CPT code 65875: Eye adhesiolysis, extensive, mechanical2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $529.40 for 65875 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 65875 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 65875 covers

This service involves surgically cutting extensive adhesions within the eye’s anterior segment, excluding synechiae. Adhesions may involve structures such as the iris, cornea, or lens. An ophthalmologist typically performs the procedure in an operating room when adhesions require mechanical release; the operative report should identify the affected structures and describe the extent and technique. This code distinguishes extensive mechanical treatment from less extensive work and laser treatment in the related anterior-segment adhesiolysis codes.

Report the code when the documented procedure supports extensive mechanical adhesiolysis, rather than a different method or extent. 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment is restricted; co-surgeons require 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 New Mexico compares for 65875

Across 109 of 109 payment localities, the facility rate for 65875 runs from $499.77 in Arkansas to $687.83 in San Benito County, CA. New Mexico pays $529.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

65875 rates by state

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

See 65875 in every payment locality

How the 65875 rate is calculated

Each of 65875’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 65875

65875 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 65875

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

How 65875 has changed in New Mexico

Price 65875 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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