CPT code 65810: Eye drainage, anterior vitreous removal2026 Medicare rate & RVUs in North Carolina

Reports an anterior chamber procedure that removes vitreous, such as vitreous prolapse obstructing the pupil or contacting the cornea.

CMS RVU26DEffective Oct 1, 2026One payment locality309 Medicare services in 2024

In North Carolina, Medicare pays $382.32 for 65810 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$382.32Hospital or facility

Check a contract rate as a % of Medicare · 65810 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 65810 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 65810 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 65810 covers

This procedure removes vitreous from the eye’s anterior chamber through an anterior approach. It may be needed when vitreous prolapses forward after cataract surgery and threatens to obstruct the pupil or contact the cornea. Ophthalmologists typically perform it in an operating room or other surgical setting, using an approach suited to the location and extent of vitreous in the anterior chamber.

Choose 65810 when vitreous is removed, rather than aqueous fluid or blood; the operative note should identify the material, its location, the approach, and the clinical reason for removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting with modifier 50, payment is at 150%. Medicare does not pay assistant-at-surgery services for this procedure, and co-surgeon and team-surgery billing 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 North Carolina compares for 65810

Across 109 of 109 payment localities, the facility rate for 65810 runs from $365.94 in Arkansas to $501.78 in San Benito County, CA. North Carolina pays $382.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

65810 in North Carolina vs other payment areas
  1. North Carolina · this page$382.32
  2. Los Angeles, CA · California$439.64+$57.32
  3. Washington, DC area · District of Columbia$447.72+$65.40
  4. Miami, FL · Florida$431.35+$49.03
  5. Chicago, IL · Illinois$422.15+$39.83
  6. Manhattan, NY · New York$453.41+$71.09
  7. Alaska · Alaska$501.69+$119.37

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

65810 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$369.84
ArkansasArkansas—$365.94
ArizonaArizona—$392.60
Bakersfield, CACalifornia—$417.55
Chico, CACalifornia—$416.10
El Centro, CACalifornia—$416.17
Fresno, CACalifornia—$416.10
Hanford, CACalifornia—$416.10

65810 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
65810 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 65810 in every payment locality

How the 65810 rate is calculated

Each of 65810’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 · 65810

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.67

5.67 RVUs× 1.000 GPCI

Practice expense5.89

5.89 RVUs× 1.000 GPCI

Malpractice0.44

0.44 RVUs× 1.000 GPCI

Adjusted RVUs

12.0000

Conversion factor

$33.4009

Medicare rate

$400.81

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,347

Code
65810
Physician work
5.67
Practice expense
5.89
Malpractice
0.44

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 65810 in North Carolina
ComponentRVULocality factorAdjusted
Physician work5.67× 1.0005.6700
Practice expense5.89× 0.9335.4954
Malpractice0.44× 0.6390.2812
Total RVUs11.4465
Conversion factor× 33.4009

Facility rate, North Carolina$382.32

Facility: (5.67 × 1 + 5.89 × 0.933 + 0.44 × 0.639) × $33.4009 = $382.32

Open 65810 in the RVU calculator

Payment rules and modifiers for 65810

65810 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65810

Eye drainage, anterior vitreous removal

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)0Not permitted.
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 · 65810

Eye drainage, anterior vitreous removal

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

65810 without 50 · national facility

$400.81

Eye drainage, anterior vitreous removal

65810-50 · Bilateral: 150%

$601.22

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 65810 has changed in North Carolina

65810 · 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$382.32RVU26D
2026-07-01Not available in this setting$382.32RVU26C
2026-04-01Not available in this setting$382.32RVU26B
2026-01-01Not available in this setting$382.32RVU26A
2025-10-01Not available in this setting$423.23RVU25D
2025-07-01Not available in this setting$423.23RVU25C
2025-04-01Not available in this setting$423.23RVU25B
2025-01-01Not available in this setting$423.23RVU25A
2024-10-01Not available in this setting$436.42RVU24D
2024-07-01Not available in this setting$436.42RVU24C
2024-04-01Not available in this setting$436.42RVU24B
2024-03-09Not available in this setting$436.42RVU24AR
2024-01-01Not available in this setting$429.29RVU24A
2023-10-01Not available in this setting$440.43RVU23D
2023-07-01Not available in this setting$440.43RVU23C
2023-04-01Not available in this setting$440.43RVU23B
2023-01-01Not available in this setting$440.43RVU23A
2022-10-01Not available in this setting$443.86RVU22D
2022-07-01Not available in this setting$443.86RVU22C
2022-04-01Not available in this setting$443.86RVU22B
2022-01-01Not available in this setting$443.86RVU22A
2021-10-01Not available in this setting$446.85RVU21D
2021-07-01Not available in this setting$446.85RVU21C
2021-04-01Not available in this setting$446.85RVU21B
2021-01-01Not available in this setting$446.85RVU21A
2020-10-01Not available in this setting$452.98RVU20D
2020-07-01Not available in this setting$452.98RVU20C
2020-04-01Not available in this setting$452.98RVU20B
2020-01-01Not available in this setting$452.98RVU20A
2019-10-01Not available in this setting$454.80RVU19D
2019-07-01Not available in this setting$454.80RVU19C
2019-04-01Not available in this setting$454.80RVU19B
2019-01-01Not available in this setting$454.80RVU19A
2018-10-01Not available in this setting$455.56RVU18D
2018-07-01Not available in this setting$455.56RVU18C
2018-04-01Not available in this setting$455.56RVU18B
2018-01-01Not available in this setting$455.56RVU18AR1
2017-10-01Not available in this setting$452.12RVU17D
2017-07-01Not available in this setting$452.12RVU17C
2017-04-01Not available in this setting$452.12RVU17B
2017-01-01Not available in this setting$452.12RVU17A
2016-10-01Not available in this setting$450.96RVU16D
2016-07-01Not available in this setting$450.96RVU16C
2016-04-01Not available in this setting$450.96RVU16B
2016-01-01Not available in this setting$450.96RVU16A
2015-10-01Not available in this setting$452.20RVU15D
2015-07-01Not available in this setting$452.20RVU15C
2015-04-01Not available in this setting$449.95RVU15B
2015-01-01Not available in this setting$449.95RVU15A
2014-10-01Not available in this setting$459.76RVU14D
2014-07-01Not available in this setting$459.76RVU14C
2014-04-01Not available in this setting$459.76RVU14B
2014-01-01Not available in this setting$459.76RVU14A
2013-10-01Not available in this setting$455.37RVU13D
2013-07-01Not available in this setting$455.37RVU13C
2013-04-01Not available in this setting$455.37RVU13B
2013-01-01Not available in this setting$455.37RVU13AR

Price 65810 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

65810 billing questions

How does 65810 differ from 65800?

65810 is for removing vitreous from the anterior chamber. Use 65800 when the material removed is aqueous fluid.

How does 65810 differ from 65815?

65810 addresses vitreous removal; 65815 is for removing blood from the anterior chamber, with or without irrigation and air injection.

What should the operative note document?

Document vitreous in the anterior chamber, the clinical problem prompting removal, the anterior approach, and the work performed.

Can 65810 be reported for both eyes?

For a bilateral procedure, report modifier 50. CMS pays the bilateral procedure at 150%.

How does the global period affect postoperative billing?

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

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 65810. Co-surgeons and team surgery are 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 65810PPRRVU2026_Oct_nonQPP.csv, line 7,347 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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