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CPT code 65140: Ocular implant2026 Medicare rate & RVUs

Reports secondary attachment of an ocular implant in an anophthalmic socket, rather than implant placement performed during removal of the eye.

CMS RVU26DEffective Oct 1, 2026109 payment localities15 Medicare services in 2024

Medicare pays $824.67 for 65140 nationally in a facility.

Medicare rate · 65140

Ocular implant

Work RVUs
9.22
Total RVUs
24.69
Global days
090

National rate · 2026

$824.67

Facility setting, before claim adjustments.

See every locality for 65140 →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 65140 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 65140 covers

CPT 65140 describes secondary attachment of an ocular implant in a socket after the eye has previously been removed. An ophthalmic surgeon performs the procedure in an operating-room setting to place or secure an implant in the anophthalmic socket. It is distinct from implant placement performed as part of the original enucleation or evisceration, and from later revision, reinsertion, or removal of an existing implant.

Report 65140 when the operative record supports secondary implant attachment and identifies the treated side, the socket, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 identifies bilateral surgery and CMS pays the bilateral procedure at 150%. CMS 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 65140 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

65140 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$752.54
Alaska*Unavailable$999.70
ArizonaUnavailable$805.89
ArkansasUnavailable$743.42
AtlantaUnavailable$838.37
AustinUnavailable$851.06
BakersfieldUnavailable$868.25
Baltimore/Surr. CntysUnavailable$871.31
BeaumontUnavailable$778.63
BrazoriaUnavailable$817.34

65140 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
65140 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 65140 rate is calculated

Each of 65140’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 · 65140

RVUs × geographic indexes × conversion factor

Work9.22

9.22 RVUs× 1.000 GPCI

Practice expense14.74

14.74 RVUs× 1.000 GPCI

Malpractice0.73

0.73 RVUs× 1.000 GPCI

Adjusted RVUs

24.6900

Conversion factor

$33.4009

Medicare rate

$824.67

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

Payment rules and modifiers for 65140

65140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65140

Ocular implant

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 · 65140

Ocular implant

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

65140 without 50 · national facility

$824.67

Ocular implant

65140-50 · Bilateral: 150%

$1,237.01

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

65140 compared with similar codes

Compare codes · National

5 codes, side by side

  • 65140

    Ocular implant9.22 wRVU

    Not priced

  • 65130

    Ocular implant insertion8.21 wRVU

    Not priced

  • 65135

    Ocular implant8.39 wRVU

    Not priced

  • 65103

    Eye removal8.62 wRVU

    Not priced

  • 65125

    Ocular implant revision3.19 wRVU

    $455.59

How to choose

65130Ocular implant insertion
65130 describes implant insertion; 65140 is for secondary attachment after prior eye removal.
65135Ocular implant
65135 describes implant insertion using a different muscle-attachment approach. Use 65140 for secondary attachment, not the initial insertion service.
65103Eye removal
65103 includes enucleation with implant placement in the same operation. 65140 describes secondary implant attachment in a previously created socket.
65125Ocular implant revision
65125 is for revising an existing implant. 65140 is for secondary attachment, not revision of an implant already in place.

Codes related to 65140

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

Codes related to 65140
CodeHow it relatesNational office range
Used instead
65130Ocular implant insertionImplant insertion rather than secondary attachment.No office rate
65135Ocular implantImplant insertion with a different muscle-attachment approach.No office rate
65103Eye removalEye removal with implant placement during the same operation.No office rate
65105Eye removalEye removal with implant placement during the same operation.No office rate
65125Ocular implant revisionRevision of an existing ocular implant.$403.50–$614.02
65155Ocular implantReinsertion of an ocular implant.No office rate
65175Ocular implant removalRemoval of an ocular implant.No office rate

65140 billing questions

How is 65140 different from implant placement during eye removal?

65140 is for secondary attachment in a socket after the eye was previously removed. When implant placement is part of the current enucleation or evisceration, use the applicable combined procedure code instead.

What documentation supports 65140?

The operative report should establish that the procedure is secondary, identify the anophthalmic socket and side, and describe the implant attachment performed.

Can 65140 be reported with a revision or removal code?

Choose the code that matches the work on the implant. Revision, reinsertion, and removal describe different services; do not report them as separate procedures for the same work.

How does Medicare handle bilateral reporting?

CMS lists 65140 as a bilateral procedure. Modifier 50 is paid at 150% under the supplied fee schedule rule.

Are assistant or co-surgeon claims payable?

CMS lists a statutory restriction on assistant-at-surgery payment for 65140 and does not permit co-surgeons or team surgery.

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 65140PPRRVU2026_Oct_nonQPP.csv, line 7,299 (RVU26D)

Open CMS sourceHow we calculate rates

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