Billing code 65275: Corneal wound repairMedicare rate & RVUs
Reports surgical closure of a full-thickness corneal laceration, including cases requiring repositioning or removal of prolapsed uveal tissue.
Medicare pays $590.86 for 65275 nationally in the office and $388.79 in a hospital or facility. Local office rates run $530.90–$769.52.
Medicare rate · 65275
Corneal wound repair
Swap in your local Medicare rate.
- Work RVUs
- 6.13
- Total RVUs
- 17.69
- Global days
- 090
National rate · 2026
$590.86
Office setting, before claim adjustments.
See every locality for 65275 → · 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
What 65275 covers
An ophthalmologist uses this service to close a perforating laceration of the cornea. The injury may result from sharp trauma or a penetrating object and can allow uveal tissue to prolapse through the wound. Repair may involve suturing the cornea and repositioning or removing affected uveal tissue as needed. These procedures are generally performed in a surgical facility rather than an office.
Select this code when the operative report supports a perforating corneal wound; a nonperforating corneal laceration is a different service. Document the wound location and depth, the repair performed, and any uveal tissue management. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 65275 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$530.90 to $769.52
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $537.64 | $360.83 |
| Alaska* | $710.09 | $494.88 |
| Arizona | $577.08 | $381.27 |
| Arkansas | $530.90 | $357.32 |
| Atlanta | $600.62 | $395.31 |
| Austin | $610.91 | $397.11 |
| Bakersfield | $624.01 | $402.54 |
| Baltimore/Surr. Cntys | $624.95 | $408.13 |
| Beaumont | $556.42 | $372.53 |
| Brazoria | $585.64 | $385.39 |
| Chicago | $614.91 | $411.82 |
| Chico | $622.43 | $400.96 |
| Colorado | $613.49 | $398.48 |
| Connecticut | $626.82 | $409.18 |
| Dallas | $588.95 | $387.68 |
| Dc + Md/Va Suburbs | $669.60 | $431.56 |
| Delaware | $585.83 | $386.17 |
| Detroit | $588.91 | $393.90 |
| East St. Louis | $577.51 | $391.60 |
| El Centro | $622.51 | $401.04 |
| Fort Lauderdale | $608.63 | $403.92 |
| Fort Worth | $585.46 | $386.21 |
| Fresno | $622.43 | $400.96 |
| Galveston | $587.15 | $386.49 |
| Hanford-Corcoran | $622.43 | $400.96 |
| Hawaii, Guam | $634.81 | $405.05 |
| Houston | $595.94 | $395.28 |
| Idaho | $552.81 | $366.90 |
| Indiana | $555.61 | $368.28 |
| Iowa | $549.74 | $364.84 |
| Kansas | $547.38 | $364.71 |
| Kentucky | $548.42 | $368.77 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $661.59 | $422.54 |
| Madera | $622.43 | $400.96 |
| Manhattan | $673.31 | $438.50 |
| Merced | $622.43 | $400.96 |
| Metropolitan Boston | $669.29 | $428.01 |
| Metropolitan Kansas City | $567.92 | $378.17 |
| Metropolitan Philadelphia | $612.81 | $402.45 |
| Metropolitan St. Louis | $573.13 | $380.75 |
| Miami | $630.55 | $420.19 |
| Minnesota | $590.31 | $382.37 |
| Mississippi | $535.24 | $361.25 |
| Modesto | $622.43 | $400.96 |
| Montana** | $590.83 | $388.75 |
| Napa | $713.56 | $447.22 |
| Nebraska | $552.39 | $365.88 |
| Nevada** | $588.55 | $386.28 |
| New Hampshire | $604.03 | $393.67 |
| New Mexico | $563.37 | $378.06 |
| New Orleans | $571.21 | $381.05 |
| North Carolina | $560.28 | $371.74 |
| North Dakota** | $581.34 | $379.26 |
| Northern Nj | $664.06 | $429.66 |
| Nyc Suburbs/Long Island | $687.65 | $447.38 |
| Ohio | $558.79 | $374.30 |
| Oklahoma | $547.69 | $367.23 |
| Oxnard-Thousand Oaks-Ventura | $657.91 | $419.05 |
| Portland | $631.11 | $406.61 |
| Poughkpsie/N Nyc Suburbs | $638.60 | $417.33 |
| Puerto Rico | $594.69 | $390.39 |
| Queens | $678.41 | $439.55 |
| Redding | $622.43 | $400.96 |
| Rest Of California | $622.43 | $400.96 |
| Rest Of Florida | $582.64 | $389.46 |
| Rest Of Georgia | $553.97 | $373.72 |
| Rest Of Illinois | $567.69 | $383.20 |
| Rest Of Louisiana | $547.63 | $368.79 |
| Rest Of Maine | $555.20 | $369.29 |
| Rest Of Maryland | $596.04 | $391.54 |
| Rest Of Massachusetts | $610.50 | $397.71 |
| Rest Of Michigan | $560.73 | $376.24 |
| Rest Of Missouri | $539.37 | $365.18 |
| Rest Of New Jersey | $634.65 | $413.99 |
| Rest Of New York | $567.60 | $375.62 |
| Rest Of Oregon | $584.62 | $383.35 |
| Rest Of Pennsylvania | $559.63 | $374.13 |
| Rest Of Texas | $570.43 | $378.66 |
| Rest Of Washington | $609.31 | $396.52 |
| Rhode Island | $605.23 | $396.49 |
| Riverside-San Bernardino-Ontario | $627.72 | $406.24 |
| Sacramento-Roseville-Folsom | $651.12 | $416.10 |
| Salinas | $648.61 | $414.41 |
| San Diego-Chula Vista-Carlsbad | $662.20 | $420.52 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $753.37 | $468.45 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $752.83 | $467.90 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $769.52 | $478.13 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $767.29 | $475.90 |
| San Luis Obispo-Paso Robles | $638.34 | $408.18 |
| Santa Cruz-Watsonville | $667.29 | $421.77 |
| Santa Maria-Santa Barbara | $650.59 | $414.97 |
| Santa Rosa-Petaluma | $673.94 | $425.80 |
| Seattle (King Cnty) | $682.17 | $434.23 |
| South Carolina | $560.33 | $373.61 |
| South Dakota** | $580.22 | $378.14 |
| Southern Maine | $581.62 | $381.36 |
| Stockton | $622.43 | $400.96 |
| Suburban Chicago | $614.66 | $407.13 |
| Tennessee | $549.76 | $366.07 |
| Utah | $567.02 | $377.07 |
| Vallejo | $712.77 | $446.44 |
| Vermont | $579.24 | $379.19 |
| Virgin Islands | $594.69 | $390.39 |
| Virginia | $579.86 | $381.22 |
| Visalia | $622.43 | $400.96 |
| West Virginia | $549.29 | $373.69 |
| Wisconsin | $564.22 | $370.64 |
| Wyoming** | $586.69 | $384.62 |
| Yuba City | $622.43 | $400.96 |
65275 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$530.90
$710.09
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $710.09 | 1 |
| AL | $537.64 | 1 |
| AR | $530.90 | 1 |
| AZ | $577.08 | 1 |
| CA | $622.43–$769.52 | 29 |
| CO | $613.49 | 1 |
| CT | $626.82 | 1 |
| DC | $669.60 | 1 |
| DE | $585.83 | 1 |
| FL | $582.64–$630.55 | 3 |
| GA | $553.97–$600.62 | 2 |
| GU | $634.81 | 1 |
| HI | $634.81 | 1 |
| IA | $549.74 | 1 |
| ID | $552.81 | 1 |
| IL | $567.69–$614.91 | 4 |
| IN | $555.61 | 1 |
| KS | $547.38 | 1 |
| KY | $548.42 | 1 |
| LA | $547.63–$571.21 | 2 |
| MA | $610.50–$669.29 | 2 |
| MD | $596.04–$669.60 | 3 |
| ME | $555.20–$581.62 | 2 |
| MI | $560.73–$588.91 | 2 |
| MN | $590.31 | 1 |
| MO | $539.37–$573.13 | 3 |
| MS | $535.24 | 1 |
| MT | $590.83 | 1 |
| NC | $560.28 | 1 |
| ND | $581.34 | 1 |
| NE | $552.39 | 1 |
| NH | $604.03 | 1 |
| NJ | $634.65–$664.06 | 2 |
| NM | $563.37 | 1 |
| NV | $588.55 | 1 |
| NY | $567.60–$687.65 | 5 |
| OH | $558.79 | 1 |
| OK | $547.69 | 1 |
| OR | $584.62–$631.11 | 2 |
| PA | $559.63–$612.81 | 2 |
| PR | $594.69 | 1 |
| RI | $605.23 | 1 |
| SC | $560.33 | 1 |
| SD | $580.22 | 1 |
| TN | $549.76 | 1 |
| TX | $556.42–$610.91 | 8 |
| UT | $567.02 | 1 |
| VA | $579.86–$669.60 | 2 |
| VI | $594.69 | 1 |
| VT | $579.24 | 1 |
| WA | $609.31–$682.17 | 2 |
| WI | $564.22 | 1 |
| WV | $549.29 | 1 |
| WY | $586.69 | 1 |
How the 65275 rate is calculated
Each of 65275’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 · 65275
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.13Practice expense 11.08Malpractice 0.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 65275
65275 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65275
Corneal wound repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 65275
Corneal wound repair
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
65275 without 50 · national office
$590.86
Corneal wound repair
65275-50 · Bilateral: 150%
$886.29
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).
65275 compared with similar codes
Compare codes
65275 vs 65272 vs 65280 vs 65270: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65272Corneal wound repair
- Use 65272 for a nonperforating corneal laceration. Use 65275 when the corneal wound is perforating.
- 65280Eye wound repair
- Both codes address perforating eye wounds; 65275 identifies a corneal laceration, while 65280 is the related code for corneal and/or scleral wounds.
- 65270Eye wound repair
- 65270 addresses a conjunctival laceration. A perforating laceration of the cornea is reported with 65275.
65275 billing questions
How does this differ from 65272?
65275 is for a perforating corneal laceration. Code 65272 is used for a nonperforating corneal laceration.
What documentation supports 65275?
The operative note should establish that the corneal wound was perforating and describe its location and the repair, including any repositioning or removal of uveal tissue.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is bilateral repair reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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
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