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Billing code 65101: Eye removalMedicare rate & RVUs

Reports surgical removal of the entire globe without placement of an orbital implant, such as for an eye with a painful blind condition or intraocular disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities78 Medicare services in 2024

Medicare pays $759.54 for 65101 nationally in a facility.

Medicare rate · 65101

Eye removal

Work RVUs
8.09
Total RVUs
22.74
Global days
090

National rate · 2026

$759.54

Facility setting, before claim adjustments.

See every locality for 65101 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 65101 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 65101 covers

This procedure removes the entire eyeball while leaving the surrounding orbital tissues in place; no orbital implant is placed during the operation. An ophthalmologist, often an oculoplastic surgeon, typically performs it in an operating room. Clinical situations may include a painful, blind eye or an eye affected by disease requiring removal. The operative note should establish that the globe was removed intact rather than its contents evacuated, and document that no implant was placed.

Report the code for the eye treated and support the service with the indication, operative findings, and implant status. The major-surgery global period includes 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 the others are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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.

Where 65101 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

65101 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$691.77
Alaska*Unavailable$915.46
ArizonaUnavailable$741.95
ArkansasUnavailable$683.19
AtlantaUnavailable$772.13
AustinUnavailable$784.78
BakersfieldUnavailable$801.24
Baltimore/Surr. CntysUnavailable$803.09
BeaumontUnavailable$715.90
BrazoriaUnavailable$752.78

65101 rates by state

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

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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
65101 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 65101 rate is calculated

Each of 65101’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 · 65101

RVUs × geographic indexes × conversion factor

Work8.09

8.09 RVUs× 1.000 GPCI

Practice expense14.01

14.01 RVUs× 1.000 GPCI

Malpractice0.64

0.64 RVUs× 1.000 GPCI

Adjusted RVUs

22.7400

Conversion factor

$33.4009

Medicare rate

$759.54

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

Payment rules and modifiers for 65101

65101 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65101

Eye removal

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)1Not paid (statutory restriction).
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 · 65101

Eye 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.

  • 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

65101 without 50 · national facility

$759.54

Eye removal

65101-50 · Bilateral: 150%

$1,139.31

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

65101 compared with similar codes

Compare codes · National

4 codes, side by side

  • 65101

    Eye removal8.09 wRVU

    Not priced

  • 65103

    Eye removal8.62 wRVU

    Not priced

  • 65105

    Eye removal9.68 wRVU

    Not priced

  • 65110

    Eye removal15.31 wRVU

    Not priced

How to choose

65103Eye removal
Both codes describe enucleation, but 65103 includes placement of an orbital implant with muscles attached to it; 65101 is for removal without an implant.
65105Eye removal
Use 65105 for enucleation with an orbital implant and its specified muscle-management approach. Use 65101 when no implant is placed.
65110Eye removal
65110 describes evisceration, which removes the ocular contents but leaves the scleral shell. Code 65101 represents removal of the entire globe.

Codes related to 65101

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

Codes related to 65101
CodeHow it relatesNational office range
Same family
65103Eye removalEnucleation with an orbital implant and extraocular muscles attached to it.No office rate
65105Eye removalEnucleation with an orbital implant, with a different muscle-management approach.No office rate
Used instead
65110Eye removalEvisceration removes ocular contents while retaining the scleral shell.No office rate

65101 billing questions

How does this differ from enucleation with an implant?

Use 65101 when the entire globe is removed and no orbital implant is placed during the operation. Codes 65103 and 65105 describe enucleation with an implant.

How do I distinguish this from evisceration?

Enucleation removes the entire globe. Evisceration removes the contents while retaining the scleral shell, so it is not reported with 65101.

Is routine postoperative care separately billable?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

What is the bilateral payment rule?

When both eyes are treated, report modifier 50; CMS pays the bilateral procedure at 150% under the supplied rule.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What documentation supports choosing 65101?

Document removal of the entire globe, the clinical indication, the eye treated, and that no orbital implant was placed.

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 65101PPRRVU2026_Oct_nonQPP.csv, line 7,290 (RVU26D)

Open CMS sourceHow we calculate rates

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