No office rate
Choose 65135 when the extraocular muscles are attached to the implant; choose 65130 when they are not.
On this page
CMS RVU26D · Effective 2026-10-01
65135 Ocular implant Medicare reimbursement rates
Reports placement of an orbital implant with extraocular muscles attached, generally to restore socket volume and support movement of an external eye prosthesis. Compare 65135 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 65135?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$693.55–$997.65
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $304.10 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 65135 pays more and less
Ophthalmology surgery
About 65135: Ocular implant insertion with muscle attachment
Reports placement of an orbital implant with extraocular muscles attached, generally to restore socket volume and support movement of an external eye prosthesis.
An ophthalmic or oculoplastic surgeon places an orbital implant in the socket and attaches the extraocular muscles to the implant. This may be part of reconstruction after loss or removal of an eye. The implant is internal; an external prosthetic eye is a separate device. Code selection turns on whether the muscles are attached to the implant, rather than simply placed over or around it. If the eye is removed during the same operation and the applicable enucleation code includes implant placement, that combined service is represented by the enucleation code rather than a separate insertion code.
The operative report should identify the implant placement and describe the muscle attachment. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 65135
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.39 · 36%
- Practice expense (office) RVU14.01 · 61%
- Malpractice RVU0.66 · 3%
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.
65135 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
65103 represents eye removal with implant placement in the same operation. 65135 describes implant insertion with muscle attachment, without that combined enucleation service.
No office rate
65140 concerns attachment of muscles to an ocular implant; 65135 describes insertion of the implant with the muscles attached.
$403.50–$614.02
65125 describes revision of an existing ocular implant, not placement of an implant with muscle attachment.
See how rates vary across the country
65135 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 65135 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $702.16 |
| Alaska* | Office Unavailable | Facility $930.86 |
| Arizona | Office Unavailable | Facility $752.54 |
| Arkansas | Office Unavailable | Facility $693.55 |
| Atlanta | Office Unavailable | Facility $782.98 |
| Austin | Office Unavailable | Facility $795.41 |
| Bakersfield | Office Unavailable | Facility $811.85 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $814.09 |
| Beaumont | Office Unavailable | Facility $726.54 |
| Brazoria | Office Unavailable | Facility $763.41 |
| Chicago | Office Unavailable | Facility $803.07 |
| Chico | Office Unavailable | Facility $809.68 |
| Colorado | Office Unavailable | Facility $798.71 |
| Connecticut | Office Unavailable | Facility $816.49 |
| Dallas | Office Unavailable | Facility $767.74 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $871.14 |
| Delaware | Office Unavailable | Facility $763.78 |
| Detroit | Office Unavailable | Facility $768.97 |
| East St. Louis | Office Unavailable | Facility $755.14 |
| El Centro | Office Unavailable | Facility $809.79 |
| Fort Lauderdale | Office Unavailable | Facility $794.12 |
| Fort Worth | Office Unavailable | Facility $763.35 |
| Fresno | Office Unavailable | Facility $809.68 |
| Galveston | Office Unavailable | Facility $765.40 |
| Hanford-Corcoran | Office Unavailable | Facility $809.68 |
| Hawaii, Guam | Office Unavailable | Facility $825.05 |
| Houston | Office Unavailable | Facility $777.48 |
| Idaho | Office Unavailable | Facility $721.17 |
| Indiana | Office Unavailable | Facility $724.73 |
| Iowa | Office Unavailable | Facility $717.16 |
| Kansas | Office Unavailable | Facility $714.37 |
| Kentucky | Office Unavailable | Facility $716.41 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $859.94 |
| Madera | Office Unavailable | Facility $809.68 |
| Manhattan | Office Unavailable | Facility $876.89 |
| Merced | Office Unavailable | Facility $809.68 |
| Metropolitan Boston | Office Unavailable | Facility $870.07 |
| Metropolitan Kansas City | Office Unavailable | Facility $741.17 |
| Metropolitan Philadelphia | Office Unavailable | Facility $798.71 |
| Metropolitan St. Louis | Office Unavailable | Facility $747.81 |
| Miami | Office Unavailable | Facility $823.12 |
| Minnesota | Office Unavailable | Facility $768.28 |
| Mississippi | Office Unavailable | Facility $699.43 |
| Modesto | Office Unavailable | Facility $809.68 |
| Montana** | Office Unavailable | Facility $770.18 |
| Napa | Office Unavailable | Facility $925.84 |
| Nebraska | Office Unavailable | Facility $720.48 |
| Nevada** | Office Unavailable | Facility $767.01 |
| New Hampshire | Office Unavailable | Facility $786.65 |
| New Mexico | Office Unavailable | Facility $735.82 |
| New Orleans | Office Unavailable | Facility $745.61 |
| North Carolina | Office Unavailable | Facility $730.91 |
| North Dakota** | Office Unavailable | Facility $757.13 |
| Northern Nj | Office Unavailable | Facility $864.25 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $895.49 |
| Ohio | Office Unavailable | Facility $729.69 |
| Oklahoma | Office Unavailable | Facility $715.24 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $854.93 |
| Portland | Office Unavailable | Facility $821.01 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $831.92 |
| Puerto Rico | Office Unavailable | Facility $775.04 |
| Queens | Office Unavailable | Facility $883.07 |
| Redding | Office Unavailable | Facility $809.68 |
| Rest Of California | Office Unavailable | Facility $809.68 |
| Rest Of Florida | Office Unavailable | Facility $760.72 |
| Rest Of Georgia | Office Unavailable | Facility $723.92 |
| Rest Of Illinois | Office Unavailable | Facility $741.92 |
| Rest Of Louisiana | Office Unavailable | Facility $715.49 |
| Rest Of Maine | Office Unavailable | Facility $724.46 |
| Rest Of Maryland | Office Unavailable | Facility $776.83 |
| Rest Of Massachusetts | Office Unavailable | Facility $795.03 |
| Rest Of Michigan | Office Unavailable | Facility $732.36 |
| Rest Of Missouri | Office Unavailable | Facility $705.07 |
| Rest Of New Jersey | Office Unavailable | Facility $826.62 |
| Rest Of New York | Office Unavailable | Facility $740.28 |
| Rest Of Oregon | Office Unavailable | Facility $761.81 |
| Rest Of Pennsylvania | Office Unavailable | Facility $730.64 |
| Rest Of Texas | Office Unavailable | Facility $744.22 |
| Rest Of Washington | Office Unavailable | Facility $793.40 |
| Rhode Island | Office Unavailable | Facility $788.61 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $816.95 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $846.36 |
| Salinas | Office Unavailable | Facility $843.09 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $860.25 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $976.78 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $976.03 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $997.65 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $994.59 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $829.80 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $866.49 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $845.52 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $875.09 |
| Seattle (King Cnty) | Office Unavailable | Facility $886.43 |
| South Carolina | Office Unavailable | Facility $731.35 |
| South Dakota** | Office Unavailable | Facility $755.59 |
| Southern Maine | Office Unavailable | Facility $757.88 |
| Stockton | Office Unavailable | Facility $809.68 |
| Suburban Chicago | Office Unavailable | Facility $801.84 |
| Tennessee | Office Unavailable | Facility $717.43 |
| Utah | Office Unavailable | Facility $739.90 |
| Vallejo | Office Unavailable | Facility $924.76 |
| Vermont | Office Unavailable | Facility $754.66 |
| Virgin Islands | Office Unavailable | Facility $775.04 |
| Virginia | Office Unavailable | Facility $755.79 |
| Visalia | Office Unavailable | Facility $809.68 |
| West Virginia | Office Unavailable | Facility $718.42 |
| Wisconsin | Office Unavailable | Facility $735.32 |
| Wyoming** | Office Unavailable | Facility $764.49 |
| Yuba City | Office Unavailable | Facility $809.68 |
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65135 billing questions
How is 65135 different from 65130?
65135 is selected when the extraocular muscles are attached to the implant. 65130 is the related insertion service when the muscles are not attached to it.
Can 65135 be reported with an enucleation code?
When the eye is removed and implant placement is included in the applicable enucleation service, report that combined service rather than separately reporting 65135. Code 65103 is the nearby enucleation option that includes implant placement.
What documentation supports 65135?
The operative report should document implant placement and attachment of the extraocular muscles to the implant. Documentation of implant placement alone does not establish the distinction from 65130.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related visits are included in the surgical service.
How are bilateral and multiple procedures handled?
For bilateral reporting, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,29565114,,Remove eye/revise socket,A,,19.16,20.02,NA,20.02,,1.51,40.69,40.69,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29665125,,Revise ocular implant,A,,3.19,10.20,,4.37,,0.25,13.64,7.81,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29765130,,Insert ocular implant,A,,8.21,13.94,NA,13.94,,0.65,22.80,22.80,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29865135,,Insert ocular implant,A,,8.39,14.01,NA,14.01,,0.66,23.06,23.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29965140,,Attach ocular implant,A,,9.22,14.74,NA,14.74,,0.73,24.69,24.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30065150,,Revise ocular implant,A,,6.27,12.11,NA,12.11,,0.48,18.86,18.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30165155,,Reinsert ocular implant,A,,9.85,14.96,NA,14.96,,0.79,25.60,25.60,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00