CPT code 65815: Eye drainage, with chamber replacement2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $642.27 for 65815 in the office and $411.47 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 65815 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 65815 covers

This procedure is an anterior chamber paracentesis that removes aqueous and replaces it with air, another gas, or fluid. An ophthalmologist may perform it as an anterior chamber washout, including for a significant hyphema requiring evacuation and chamber replacement. It is a surgical service, commonly furnished in an operating room or other procedural setting; the operative note should identify the chamber drainage and the replacement material.

Select this code when both drainage and replacement are performed. A diagnostic aspiration or medication injection alone, or drainage without replacement, points to a different code in the family. Documentation should describe the reason for the procedure, the fluid or material removed, and what was used to refill the chamber. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Montana compares for 65815

Across 109 of 109 payment localities, the office rate for 65815 runs from $574.00 in Arkansas to $847.40 in San Benito County, CA. Montana pays $642.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65815 rates by state

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

See 65815 in every payment locality

How the 65815 rate is calculated

Each of 65815’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 65815

65815 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 65815

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

How 65815 has changed in Montana

Price 65815 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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