CPT code 65870: Synechiolysis, extensive, incisional technique2026 Medicare rate & RVUs in Virgin Islands, VI

In Virgin Islands, VI, Medicare pays $515.54 for 65870 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65870 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 65870 covers

An ophthalmologist performs this procedure to cut and release extensive adhesions within the anterior segment, commonly involving the iris and adjacent structures. Synechiae may follow inflammation, trauma, or prior eye surgery and can interfere with the pupil, aqueous flow, or other anterior-segment function. The surgeon works inside the eye with an incisional technique, typically in an operating-room setting.

Choose this code when the adhesions and work are extensive, rather than the simple incisional service represented by 65865. Document the affected eye, the location and extent of adhesions, and the incisional work used to release them. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. With modifier 50, bilateral payment is 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons are paid only with 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 Virgin Islands, VI compares for 65870

Across 109 of 109 payment localities, the facility rate for 65870 runs from $468.11 in Arkansas to $642.60 in San Benito County, CA. Virgin Islands, VI pays $515.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65870 rates by state

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

See 65870 in every payment locality

How the 65870 rate is calculated

Each of 65870’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 65870

65870 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 65870

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

How 65870 has changed in Virgin Islands, VI

Price 65870 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

• Charlotte Amalie
• Charlotte Amalie East
• Charlotte Amalie West
• Christiansted
• Coral Bay
• Cruz Bay
• Frederiksted
• Frederiksted Southeast

Browse all communities in United States Virgin Islands

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