CPT code 65810: Eye drainage, anterior vitreous removal2026 Medicare rate & RVUs in Virginia
Reports an anterior chamber procedure that removes vitreous, such as vitreous prolapse obstructing the pupil or contacting the cornea.
In Virginia, Medicare pays $393.15 for 65810 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $393.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$393.15
- Los Angeles, CA · California$439.64+$46.49
- Washington, DC area · District of Columbia$447.72+$54.57
- Miami, FL · Florida$431.35+$38.20
- Chicago, IL · Illinois$422.15+$29.00
- Manhattan, NY · New York$453.41+$60.26
- Alaska · Alaska$501.69+$108.54
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $416.10 |
| Merced, CACalifornia | — | $416.10 |
| Modesto, CACalifornia | — | $416.10 |
| Napa, CACalifornia | — | $468.07 |
| Oxnard, CACalifornia | — | $436.38 |
| Redding, CACalifornia | — | $416.10 |
| Rest of CaliforniaCalifornia | — | $416.10 |
| Riverside, CACalifornia | — | $420.95 |
| Sacramento, CACalifornia | — | $432.88 |
| Salinas, CACalifornia | — | $431.14 |
| San Diego, CACalifornia | — | $438.32 |
| Marin County, CACalifornia | — | $491.51 |
| San Francisco, CACalifornia | — | $491.01 |
| San Benito County, CACalifornia | — | $501.78 |
| Santa Clara County, CACalifornia | — | $499.74 |
| San Luis Obispo, CACalifornia | — | $424.56 |
| Santa Cruz, CACalifornia | — | $440.27 |
| Santa Maria, CACalifornia | — | $431.95 |
| Santa Rosa, CACalifornia | — | $444.53 |
| Stockton, CACalifornia | — | $416.10 |
| Vallejo, CACalifornia | — | $467.35 |
| Visalia, CACalifornia | — | $416.10 |
| Yuba City, CACalifornia | — | $416.10 |
| ColoradoColorado | — | $412.46 |
| ConnecticutConnecticut | — | $422.83 |
| DelawareDelaware | — | $397.91 |
| Fort Lauderdale, FLFlorida | — | $415.24 |
| Rest of FloridaFlorida | — | $399.55 |
| Atlanta, GAGeorgia | — | $407.48 |
| Rest of GeorgiaGeorgia | — | $382.39 |
| Hawaii, Guam, HIHawaii | — | $421.58 |
| IowaIowa | — | $375.23 |
| IdahoIdaho | — | $377.33 |
| East St. Louis, ILIllinois | — | $399.97 |
| Rest of IllinoisIllinois | — | $391.97 |
| Suburban Chicago, ILIllinois | — | $418.79 |
| IndianaIndiana | — | $378.90 |
| KansasKansas | — | $374.64 |
| KentuckyKentucky | — | $377.72 |
| New Orleans, LALouisiana | — | $391.20 |
| Rest of LouisianaLouisiana | — | $377.57 |
| Metropolitan Boston, MAMassachusetts | — | $445.12 |
| Rest of MassachusettsMassachusetts | — | $411.28 |
| Baltimore area, MDMaryland | — | $421.69 |
| Rest of MarylandMaryland | — | $403.86 |
| Rest of MaineMaine | — | $379.52 |
| Southern Maine, MEMaine | — | $393.62 |
| Detroit, MIMichigan | — | $404.01 |
| Rest of MichiganMichigan | — | $385.59 |
| MinnesotaMinnesota | — | $396.17 |
| Metropolitan Kansas City, MOMissouri | — | $388.47 |
| Metropolitan St. Louis, MOMissouri | — | $391.40 |
| Rest of MissouriMissouri | — | $373.28 |
| MississippiMississippi | — | $369.63 |
| MontanaMontana | — | $400.78 |
| North CarolinaNorth Carolina | — | $382.32 |
| North DakotaNorth Dakota | — | $392.08 |
| NebraskaNebraska | — | $376.52 |
| New HampshireNew Hampshire | — | $407.04 |
| Northern New JerseyNew Jersey | — | $445.22 |
| Rest of New JerseyNew Jersey | — | $427.91 |
| New MexicoNew Mexico | — | $387.44 |
| NevadaNevada | — | $398.55 |
| NYC suburbs and Long Island, NYNew York | — | $462.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $431.11 |
| Queens, NYNew York | — | $455.23 |
| Rest of New YorkNew York | — | $386.61 |
| OhioOhio | — | $383.81 |
| OklahomaOklahoma | — | $376.48 |
| Portland, OROregon | — | $421.92 |
| Rest of OregonOregon | — | $395.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $415.12 |
| Rest of PennsylvaniaPennsylvania | — | $383.87 |
| Puerto RicoPuerto Rico | — | $402.75 |
| Rhode IslandRhode Island | — | $409.31 |
| South CarolinaSouth Carolina | — | $383.65 |
| South DakotaSouth Dakota | — | $391.05 |
| TennesseeTennessee | — | $376.10 |
| Austin, TXTexas | — | $410.92 |
| Beaumont, TXTexas | — | $382.06 |
| Brazoria, TXTexas | — | $397.32 |
| Dallas, TXTexas | — | $399.64 |
| Fort Worth, TXTexas | — | $397.87 |
| Galveston, TXTexas | — | $398.42 |
| Houston, TXTexas | — | $406.47 |
| Rest of TexasTexas | — | $389.35 |
| UtahUtah | — | $387.51 |
| Virgin Islands, VIUnited States Virgin Islands | — | $402.75 |
| VermontVermont | — | $391.58 |
| Rest of WashingtonWashington | — | $410.19 |
| King County, WAWashington | — | $452.25 |
| WisconsinWisconsin | — | $382.38 |
| West VirginiaWest Virginia | — | $381.37 |
| WyomingWyoming | — | $396.99 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.67 | × 1.000 | 5.6700 |
| Practice expense | 5.89 | × 0.983 | 5.7899 |
| Malpractice | 0.44 | × 0.706 | 0.3106 |
| Total RVUs | 11.7705 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$393.15
Facility: (5.67 × 1 + 5.89 × 0.983 + 0.44 × 0.706) × $33.4009 = $393.15
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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).
How 65810 has changed in Virginia
65810 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $393.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $393.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $393.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $393.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $439.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $439.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $439.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $439.07 | RVU25A |
| 2024-10-01 | Not available in this setting | $452.73 | RVU24D |
| 2024-07-01 | Not available in this setting | $452.73 | RVU24C |
| 2024-04-01 | Not available in this setting | $452.73 | RVU24B |
| 2024-03-09 | Not available in this setting | $452.73 | RVU24AR |
| 2024-01-01 | Not available in this setting | $445.34 | RVU24A |
| 2023-10-01 | Not available in this setting | $457.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $457.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $457.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $457.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $461.64 | RVU22D |
| 2022-07-01 | Not available in this setting | $461.64 | RVU22C |
| 2022-04-01 | Not available in this setting | $461.64 | RVU22B |
| 2022-01-01 | Not available in this setting | $461.64 | RVU22A |
| 2021-10-01 | Not available in this setting | $464.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $464.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $464.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $464.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $470.44 | RVU20D |
| 2020-07-01 | Not available in this setting | $470.44 | RVU20C |
| 2020-04-01 | Not available in this setting | $470.44 | RVU20B |
| 2020-01-01 | Not available in this setting | $470.44 | RVU20A |
| 2019-10-01 | Not available in this setting | $471.88 | RVU19D |
| 2019-07-01 | Not available in this setting | $471.88 | RVU19C |
| 2019-04-01 | Not available in this setting | $471.88 | RVU19B |
| 2019-01-01 | Not available in this setting | $471.88 | RVU19A |
| 2018-10-01 | Not available in this setting | $472.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $472.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $472.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $472.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $467.61 | RVU17D |
| 2017-07-01 | Not available in this setting | $467.61 | RVU17C |
| 2017-04-01 | Not available in this setting | $467.61 | RVU17B |
| 2017-01-01 | Not available in this setting | $467.61 | RVU17A |
| 2016-10-01 | Not available in this setting | $464.97 | RVU16D |
| 2016-07-01 | Not available in this setting | $464.97 | RVU16C |
| 2016-04-01 | Not available in this setting | $464.97 | RVU16B |
| 2016-01-01 | Not available in this setting | $464.97 | RVU16A |
| 2015-10-01 | Not available in this setting | $466.24 | RVU15D |
| 2015-07-01 | Not available in this setting | $466.24 | RVU15C |
| 2015-04-01 | Not available in this setting | $463.92 | RVU15B |
| 2015-01-01 | Not available in this setting | $463.92 | RVU15A |
| 2014-10-01 | Not available in this setting | $473.72 | RVU14D |
| 2014-07-01 | Not available in this setting | $473.72 | RVU14C |
| 2014-04-01 | Not available in this setting | $473.72 | RVU14B |
| 2014-01-01 | Not available in this setting | $473.72 | RVU14A |
| 2013-10-01 | Not available in this setting | $469.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $469.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $469.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $469.21 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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