CPT code 65780: Amniotic membrane graft, multiple layers2026 Medicare rate & RVUs in Queens, NY

Ophthalmologists use this surgery to rebuild a damaged ocular surface with multiple layers of amniotic membrane, such as for a persistent epithelial defect.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Queens, NY, Medicare pays $587.66 for 65780 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$587.66Hospital or facility

Check a contract rate as a % of Medicare · 65780 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 65780 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 65780 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 65780 covers

An ophthalmologist, often a cornea specialist, places multiple layers of amniotic membrane on the ocular surface to support reconstruction and healing. This approach may be used for severe surface damage, including a persistent epithelial defect or injury from a chemical or thermal burn. The service is typically performed in an operating room or other surgical setting when the extent of the ocular surface problem calls for multilayer reconstruction.

Report this code when the operative record supports amniotic membrane reconstruction using multiple layers. The documentation should identify the treated eye, the ocular surface condition, and the multilayer technique; do not report separate units for each layer. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery payment is 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.

How Queens, NY compares for 65780

Across 109 of 109 payment localities, the facility rate for 65780 runs from $469.34 in Arkansas to $651.83 in San Benito County, CA. Queens, NY pays $587.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

65780 in Queens, NY vs other payment areas
  1. Queens, NY · this page$587.66
  2. Manhattan, NY · New York$584.87−$2.79
  3. NYC suburbs and Long Island, NY · New York$597.03+$9.37
  4. Poughkeepsie and northern NYC suburbs, NY · New York$555.70−$31.96
  5. Rest of New York · New York$497.23−$90.43
  6. Los Angeles, CA · California$568.63−$19.03
  7. Washington, DC area · District of Columbia$578.36−$9.30

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

Every other payment area

65780 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida—$554.66
Chicago, ILIllinois—$542.35
AlaskaAlaska—$639.84
AlabamaAlabama—$474.56
ArkansasArkansas—$469.34
ArizonaArizona—$505.10
Bakersfield, CACalifornia—$539.18
Chico, CACalifornia—$537.41

65780 rates by state

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

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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
65780 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 65780 in every payment locality

How the 65780 rate is calculated

Each of 65780’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 · 65780

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.85

6.85 RVUs× 1.000 GPCI

Practice expense8.06

8.06 RVUs× 1.000 GPCI

Malpractice0.54

0.54 RVUs× 1.000 GPCI

Adjusted RVUs

15.4500

Conversion factor

$33.4009

Medicare rate

$516.04

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

7,342

Code
65780
Physician work
6.85
Practice expense
8.06
Malpractice
0.54

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Facility calculation for 65780 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work6.85× 1.0647.2884
Practice expense8.06× 1.1829.5269
Malpractice0.54× 1.4420.7787
Total RVUs17.5940
Conversion factor× 33.4009

Facility rate, Queens, NY$587.66

Facility: (6.85 × 1.064 + 8.06 × 1.182 + 0.54 × 1.442) × $33.4009 = $587.66

Open 65780 in the RVU calculator

Payment rules and modifiers for 65780

65780 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65780

Amniotic membrane graft, multiple layers

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)1Not paid (statutory restriction).
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 · 65780

Amniotic membrane graft, multiple layers

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

65780 without 50 · national facility

$516.04

Amniotic membrane graft, multiple layers

65780-50 · Bilateral: 150%

$774.06

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 65780 has changed in Queens, NY

65780 · 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$587.66RVU26D
2026-07-01Not available in this setting$587.66RVU26C
2026-04-01Not available in this setting$587.66RVU26B
2026-01-01Not available in this setting$587.66RVU26A
2025-10-01Not available in this setting$656.27RVU25D
2025-07-01Not available in this setting$656.27RVU25C
2025-04-01Not available in this setting$656.27RVU25B
2025-01-01Not available in this setting$656.27RVU25A
2024-10-01Not available in this setting$674.88RVU24D
2024-07-01Not available in this setting$674.88RVU24C
2024-04-01Not available in this setting$674.88RVU24B
2024-03-09Not available in this setting$674.88RVU24AR
2024-01-01Not available in this setting$663.86RVU24A
2023-10-01Not available in this setting$786.53RVU23D
2023-07-01Not available in this setting$786.53RVU23C
2023-04-01Not available in this setting$786.53RVU23B
2023-01-01Not available in this setting$786.53RVU23A
2022-10-01Not available in this setting$806.42RVU22D
2022-07-01Not available in this setting$806.42RVU22C
2022-04-01Not available in this setting$806.42RVU22B
2022-01-01Not available in this setting$806.42RVU22A
2021-10-01Not available in this setting$811.32RVU21D
2021-07-01Not available in this setting$811.32RVU21C
2021-04-01Not available in this setting$811.32RVU21B
2021-01-01Not available in this setting$811.32RVU21A
2020-10-01Not available in this setting$804.55RVU20D
2020-07-01Not available in this setting$804.55RVU20C
2020-04-01Not available in this setting$804.55RVU20B
2020-01-01Not available in this setting$804.55RVU20A
2019-10-01Not available in this setting$796.46RVU19D
2019-07-01Not available in this setting$796.46RVU19C
2019-04-01Not available in this setting$796.46RVU19B
2019-01-01Not available in this setting$796.46RVU19A
2018-10-01Not available in this setting$797.75RVU18D
2018-07-01Not available in this setting$797.75RVU18C
2018-04-01Not available in this setting$797.75RVU18B
2018-01-01Not available in this setting$797.75RVU18AR1
2017-10-01Not available in this setting$791.50RVU17D
2017-07-01Not available in this setting$791.50RVU17C
2017-04-01Not available in this setting$791.50RVU17B
2017-01-01Not available in this setting$791.50RVU17A
2016-10-01Not available in this setting$852.98RVU16D
2016-07-01Not available in this setting$852.98RVU16C
2016-04-01Not available in this setting$852.98RVU16B
2016-01-01Not available in this setting$852.98RVU16A
2015-10-01Not available in this setting$1,053.98RVU15D
2015-07-01Not available in this setting$1,053.98RVU15C
2015-04-01Not available in this setting$1,048.74RVU15B
2015-01-01Not available in this setting$1,048.74RVU15A
2014-10-01Not available in this setting$1,079.50RVU14D
2014-07-01Not available in this setting$1,079.50RVU14C
2014-04-01Not available in this setting$1,079.50RVU14B
2014-01-01Not available in this setting$1,079.50RVU14A
2013-10-01Not available in this setting$1,063.20RVU13D
2013-07-01Not available in this setting$1,063.20RVU13C
2013-04-01Not available in this setting$1,063.20RVU13B
2013-01-01Not available in this setting$1,063.20RVU13AR

Price 65780 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.

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65780 billing questions

How do I distinguish this from 65778 or 65779?

This code is for multilayer amniotic membrane reconstruction. Codes 65778 and 65779 describe single-layer techniques, distinguished by whether the membrane is self-retaining or sutured.

Can I report multiple units for multiple membrane layers?

No. The multiple-layer technique is represented by this code; do not count each layer as a separate unit.

What documentation supports the code?

Document the ocular surface condition, the treated eye, and that the reconstruction used multiple layers of amniotic membrane.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care for 90 days are included in the global period.

Can this be billed bilaterally?

For bilateral performance, CMS pays the procedure with modifier 50 at 150%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation; 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
RVUs for 65780PPRRVU2026_Oct_nonQPP.csv, line 7,342 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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