CPT code 65781: Ocular reconstruction, limbal stem cell allograft2026 Medicare rate & RVUs in Chicago, IL

In Chicago, IL, Medicare pays $1,190.49 for 65781 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65781 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 65781 covers

An ophthalmic surgeon uses donor limbal tissue containing stem cells to rebuild the ocular surface when the patient’s limbal stem cell function is inadequate. The donor tissue may come from a cadaveric or living donor. This operation is used for significant limbal stem cell deficiency, including cases following severe chemical or thermal injury, and is generally performed in a surgical facility.

Report 65781 when the reconstruction uses an allogeneic limbal stem cell graft; document the donor tissue and the surgical work performed. The code has a 90-day global period, including 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 multiple procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be available; 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 Chicago, IL compares for 65781

Across 109 of 109 payment localities, the facility rate for 65781 runs from $1,031.71 in Arkansas to $1,428.75 in Alaska. Chicago, IL pays $1,190.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65781 rates by state

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

See 65781 in every payment locality

How the 65781 rate is calculated

Each of 65781’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 65781

65781 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 65781

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

How 65781 has changed in Chicago, IL

Price 65781 for an earlier date of service

Where the Chicago, IL rate applies

Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 137 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

• 65781 in Chicago · multiple payment areas
• Alsip
• Arlington Heights
• 65781 in Barrington · multiple payment areas
• 65781 in Barrington Hills · multiple payment areas
• 65781 in Bartlett · multiple payment areas
• Bedford Park
• Bellwood

Browse all communities in Illinois

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