.92 for 65779 in the office and $94.76 when it’s performed in a hospital or facility.

$1,341.92Office (non-facility)

$94.76Hospital or facility

+17.7%vs the national office rate ($1,139.97)

Check a contract rate as a % of Medicare · 65779 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

Rate in Queens, NY
What 65779 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 65779 covers

An ophthalmologist places one amniotic membrane layer over the ocular surface and secures it with sutures. This approach may be used for a persistent corneal epithelial defect or other ocular-surface damage when coverage is needed to support healing. The operative record should establish the ocular surface treated and that the membrane was placed as a single layer and sutured.

Select this code for sutured single-layer placement, not for a self-retaining membrane application or a multi-layer ocular surface reconstruction. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Queens, NY compares for 65779

Across 109 of 109 payment localities, the office rate for 65779 runs from $985.68 in Arkansas to $1,620.64 in San Benito County, CA. Queens, NY pays $1,341.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

65779 in Queens, NY vs other payment areas

Queens, NY · this page$1,341.92
Manhattan, NY · New York$1,321.03−$20.89
NYC suburbs and Long Island, NY · New York$1,351.41+$9.49
Poughkeepsie and northern NYC suburbs, NY · New York$1,245.95−$95.97
Rest of New York · New York$1,084.67−$257.25
Los Angeles, CA · California$1,338.05−$3.87
Washington, DC area · District of Columbia$1,335.50−$6.42

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

Every other payment area

65779 in every other Medicare payment locality
Payment locality	Office	Facility
Miami, FLFlorida	$1,191.33	$92.93
Chicago, ILIllinois	$1,151.82	$91.41
AlaskaAlaska	$1,236.51	$112.79
AlabamaAlabama	$1,003.17	$79.93
ArkansasArkansas	$985.68	$79.32
ArizonaArizona	$1,105.88	$83.45
Bakersfield, CACalifornia	$1,242.73	$86.31
Chico, CACalifornia	$1,242.28	$85.85
El Centro, CACalifornia	$1,242.30	$85.88
Fresno, CACalifornia	$1,242.28	$85.85
Hanford, CACalifornia	$1,242.28	$85.85
Madera, CACalifornia	$1,242.28	$85.85
Merced, CACalifornia	$1,242.28	$85.85
Modesto, CACalifornia	$1,242.28	$85.85
Napa, CACalifornia	$1,484.13	$93.46
Oxnard, CACalifornia	$1,336.04	$88.87
Redding, CACalifornia	$1,242.28	$85.85
Rest of CaliforniaCalifornia	$1,242.28	$85.85
Riverside, CACalifornia	$1,243.82	$87.39
Sacramento, CACalifornia	$1,315.60	$88.48
Salinas, CACalifornia	$1,311.00	$88.10
San Diego, CACalifornia	$1,350.87	$88.93
Marin County, CACalifornia	$1,584.92	$97.18
San Francisco, CACalifornia	$1,584.76	$97.02
San Benito County, CACalifornia	$1,620.64	$99.14
Santa Clara County, CACalifornia	$1,619.99	$98.49
San Luis Obispo, CACalifornia	$1,288.64	$86.84
Santa Cruz, CACalifornia	$1,370.81	$88.82
Santa Maria, CACalifornia	$1,318.38	$88.09
Santa Rosa, CACalifornia	$1,385.34	$89.64
Stockton, CACalifornia	$1,242.28	$85.85
Vallejo, CACalifornia	$1,483.90	$93.24
Visalia, CACalifornia	$1,242.28	$85.85
Yuba City, CACalifornia	$1,242.28	$85.85
ColoradoColorado	$1,208.64	$85.97
ConnecticutConnecticut	$1,225.12	$88.74
DelawareDelaware	$1,126.85	$84.38
Fort Lauderdale, FLFlorida	$1,157.77	$88.92
Rest of FloridaFlorida	$1,094.88	$86.18
Atlanta, GAGeorgia	$1,158.33	$86.32
Rest of GeorgiaGeorgia	$1,024.43	$83.25
Hawaii, Guam, HIHawaii	$1,285.71	$86.03
IowaIowa	$1,045.51	$80.06
IdahoIdaho	$1,051.25	$80.53
East St. Louis, ILIllinois	$1,058.46	$87.74
Rest of IllinoisIllinois	$1,048.80	$85.47
Suburban Chicago, ILIllinois	$1,173.09	$89.47
IndianaIndiana	$1,058.86	$80.75
KansasKansas	$1,034.15	$80.31
KentuckyKentucky	$1,019.90	$81.88
New Orleans, LALouisiana	$1,077.00	$84.11
Rest of LouisianaLouisiana	$1,015.79	$81.99
Metropolitan Boston, MAMassachusetts	$1,350.97	$91.14
Rest of MassachusettsMassachusetts	$1,197.08	$86.02
Baltimore area, MDMaryland	$1,220.70	$88.54
Rest of MarylandMaryland	$1,153.10	$85.30
Rest of MaineMaine	$1,051.95	$81.23
Southern Maine, MEMaine	$1,128.54	$82.91
Detroit, MIMichigan	$1,105.44	$87.24
Rest of MichiganMichigan	$1,046.77	$83.44
MinnesotaMinnesota	$1,167.95	$82.21
Metropolitan Kansas City, MOMissouri	$1,074.10	$83.32
Metropolitan St. Louis, MOMissouri	$1,088.23	$83.74
Rest of MissouriMissouri	$991.06	$81.54
MississippiMississippi	$988.89	$80.41
MontanaMontana	$1,139.96	$84.83
North CarolinaNorth Carolina	$1,066.05	$81.61
North DakotaNorth Dakota	$1,137.20	$82.06
NebraskaNebraska	$1,054.04	$80.16
New HampshireNew Hampshire	$1,183.59	$85.20
Northern New JerseyNew Jersey	$1,316.40	$92.44
Rest of New JerseyNew Jersey	$1,241.90	$89.70
New MexicoNew Mexico	$1,051.42	$83.87
NevadaNevada	$1,140.27	$84.08
OhioOhio	$1,046.21	$82.87
OklahomaOklahoma	$1,023.56	$81.33
Portland, OROregon	$1,259.37	$87.11
Rest of OregonOregon	$1,134.27	$83.36
Metropolitan Philadelphia, PAPennsylvania	$1,186.11	$87.71
Rest of PennsylvaniaPennsylvania	$1,051.30	$82.69
Puerto RicoPuerto Rico	$1,151.76	$85.02
Rhode IslandRhode Island	$1,176.13	$86.18
South CarolinaSouth Carolina	$1,057.33	$82.39
South DakotaSouth Dakota	$1,136.87	$81.73
TennesseeTennessee	$1,039.69	$80.58
Austin, TXTexas	$1,202.09	$85.76
Beaumont, TXTexas	$1,042.60	$82.43
Brazoria, TXTexas	$1,129.70	$84.06
Dallas, TXTexas	$1,135.51	$84.60
Fort Worth, TXTexas	$1,124.79	$84.43
Galveston, TXTexas	$1,132.08	$84.33
Houston, TXTexas	$1,134.64	$86.89
Rest of TexasTexas	$1,084.53	$83.21
UtahUtah	$1,074.80	$82.98
VirginiaVirginia	$1,120.27	$83.07
Virgin Islands, VIUnited States Virgin Islands	$1,151.76	$85.02
VermontVermont	$1,126.88	$82.30
Rest of WashingtonWashington	$1,196.74	$85.68
King County, WAWashington	$1,386.72	$92.07
WisconsinWisconsin	$1,091.45	$80.63
West VirginiaWest Virginia	$1,000.75	$83.83
WyomingWyoming	$1,138.76	$83.62

65779 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$985.68

$1,431.46

Color shows the midpoint of each state’s locality range.

View every state and territory as a table

65779 office rate range by state
State / territory	Office rate range	Localities
AK	$1,236.51	1
AL	$1,003.17	1
AR	$985.68	1
AZ	$1,105.88	1
CA	$1,242.28–$1,620.64	29
CO	$1,208.64	1
CT	$1,225.12	1
DC	$1,335.50	1
DE	$1,126.85	1
FL	$1,094.88–$1,191.33	3
GA	$1,024.43–$1,158.33	2
GU	$1,285.71	1
HI	$1,285.71	1
IA	$1,045.51	1
ID	$1,051.25	1
IL	$1,048.80–$1,173.09	4
IN	$1,058.86	1
KS	$1,034.15	1
KY	$1,019.90	1
LA	$1,015.79–$1,077.00	2
MA	$1,197.08–$1,350.97	2
MD	$1,153.10–$1,335.50	3
ME	$1,051.95–$1,128.54	2
MI	$1,046.77–$1,105.44	2
MN	$1,167.95	1
MO	$991.06–$1,088.23	3
MS	$988.89	1
MT	$1,139.96	1
NC	$1,066.05	1
ND	$1,137.20	1
NE	$1,054.04	1
NH	$1,183.59	1
NJ	$1,241.90–$1,316.40	2
NM	$1,051.42	1
NV	$1,140.27	1
NY	$1,084.67–$1,351.41	5
OH	$1,046.21	1
OK	$1,023.56	1
OR	$1,134.27–$1,259.37	2
PA	$1,051.30–$1,186.11	2
PR	$1,151.76	1
RI	$1,176.13	1
SC	$1,057.33	1
SD	$1,136.87	1
TN	$1,039.69	1
TX	$1,042.60–$1,202.09	8
UT	$1,074.80	1
VA	$1,120.27–$1,335.50	2
VI	$1,151.76	1
VT	$1,126.88	1
WA	$1,196.74–$1,386.72	2
WI	$1,091.45	1
WV	$1,000.75	1
WY	$1,138.76	1

See 65779 in every payment locality

How the 65779 rate is calculated

Each of 65779’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 · 65779

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense32.28

32.28 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

34.1300

Conversion factor

$33.4009

Medicare rate

$1,139.97

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,341

Code: 65779
Physician work: 1.71
Practice expense: 32.28
Malpractice: 0.14

GPCI2026.csv

Locality: Queens, NY
Physician work: 1.064
Practice expense: 1.182
Malpractice: 1.442

Office calculation for 65779 in Queens, NY
Component	RVU	Locality factor	Adjusted
Physician work	1.71	× 1.064	1.8194
Practice expense	32.28	× 1.182	38.1550
Malpractice	0.14	× 1.442	0.2019
Total RVUs			40.1763
Conversion factor			× 33.4009

Office rate, Queens, NY$1341.92

Office: (1.71 × 1.064 + 32.28 × 1.182 + 0.14 × 1.442) × $33.4009 = $1341.92

Facility: (1.71 × 1.064 + 0.69 × 1.182 + 0.14 × 1.442) × $33.4009 = $94.76

Open 65779 in the RVU calculator

Payment rules and modifiers for 65779

The CMS indicators that decide how 65779 is paid alongside other services.

CMS payment indicators · 65779

Amniotic membrane, single layer, sutured

Rule	CMS value	What it means
Global period	000	Same-day global: pre- and post-op care on the day of the procedure is 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)	0	Not paid without supporting documentation.
Co-surgeons (62)	0	Not permitted.
Team surgery (66)	0	Not permitted.
Professional/technical	0	Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

65779 without 50 · national office

$1,139.97

Amniotic membrane, single layer, sutured

65779-50 · Bilateral: 150%

$1,709.96

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

Codes related to 65779

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

Codes related to 65779
Code	How it relates	Office range, Queens, NY
Same family
65778	Amniotic membrane, without suturesRelated single-layer amniotic membrane placement performed without sutures.	$1,503.27
65780	Amniotic membrane graft, multiple layersAmniotic membrane ocular surface reconstruction involving multiple layers.	No office rate
Used instead
65781	Ocular reconstruction, limbal stem cell allograftOcular surface reconstruction using a limbal stem cell allograft rather than a single sutured membrane layer.	No office rate

How 65779 has changed in Queens, NY

65779 · Office / nonfacility

$1341.92

Effective 2026-10-01

Compare with release effective

The base rate is $73.17 higher than on 2025-10-01, moving from $1268.75 to $1341.92 (5.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

January 1, 2026
RVU26A
$1268.75changed to$1341.92
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.75 changed to 1.71
- Practice expense RVU 31.08 changed to 32.28
- Malpractice RVU 0.15 changed to 0.14
- Work GPCI 1.065 changed to 1.064
- Practice expense GPCI 1.195 changed to 1.182
- Malpractice GPCI 1.462 changed to 1.442
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1372.79changed to$1268.75
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 32.78 changed to 31.08
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1350.39changed to$1372.79
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1396.08changed to$1350.39
- Conversion factor 33.8872 changed to 32.7442
- Work RVU 2.50 changed to 1.75
- Practice expense RVU 31.48 changed to 32.78
- Malpractice RVU 0.19 changed to 0.14
- Work GPCI 1.061 changed to 1.065
- Practice expense GPCI 1.212 changed to 1.195
- Malpractice GPCI 2.061 changed to 1.462
January 1, 2023
RVU23A
$1498.56changed to$1396.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 32.68 changed to 31.48
- Malpractice RVU 0.20 changed to 0.19
- Work GPCI 1.056 changed to 1.061
- Practice expense GPCI 1.228 changed to 1.212
- Malpractice GPCI 2.661 changed to 2.061
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1570.90changed to$1498.56
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 34.10 changed to 32.68
- Malpractice RVU 0.19 changed to 0.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1501.68changed to$1570.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 31.75 changed to 34.10
- Malpractice RVU 0.18 changed to 0.19
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.214 changed to 1.228
- Malpractice GPCI 2.391 changed to 2.661
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1485.42changed to$1501.68
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 31.82 changed to 31.75
- Malpractice RVU 0.19 changed to 0.18
- Work GPCI 1.052 changed to 1.054
- Practice expense GPCI 1.200 changed to 1.214
- Malpractice GPCI 2.121 changed to 2.391
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1481.64changed to$1485.42
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 31.77 changed to 31.82
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1455.83changed to$1481.64
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 31.29 changed to 31.77
- Malpractice RVU 0.18 changed to 0.19
- Malpractice GPCI 2.151 changed to 2.121
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1451.91changed to$1455.83
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 31.30 changed to 31.29
- Practice expense GPCI 1.199 changed to 1.200
- Malpractice GPCI 2.181 changed to 2.151
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1479.38changed to$1451.91
- Conversion factor 35.9335 changed to 35.8043
- Work RVU 3.92 changed to 2.50
- Practice expense RVU 30.37 changed to 31.30
- Malpractice RVU 0.29 changed to 0.18
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1472.02changed to$1479.38
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1474.20changed to$1472.02
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 30.09 changed to 30.37
- Malpractice RVU 0.54 changed to 0.29
- Work GPCI 1.057 changed to 1.052
- Practice expense GPCI 1.197 changed to 1.199
- Malpractice GPCI 1.836 changed to 2.181
Held through RVU15B.
January 1, 2014
RVU14A
$1531.67changed to$1474.20
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 33.49 changed to 30.09
- Malpractice RVU 0.56 changed to 0.54
- Work GPCI 1.062 changed to 1.057
- Practice expense GPCI 1.195 changed to 1.197
- Malpractice GPCI 1.491 changed to 1.836
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1531.67
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,341.92	$94.76	RVU26D
2026-07-01	$1,341.92	$94.76	RVU26C
2026-04-01	$1,341.92	$94.76	RVU26B
2026-01-01	$1,341.92	$94.76	RVU26A
2025-10-01	$1,268.75	$114.54	RVU25D
2025-07-01	$1,268.75	$114.54	RVU25C
2025-04-01	$1,268.75	$114.54	RVU25B
2025-01-01	$1,268.75	$114.54	RVU25A
2024-10-01	$1,372.79	$132.50	RVU24D
2024-07-01	$1,372.79	$132.50	RVU24C
2024-04-01	$1,372.79	$132.50	RVU24B
2024-03-09	$1,372.79	$132.50	RVU24AR
2024-01-01	$1,350.39	$130.34	RVU24A
2023-10-01	$1,396.08	$169.69	RVU23D
2023-07-01	$1,396.08	$169.69	RVU23C
2023-04-01	$1,396.08	$169.69	RVU23B
2023-01-01	$1,396.08	$169.69	RVU23A
2022-10-01	$1,498.56	$177.77	RVU22D
2022-07-01	$1,498.56	$177.77	RVU22C
2022-04-01	$1,498.56	$177.77	RVU22B
2022-01-01	$1,498.56	$177.77	RVU22A
2021-10-01	$1,570.90	$178.75	RVU21D
2021-07-01	$1,570.90	$178.75	RVU21C
2021-04-01	$1,570.90	$178.75	RVU21B
2021-01-01	$1,570.90	$178.75	RVU21A
2020-10-01	$1,501.68	$180.29	RVU20D
2020-07-01	$1,501.68	$180.29	RVU20C
2020-04-01	$1,501.68	$180.29	RVU20B
2020-01-01	$1,501.68	$180.29	RVU20A
2019-10-01	$1,485.42	$179.80	RVU19D
2019-07-01	$1,485.42	$179.80	RVU19C
2019-04-01	$1,485.42	$179.80	RVU19B
2019-01-01	$1,485.42	$179.80	RVU19A
2018-10-01	$1,481.64	$180.90	RVU18D
2018-07-01	$1,481.64	$180.90	RVU18C
2018-04-01	$1,481.64	$180.90	RVU18B
2018-01-01	$1,481.64	$180.90	RVU18AR1
2017-10-01	$1,455.83	$178.91	RVU17D
2017-07-01	$1,455.83	$178.91	RVU17C
2017-04-01	$1,455.83	$178.91	RVU17B
2017-01-01	$1,455.83	$178.91	RVU17A
2016-10-01	$1,451.91	$178.63	RVU16D
2016-07-01	$1,451.91	$178.63	RVU16C
2016-04-01	$1,451.91	$178.63	RVU16B
2016-01-01	$1,451.91	$178.63	RVU16A
2015-10-01	$1,479.38	$335.06	RVU15D
2015-07-01	$1,479.38	$335.06	RVU15C
2015-04-01	$1,472.02	$333.40	RVU15B
2015-01-01	$1,472.02	$333.40	RVU15A
2014-10-01	$1,474.20	$349.03	RVU14D
2014-07-01	$1,474.20	$349.03	RVU14C
2014-04-01	$1,474.20	$349.03	RVU14B
2014-01-01	$1,474.20	$349.03	RVU14A
2013-10-01	$1,531.67	$339.18	RVU13D
2013-07-01	$1,531.67	$339.18	RVU13C
2013-04-01	$1,531.67	$339.18	RVU13B
2013-01-01	$1,531.67	$339.18	RVU13AR

Price 65779 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

65779 in New York · multiple payment areas

Browse all communities in New York

65779 billing questions

How does 65779 differ from 65778?

65779 is for a single amniotic membrane layer secured with sutures. 65778 is the corresponding placement without sutures, using a self-retaining membrane.

When is 65780 a better fit?

Use 65780 for ocular surface reconstruction involving multiple amniotic membrane layers. A single sutured layer is reported with 65779.

What documentation supports 65779?

Document the ocular surface condition treated, the single-layer membrane placement, and that the membrane was secured with sutures.

How is bilateral treatment reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both eyes.

Can an assistant surgeon be paid?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What is included in the global period?

The 0-day global period includes same-day preoperative and 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

RVUs for 65779PPRRVU2026_Oct_nonQPP.csv, line 7,341 (RVU26D)

7,33865772,,[CPT descriptor omitted],A,,4.96,8.42,,5.15,,0.40,13.78,10.51,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,33965775,,[CPT descriptor omitted],A,,6.74,7.67,NA,7.67,,0.53,14.94,14.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,34065778,,[CPT descriptor omitted],A,,0.82,37.29,,0.21,,0.04,38.15,1.07,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,34165779,,[CPT descriptor omitted],A,,1.71,32.28,,0.69,,0.14,34.13,2.54,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,34265780,,[CPT descriptor omitted],A,,6.85,8.06,NA,8.06,,0.54,15.45,15.45,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,34365781,,[CPT descriptor omitted],A,,17.69,14.52,NA,14.52,,1.41,33.62,33.62,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,34465782,,[CPT descriptor omitted],A,,15.04,12.90,NA,12.90,,1.21,29.15,29.15,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

7813202,NY,01,MANHATTAN,1.064,1.162,1.586

7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857

8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210

8113292,NY,04,QUEENS,1.064,1.182,1.442

8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703

8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639

8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406

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When is 65780 a better fit?

What documentation supports 65779?

How is bilateral treatment reported?

Can an assistant surgeon be paid?

What is included in the global period?

Where these rates come from

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