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CPT code 65860: Laser adhesion release, anterior segment of eye2026 Medicare rate & RVUs in Utah

Reports laser treatment that severs adhesions in the eye’s anterior segment, such as when an ophthalmologist treats adhesions affecting anterior-segment structures.

CMS RVU26DEffective Oct 1, 2026One payment locality712 Medicare services in 2024

In Utah, Medicare pays $298.00 for 65860 in the office and $203.18 when it’s performed in a hospital or facility.

$298.00Office (non-facility)
$203.18Hospital or facility
−3.9%vs the national office rate ($309.96)

Check a contract rate as a % of Medicare · 65860 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 65860 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 65860 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 65860 covers

An ophthalmologist uses a laser to sever adhesions within the anterior segment of the eye. The service is selected for laser treatment of these adhesions, not for an incisional approach. It may be performed in an ophthalmology office or a facility, depending on the patient and procedure setting.

Report the service when the documented work supports laser severing of anterior-segment adhesions. The record should identify the treated eye, the adhesions and structures involved, the clinical reason for treatment, and the laser procedure performed. CMS 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Utah compares for 65860

Across 109 of 109 payment localities, the office rate for 65860 runs from $279.64 in Arkansas to $399.98 in San Benito County, CA. Utah pays $298.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

65860 in Utah vs other payment areas
  1. Utah · this page$298.00
  2. Los Angeles, CA · California$345.40+$47.40
  3. Washington, DC area · District of Columbia$350.05+$52.05
  4. Miami, FL · Florida$331.29+$33.29
  5. Chicago, IL · Illinois$323.38+$25.38
  6. Manhattan, NY · New York$352.54+$54.54
  7. Alaska · Alaska$376.33+$78.33

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

Every other payment area

65860 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$283.04$194.78
ArkansasArkansas$279.64$192.99
ArizonaArizona$302.96$205.21
Bakersfield, CACalifornia$326.32$215.77
Chico, CACalifornia$325.43$214.88
El Centro, CACalifornia$325.48$214.92
Fresno, CACalifornia$325.43$214.88
Hanford, CACalifornia$325.43$214.88

65860 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$279.64

$376.33

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
65860 office rate range by state
State / territoryOffice rate rangeLocalities
AK$376.331
AL$283.041
AR$279.641
AZ$302.961
CA$325.43–$399.9829
CO$321.171
CT$328.361
DC$350.051
DE$307.431
FL$306.40–$331.293
GA$291.82–$315.072
GU$331.381
HI$331.381
IA$288.881
ID$290.481
IL$299.03–$323.384
IN$291.891
KS$287.821
KY$288.771
LA$288.42–$300.332
MA$319.75–$349.462
MD$312.60–$350.053
ME$291.83–$304.982
MI$295.11–$309.712
MN$308.951
MO$284.33–$301.143
MS$282.031
MT$309.941
NC$294.371
ND$304.601
NE$290.181
NH$316.381
NJ$332.44–$347.382
NM$296.501
NV$308.641
NY$298.08–$359.955
OH$294.021
OK$288.261
OR$306.55–$329.952
PA$294.37–$321.352
PR$311.851
RI$317.281
SC$294.621
SD$303.971
TN$289.041
TX$292.76–$319.848
UT$298.001
VA$304.18–$350.052
VI$311.851
VT$303.661
WA$319.08–$355.932
WI$295.991
WV$289.741
WY$307.621

See 65860 in every payment locality

How the 65860 rate is calculated

Each of 65860’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 · 65860

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.50

3.50 RVUs× 1.000 GPCI

Practice expense5.51

5.51 RVUs× 1.000 GPCI

Malpractice0.27

0.27 RVUs× 1.000 GPCI

Adjusted RVUs

9.2800

Conversion factor

$33.4009

Medicare rate

$309.96

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,352

Code
65860
Physician work
3.50
Practice expense
5.51
Malpractice
0.27

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 65860 in Utah
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0003.5000
Practice expense5.51× 0.9405.1794
Malpractice0.27× 0.8980.2425
Total RVUs8.9219
Conversion factor× 33.4009

Office rate, Utah$298.00

Office: (3.5 × 1 + 5.51 × 0.94 + 0.27 × 0.898) × $33.4009 = $298.00

Facility: (3.5 × 1 + 2.49 × 0.94 + 0.27 × 0.898) × $33.4009 = $203.18

Open 65860 in the RVU calculator

Payment rules and modifiers for 65860

65860 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65860

Laser adhesion release, anterior segment of eye

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)0Not paid without supporting documentation.
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 · 65860

Laser adhesion release, anterior segment of eye

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

65860 without 50 · national office

$309.96

Laser adhesion release, anterior segment of eye

65860-50 · Bilateral: 150%

$464.94

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

Codes related to 65860

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

Codes related to 65860
CodeHow it relatesOffice range, Utah
Used instead
65865Eye adhesion lysis, incisional techniqueIncisional approach to severing anterior-segment adhesions, rather than the laser technique.No office rate
66761Laser iridotomy, peripheral iris openingLaser iridotomy or iridectomy for glaucoma; select according to the procedure performed and its purpose.$286.88
Same family
65870Synechiolysis, extensive, incisional techniqueRelated anterior-segment adhesion procedure; distinguish by the documented operative technique and work.No office rate
65875Eye adhesiolysis, extensive, mechanicalRelated code in the anterior-segment adhesion procedure series.No office rate

How 65860 has changed in Utah

65860 · Office / nonfacility

$298.00

Effective 2026-10-01

The base rate is $14.71 higher than on 2025-10-01, moving from $283.29 to $298.00 (5.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $283.29changed to$298.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.59 changed to 3.50
    • Practice expense RVU 5.26 changed to 5.51
    • Malpractice RVU 0.28 changed to 0.27
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $293.08changed to$283.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.30 changed to 5.26
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $288.30changed to$293.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $293.68changed to$288.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.23 changed to 5.30
    • Malpractice RVU 0.27 changed to 0.29
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $294.22changed to$293.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.11 changed to 5.23
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $297.34changed to$294.22

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.14 changed to 5.11
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $302.69changed to$297.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.91 changed to 5.14
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $306.00changed to$302.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 4.91
    • Malpractice RVU 0.26 changed to 0.27
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $306.33changed to$306.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.98 changed to 4.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $301.73changed to$306.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.88 changed to 4.98
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $300.52changed to$301.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $301.69changed to$300.52

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.87 changed to 4.88
    • Malpractice RVU 0.27 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $300.19changed to$301.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $340.53changed to$300.19

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.88 changed to 4.87
    • Malpractice RVU 1.26 changed to 0.27
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $337.43changed to$340.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.32 changed to 4.88
    • Malpractice RVU 1.32 changed to 1.26
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $337.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$298.00$203.18RVU26D
2026-07-01$298.00$203.18RVU26C
2026-04-01$298.00$203.18RVU26B
2026-01-01$298.00$203.18RVU26A
2025-10-01$283.29$230.78RVU25D
2025-07-01$283.29$230.78RVU25C
2025-04-01$283.29$230.78RVU25B
2025-01-01$283.29$230.78RVU25A
2024-10-01$293.08$237.18RVU24D
2024-07-01$293.08$237.18RVU24C
2024-04-01$293.08$237.18RVU24B
2024-03-09$293.08$237.18RVU24AR
2024-01-01$288.30$233.31RVU24A
2023-10-01$293.68$237.20RVU23D
2023-07-01$293.68$237.20RVU23C
2023-04-01$293.68$237.20RVU23B
2023-01-01$293.68$237.20RVU23A
2022-10-01$294.22$236.97RVU22D
2022-07-01$294.22$236.97RVU22C
2022-04-01$294.22$236.97RVU22B
2022-01-01$294.22$236.97RVU22A
2021-10-01$297.34$238.66RVU21D
2021-07-01$297.34$238.66RVU21C
2021-04-01$297.34$238.66RVU21B
2021-01-01$297.34$238.66RVU21A
2020-10-01$302.69$247.39RVU20D
2020-07-01$302.69$247.39RVU20C
2020-04-01$302.69$247.39RVU20B
2020-01-01$302.69$247.39RVU20A
2019-10-01$306.00$251.55RVU19D
2019-07-01$306.00$251.55RVU19C
2019-04-01$306.00$251.55RVU19B
2019-01-01$306.00$251.55RVU19A
2018-10-01$306.33$252.94RVU18D
2018-07-01$306.33$252.94RVU18C
2018-04-01$306.33$252.94RVU18B
2018-01-01$306.33$252.94RVU18AR1
2017-10-01$301.73$250.61RVU17D
2017-07-01$301.73$250.61RVU17C
2017-04-01$301.73$250.61RVU17B
2017-01-01$301.73$250.61RVU17A
2016-10-01$300.52$249.35RVU16D
2016-07-01$300.52$249.35RVU16C
2016-04-01$300.52$249.35RVU16B
2016-01-01$300.52$249.35RVU16A
2015-10-01$301.69$250.01RVU15D
2015-07-01$301.69$250.01RVU15C
2015-04-01$300.19$248.76RVU15B
2015-01-01$300.19$248.76RVU15A
2014-10-01$340.53$289.84RVU14D
2014-07-01$340.53$289.84RVU14C
2014-04-01$340.53$289.84RVU14B
2014-01-01$340.53$289.84RVU14A
2013-10-01$337.43$284.14RVU13D
2013-07-01$337.43$284.14RVU13C
2013-04-01$337.43$284.14RVU13B
2013-01-01$337.43$284.14RVU13AR

Price 65860 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

65860 billing questions

How is this code distinguished from 65865?

This code describes laser severing of anterior-segment adhesions. Code 65865 is the surgical-technique counterpart, so choose based on the documented method.

Is this the same as laser trabeculoplasty?

No. This code treats adhesions in the anterior segment; 65855 treats the trabecular meshwork with laser surgery.

Does the 90-day global period include related postoperative care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code’s global period.

How should bilateral treatment be reported?

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

Can an assistant surgeon be paid for this service?

Assistant-at-surgery payment is available only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.

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 65860PPRRVU2026_Oct_nonQPP.csv, line 7,352 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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