No office rate
Use 65860 for laser severing of anterior-segment adhesions. Use 65865 when the adhesions are divided with a surgical technique.
On this page
CMS RVU26D · Effective 2026-10-01
65860 Laser adhesion release Medicare reimbursement rates
Reports laser treatment that severs adhesions in the eye’s anterior segment, such as when an ophthalmologist treats adhesions affecting anterior-segment structures. Compare 65860 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 65860?
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
$279.64–$399.98
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $120.34 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 65860 pays more and less
109 payment localities
$279.64 to $399.98
Ophthalmology surgery
About 65860: Laser severing of anterior-segment adhesions
Reports laser treatment that severs adhesions in the eye’s anterior segment, such as when an ophthalmologist treats adhesions affecting anterior-segment structures.
An ophthalmologist uses a laser to sever adhesions within the anterior segment of the eye. The service is selected for laser treatment of these adhesions, not for an incisional approach. It may be performed in an ophthalmology office or a facility, depending on the patient and procedure setting.
Report the service when the documented work supports laser severing of anterior-segment adhesions. The record should identify the treated eye, the adhesions and structures involved, the clinical reason for treatment, and the laser procedure performed. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65860
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.50 · 38%
- Practice expense (office) RVU5.51 · 59%
- Malpractice RVU0.27 · 3%
712
Medicare services in 2024 · #3246 by national volume
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.
65860 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$222.15–$314.86
Code 65855 describes laser treatment of the trabecular meshwork. This code is for laser severing of anterior-segment adhesions.
$268.35–$392.40
Code 66761 describes laser iridotomy or iridectomy for glaucoma. Distinguish it from adhesion severing by the documented procedure and clinical purpose.
See how rates vary across the country
65860 · 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.
$279.64
$376.33
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $376.33 | 1 |
| AL | $283.04 | 1 |
| AR | $279.64 | 1 |
| AZ | $302.96 | 1 |
| CA | $325.43–$399.98 | 29 |
| CO | $321.17 | 1 |
| CT | $328.36 | 1 |
| DC | $350.05 | 1 |
| DE | $307.43 | 1 |
| FL | $306.40–$331.29 | 3 |
| GA | $291.82–$315.07 | 2 |
| GU | $331.38 | 1 |
| HI | $331.38 | 1 |
| IA | $288.88 | 1 |
| ID | $290.48 | 1 |
| IL | $299.03–$323.38 | 4 |
| IN | $291.89 | 1 |
| KS | $287.82 | 1 |
| KY | $288.77 | 1 |
| LA | $288.42–$300.33 | 2 |
| MA | $319.75–$349.46 | 2 |
| MD | $312.60–$350.05 | 3 |
| ME | $291.83–$304.98 | 2 |
| MI | $295.11–$309.71 | 2 |
| MN | $308.95 | 1 |
| MO | $284.33–$301.14 | 3 |
| MS | $282.03 | 1 |
| MT | $309.94 | 1 |
| NC | $294.37 | 1 |
| ND | $304.60 | 1 |
| NE | $290.18 | 1 |
| NH | $316.38 | 1 |
| NJ | $332.44–$347.38 | 2 |
| NM | $296.50 | 1 |
| NV | $308.64 | 1 |
| NY | $298.08–$359.95 | 5 |
| OH | $294.02 | 1 |
| OK | $288.26 | 1 |
| OR | $306.55–$329.95 | 2 |
| PA | $294.37–$321.35 | 2 |
| PR | $311.85 | 1 |
| RI | $317.28 | 1 |
| SC | $294.62 | 1 |
| SD | $303.97 | 1 |
| TN | $289.04 | 1 |
| TX | $292.76–$319.84 | 8 |
| UT | $298.00 | 1 |
| VA | $304.18–$350.05 | 2 |
| VI | $311.85 | 1 |
| VT | $303.66 | 1 |
| WA | $319.08–$355.93 | 2 |
| WI | $295.99 | 1 |
| WV | $289.74 | 1 |
| WY | $307.62 | 1 |
Compare 65860 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 $283.04 | Facility $194.78 |
| Alaska* | Office $376.33 | Facility $268.90 |
| Arizona | Office $302.96 | Facility $205.21 |
| Arkansas | Office $279.64 | Facility $192.99 |
| Atlanta | Office $315.07 | Facility $212.58 |
| Austin | Office $319.84 | Facility $213.12 |
| Bakersfield | Office $326.32 | Facility $215.77 |
| Baltimore/Surr. Cntys | Office $327.40 | Facility $219.17 |
| Beaumont | Office $292.76 | Facility $200.96 |
| Brazoria | Office $307.26 | Facility $207.29 |
| Chicago | Office $323.38 | Facility $222.00 |
| Chico | Office $325.43 | Facility $214.88 |
| Colorado | Office $321.17 | Facility $213.84 |
| Connecticut | Office $328.36 | Facility $219.73 |
| Dallas | Office $309.00 | Facility $208.53 |
| Dc + Md/Va Suburbs | Office $350.05 | Facility $231.23 |
| Delaware | Office $307.43 | Facility $207.77 |
| Detroit | Office $309.71 | Facility $212.37 |
| East St. Louis | Office $304.38 | Facility $211.58 |
| El Centro | Office $325.48 | Facility $214.92 |
| Fort Lauderdale | Office $319.64 | Facility $217.46 |
| Fort Worth | Office $307.27 | Facility $207.81 |
| Fresno | Office $325.43 | Facility $214.88 |
| Galveston | Office $308.06 | Facility $207.89 |
| Hanford-Corcoran | Office $325.43 | Facility $214.88 |
| Hawaii, Guam | Office $331.38 | Facility $216.69 |
| Houston | Office $313.00 | Facility $212.83 |
| Idaho | Office $290.48 | Facility $197.68 |
| Indiana | Office $291.89 | Facility $198.38 |
| Iowa | Office $288.88 | Facility $196.58 |
| Kansas | Office $287.82 | Facility $196.63 |
| Kentucky | Office $288.77 | Facility $199.09 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $345.40 | Facility $226.07 |
| Madera | Office $325.43 | Facility $214.88 |
| Manhattan | Office $352.54 | Facility $235.33 |
| Merced | Office $325.43 | Facility $214.88 |
| Metropolitan Boston | Office $349.46 | Facility $229.03 |
| Metropolitan Kansas City | Office $298.53 | Facility $203.81 |
| Metropolitan Philadelphia | Office $321.35 | Facility $216.34 |
| Metropolitan St. Louis | Office $301.14 | Facility $205.12 |
| Miami | Office $331.29 | Facility $226.29 |
| Minnesota | Office $308.95 | Facility $205.15 |
| Mississippi | Office $282.03 | Facility $195.18 |
| Modesto | Office $325.43 | Facility $214.88 |
| Montana** | Office $309.94 | Facility $209.07 |
| Napa | Office $371.41 | Facility $238.47 |
| Nebraska | Office $290.18 | Facility $197.08 |
| Nevada** | Office $308.64 | Facility $207.67 |
| New Hampshire | Office $316.38 | Facility $211.37 |
| New Mexico | Office $296.50 | Facility $204.00 |
| New Orleans | Office $300.33 | Facility $205.41 |
| North Carolina | Office $294.37 | Facility $200.26 |
| North Dakota** | Office $304.60 | Facility $203.73 |
| Northern Nj | Office $347.38 | Facility $230.37 |
| Nyc Suburbs/Long Island | Office $359.95 | Facility $240.02 |
| Ohio | Office $294.02 | Facility $201.93 |
| Oklahoma | Office $288.26 | Facility $198.18 |
| Oxnard-Thousand Oaks-Ventura | Office $343.33 | Facility $224.10 |
| Portland | Office $329.95 | Facility $217.88 |
| Poughkpsie/N Nyc Suburbs | Office $334.60 | Facility $224.15 |
| Puerto Rico | Office $311.85 | Facility $209.87 |
| Queens | Office $354.92 | Facility $235.69 |
| Redding | Office $325.43 | Facility $214.88 |
| Rest Of California | Office $325.43 | Facility $214.88 |
| Rest Of Florida | Office $306.40 | Facility $209.97 |
| Rest Of Georgia | Office $291.82 | Facility $201.84 |
| Rest Of Illinois | Office $299.03 | Facility $206.93 |
| Rest Of Louisiana | Office $288.42 | Facility $199.15 |
| Rest Of Maine | Office $291.83 | Facility $199.03 |
| Rest Of Maryland | Office $312.60 | Facility $210.52 |
| Rest Of Massachusetts | Office $319.75 | Facility $213.54 |
| Rest Of Michigan | Office $295.11 | Facility $203.02 |
| Rest Of Missouri | Office $284.33 | Facility $197.38 |
| Rest Of New Jersey | Office $332.44 | Facility $222.29 |
| Rest Of New York | Office $298.08 | Facility $202.25 |
| Rest Of Oregon | Office $306.55 | Facility $206.08 |
| Rest Of Pennsylvania | Office $294.37 | Facility $201.77 |
| Rest Of Texas | Office $299.70 | Facility $203.97 |
| Rest Of Washington | Office $319.08 | Facility $212.86 |
| Rhode Island | Office $317.28 | Facility $213.08 |
| Riverside-San Bernardino-Ontario | Office $328.41 | Facility $217.85 |
| Sacramento-Roseville-Folsom | Office $339.98 | Facility $222.67 |
| Salinas | Office $338.66 | Facility $221.75 |
| San Diego-Chula Vista-Carlsbad | Office $345.41 | Facility $224.77 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $391.64 | Facility $249.42 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $391.34 | Facility $249.11 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $399.98 | Facility $254.52 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $398.73 | Facility $253.27 |
| San Luis Obispo-Paso Robles | Office $333.34 | Facility $218.45 |
| Santa Cruz-Watsonville | Office $347.80 | Facility $225.24 |
| Santa Maria-Santa Barbara | Office $339.60 | Facility $221.98 |
| Santa Rosa-Petaluma | Office $351.24 | Facility $227.37 |
| Seattle (King Cnty) | Office $355.93 | Facility $232.16 |
| South Carolina | Office $294.62 | Facility $201.42 |
| South Dakota** | Office $303.97 | Facility $203.10 |
| Southern Maine | Office $304.98 | Facility $205.01 |
| Stockton | Office $325.43 | Facility $214.88 |
| Suburban Chicago | Office $322.71 | Facility $219.12 |
| Tennessee | Office $289.04 | Facility $197.35 |
| Utah | Office $298.00 | Facility $203.18 |
| Vallejo | Office $370.97 | Facility $238.02 |
| Vermont | Office $303.66 | Facility $203.80 |
| Virgin Islands | Office $311.85 | Facility $209.87 |
| Virginia | Office $304.18 | Facility $205.02 |
| Visalia | Office $325.43 | Facility $214.88 |
| West Virginia | Office $289.74 | Facility $202.08 |
| Wisconsin | Office $295.99 | Facility $199.36 |
| Wyoming** | Office $307.62 | Facility $206.74 |
| Yuba City | Office $325.43 | Facility $214.88 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
65860 billing questions
How is this code distinguished from 65865?
This code describes laser severing of anterior-segment adhesions. Code 65865 is the surgical-technique counterpart, so choose based on the documented method.
Is this the same as laser trabeculoplasty?
No. This code treats adhesions in the anterior segment; 65855 treats the trabecular meshwork with laser surgery.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code’s global period.
How should bilateral treatment be reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be paid for this service?
Assistant-at-surgery payment is available only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.
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.
7,34965820,,Goniotomy,A,,8.69,12.29,NA,12.29,,0.68,21.66,21.66,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35065850,,Trabeculotomy ab externo,A,,11.11,9.39,NA,9.39,,0.88,21.38,21.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35165855,,Trabeculoplasty laser surg,A,,2.93,4.20,,1.98,,0.22,7.35,5.13,0,010,0.10,0.80,0.10,2,1,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35265860,,Severing ads ant sgm laser,A,,3.50,5.51,,2.49,,0.27,9.28,6.26,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35365865,,Incise inner eye adhesions,A,,5.63,6.32,NA,6.32,,0.44,12.39,12.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35465870,,Incise inner eye adhesions,A,,7.21,7.58,NA,7.58,,0.57,15.36,15.36,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35565875,,Incise inner eye adhesions,A,,7.61,8.20,NA,8.20,,0.60,16.41,16.41,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00