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Billing code 65875: Eye adhesiolysisMedicare rate & RVUs

An ophthalmic surgeon mechanically releases extensive adhesions within the eye’s anterior segment, excluding synechiae, when the operative work meets this service’s scope.

CMS RVU26DEffective Oct 1, 2026109 payment localities924 Medicare services in 2024

Medicare pays $548.11 for 65875 nationally in a facility.

Medicare rate · 65875

Eye adhesiolysis

Work RVUs
7.61
Total RVUs
16.41
Global days
090

National rate · 2026

$548.11

Facility setting, before claim adjustments.

See every locality for 65875 →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 65875 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 65875 covers

This service involves surgically cutting extensive adhesions within the eye’s anterior segment, excluding synechiae. Adhesions may involve structures such as the iris, cornea, or lens. An ophthalmologist typically performs the procedure in an operating room when adhesions require mechanical release; the operative report should identify the affected structures and describe the extent and technique. This code distinguishes extensive mechanical treatment from less extensive work and laser treatment in the related anterior-segment adhesiolysis codes.

Report the code when the documented procedure supports extensive mechanical adhesiolysis, rather than a different method or extent. Medicare 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 50% reduction. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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 65875 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

65875 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$505.18
Alaska*Unavailable$684.00
ArizonaUnavailable$536.73
ArkansasUnavailable$499.77
AtlantaUnavailable$557.28
AustinUnavailable$562.22
BakersfieldUnavailable$571.40
Baltimore/Surr. CntysUnavailable$576.92
BeaumontUnavailable$522.04
BrazoriaUnavailable$543.27

65875 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
65875 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 65875 rate is calculated

Each of 65875’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 · 65875

RVUs × geographic indexes × conversion factor

Work7.61

7.61 RVUs× 1.000 GPCI

Practice expense8.20

8.20 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

16.4100

Conversion factor

$33.4009

Medicare rate

$548.11

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

Payment rules and modifiers for 65875

65875 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65875

Eye adhesiolysis

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)1Permitted with supporting documentation.
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 · 65875

Eye adhesiolysis

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

65875 without 50 · national facility

$548.11

Eye adhesiolysis

65875-50 · Bilateral: 150%

$822.17

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

65875 compared with similar codes

Compare codes · National

4 codes, side by side

  • 65875

    Eye adhesiolysis7.61 wRVU

    Not priced

  • 65865

    Eye adhesion lysis5.63 wRVU

    Not priced

  • 65870

    Synechiolysis7.21 wRVU

    Not priced

  • 65880

    Adhesion lysis8.15 wRVU

    Not priced

How to choose

65865Eye adhesion lysis
Both involve mechanical adhesiolysis in the anterior segment. Use 65875 when the documented work is extensive; 65865 represents less extensive work.
65870Synechiolysis
65870 uses laser treatment for anterior-segment adhesions, whereas 65875 represents extensive mechanical release.
65880Adhesion lysis
Both represent extensive anterior-segment adhesiolysis; 65880 is the laser approach, while 65875 is the mechanical approach.

Codes related to 65875

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

Codes related to 65875
CodeHow it relatesNational office range
Same family
65865Eye adhesion lysisMechanical anterior-segment adhesiolysis for work that is not extensive.No office rate
65870SynechiolysisLaser treatment of anterior-segment adhesions when the documented extent is not extensive.No office rate
65880Adhesion lysisLaser treatment of extensive anterior-segment adhesions.No office rate
65860Laser adhesion releaseLaser procedure for severing adhesions in the anterior segment.$279.64–$399.98

65875 billing questions

How does this code differ from 65865?

Both describe mechanical release of anterior-segment adhesions, but 65875 is for extensive work. The operative report should support the greater extent of adhesiolysis.

When would 65870 or 65880 be considered instead?

Those related codes describe laser treatment rather than the mechanical release reported with 65875. The documented method and extent guide selection.

Can 65865 and 65875 both be reported for the same adhesiolysis?

Do not report both for the same work merely to represent its extent. Report the code that matches the documented procedure.

What documentation supports reporting 65875?

Document the adhesions’ location and extent, the structures involved, and the mechanical technique used. The record should support extensive treatment and distinguish the work from synechiae treatment.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment handled?

When the procedure is performed bilaterally and reported with modifier 50, Medicare 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 65875PPRRVU2026_Oct_nonQPP.csv, line 7,355 (RVU26D)

Open CMS sourceHow we calculate rates

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