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Billing code 65285: Eye wound repairMedicare rate & RVUs

Repair a full-thickness corneal or scleral wound when uveal tissue must be repositioned or resected, typically after a penetrating eye injury.

CMS RVU26DEffective Oct 1, 2026109 payment localities673 Medicare services in 2024

Medicare pays $929.21 for 65285 nationally in a facility.

Medicare rate · 65285

Eye wound repair

Work RVUs
14.98
Total RVUs
27.82
Global days
090

National rate · 2026

$929.21

Facility setting, before claim adjustments.

See every locality for 65285 →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 65285 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 65285 covers

An ophthalmologist uses this code to repair a perforating wound through the cornea, sclera, or both when uveal tissue, such as iris or ciliary tissue, has prolapsed into the wound and must be repositioned or removed. This is typically urgent surgery for an open-globe injury, performed in an operating room. The operative report should identify the wound site and full-thickness nature, describe the uveal tissue involvement, and document whether tissue was repositioned or resected.

Choose this level based on the perforating wound and the operative management of uveal tissue, rather than wound size alone. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this service; 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 65285 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

65285 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$863.12
Alaska*Unavailable$1,186.49
ArizonaUnavailable$911.35
ArkansasUnavailable$854.84
AtlantaUnavailable$945.05
AustinUnavailable$948.14
BakersfieldUnavailable$960.21
Baltimore/Surr. CntysUnavailable$975.15
BeaumontUnavailable$891.38
BrazoriaUnavailable$920.83

65285 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
65285 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 65285 rate is calculated

Each of 65285’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 · 65285

RVUs × geographic indexes × conversion factor

Work14.98

14.98 RVUs× 1.000 GPCI

Practice expense11.63

11.63 RVUs× 1.000 GPCI

Malpractice1.21

1.21 RVUs× 1.000 GPCI

Adjusted RVUs

27.8200

Conversion factor

$33.4009

Medicare rate

$929.21

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

Payment rules and modifiers for 65285

65285 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65285

Eye wound repair

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 · 65285

Eye 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.

  • 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

65285 without 50 · national facility

$929.21

Eye wound repair

65285-50 · Bilateral: 150%

$1,393.82

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

65285 compared with similar codes

Compare codes · National

4 codes, side by side

  • 65285

    Eye wound repair14.98 wRVU

    Not priced

  • 65280

    Eye wound repair8.87 wRVU

    Not priced

  • 65275

    Corneal wound repair6.13 wRVU

    $590.86

  • 65273

    Eye wound repair5.03 wRVU

    Not priced

How to choose

65280Eye wound repair
Both address perforating corneal or scleral wounds. Report 65285 when uveal tissue is repositioned or resected; 65280 describes a wound without uveal tissue involvement.
65275Corneal wound repair
65275 is for a perforating corneal laceration that does not involve the iris or lens. Use 65285 when uveal tissue involvement requires repositioning or resection.
65273Eye wound repair
65273 addresses a nonperforating corneal laceration. A full-thickness corneal or scleral wound with uveal tissue management supports 65285.

Codes related to 65285

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

Codes related to 65285
CodeHow it relatesNational office range
Same family
65280Eye wound repairPerforating corneal or scleral wound repair without uveal tissue involvement.No office rate
65275Corneal wound repairCorneal laceration repair for a perforating wound that does not involve the iris or lens.$530.90–$769.52
65273Eye wound repairCorneal laceration repair for a nonperforating wound.No office rate
65270Eye wound repairSutured repair of a conjunctival laceration rather than a perforating corneoscleral wound.$249.38–$380.90

65285 billing questions

How does this differ from 65280?

Use 65285 when the perforating corneal or scleral wound involves uveal tissue that is repositioned or resected. Code 65280 is for a perforating wound without uveal tissue involvement.

Can a nonperforating corneal wound be reported with 65285?

No. This code describes repair of a perforating wound with uveal tissue management; a nonperforating corneal laceration belongs to a different repair level.

What documentation supports the code?

Document the corneal or scleral wound as perforating, describe the uveal tissue involvement, and state whether that tissue was repositioned or resected.

Is related postoperative care separately reported?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

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.

How is bilateral repair handled?

When the procedure is performed bilaterally and reported with modifier 50, CMS pays at 150%.

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 65285PPRRVU2026_Oct_nonQPP.csv, line 7,315 (RVU26D)

Open CMS sourceHow we calculate rates

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