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CMS RVU26D · Effective 2026-10-01

65435 in Austin

Office / nonfacility

$86.26

Base rate per service

Facility setting

$61.88

Base rate per service

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.

Ophthalmology

About 65435: Corneal epithelial debridement

Reports therapeutic removal of corneal epithelium, commonly for recurrent corneal erosion, with chemical cauterization optional.

An ophthalmologist removes the corneal surface epithelium to help treat a condition such as recurrent corneal erosion; chemical cauterization may also be performed. The service is typically done in an eye-care setting, including an office or facility. It is therapeutic treatment of the corneal surface, not collection of a specimen for diagnostic testing or excision of a separate corneal lesion.

Report the service when the documented treatment consists of epithelial removal, with or without chemical cauterization. If the procedure also includes scraping of Bowman’s membrane, distinguish the service from the related code 65436. Documentation should identify the treated eye, the clinical indication, and the work performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 65435

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.90 · 36%
  • Practice expense (office) RVU1.53 · 61%
  • Malpractice RVU0.07 · 3%

8.2K

Medicare services in 2024 · #1580 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.

65435 compared with similar codes

Office rates for Austin, from the same CMS release.

65436

Corneal treatment

Chemical treatment for recurrent erosion

$403.90

Choose 65435 for epithelial removal with or without chemical cauterization. Choose 65436 when the documented procedure also includes scraping of Bowman’s membrane.

65430

Corneal scraping

Diagnostic smear or culture

$118.96

65430 is diagnostic scraping to collect corneal material for smear or culture; 65435 is therapeutic removal of the epithelium.

65410

Corneal biopsy

Tissue sampling

$149.00

65410 represents corneal biopsy for diagnostic tissue sampling. 65435 treats the corneal surface by removing epithelium.

65400

Corneal excision

Superficial lesion, not pterygium

$721.80

65400 is for excision of a corneal lesion. Use 65435 when the documented treatment is epithelial removal, not excision of a separate lesion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 65435 is $78.74—$7.52 lower than the $86.26 rate in Austin. Both use the same code, release and participation basis.

65435 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $86.26

  2. Beaumont

    $78.74

    $7.52 lower than Austin

  3. Brazoria

    $82.77

    $3.49 lower than Austin

  4. Dallas

    $83.24

    $3.02 lower than Austin

  5. Fort Worth

    $82.76

    $3.50 lower than Austin

  6. Galveston

    $82.98

    $3.28 lower than Austin

  7. Houston

    $84.26

    $2.00 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 65435 ranges from $75.16 in Arkansas to $108.31 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 65435

    Office

    $80.67

    Facility

    $58.80

    $5.59 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 65435

    Office

    $93.30

    Facility

    $66.04

    $7.04 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65435

    Office

    $94.49

    Facility

    $67.34

    $8.23 higher than Austin for the office setting.

  • Miami

    Florida · 65435

    Office

    $89.17

    Facility

    $65.18

    $2.91 higher than Austin for the office setting.

  • Chicago

    Illinois · 65435

    Office

    $87.00

    Facility

    $63.83

    $0.74 higher than Austin for the office setting.

  • Manhattan

    New York · 65435

    Office

    $95.07

    Facility

    $68.29

    $8.81 higher than Austin for the office setting.

  • Alaska*

    Alaska · 65435

    Office

    $100.80

    Facility

    $76.26

    $14.54 higher than Austin for the office setting.

  • Alabama

    Alabama · 65435

    Office

    $76.10

    Facility

    $55.93

    $10.16 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 65435

    Office

    $75.16

    Facility

    $55.37

    $11.10 lower than Austin for the office setting.

  • Arizona

    Arizona · 65435

    Office

    $81.58

    Facility

    $59.25

    $4.68 lower than Austin for the office setting.

  • Bakersfield

    California · 65435

    Office

    $88.07

    Facility

    $62.81

    $1.81 higher than Austin for the office setting.

  • Chico

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • El Centro

    California · 65435

    Office

    $87.85

    Facility

    $62.59

    $1.59 higher than Austin for the office setting.

  • Fresno

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Madera

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Merced

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Modesto

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Napa

    California · 65435

    Office

    $100.50

    Facility

    $70.12

    $14.24 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65435

    Office

    $92.76

    Facility

    $65.52

    $6.50 higher than Austin for the office setting.

  • Redding

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Rest Of California

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65435

    Office

    $88.61

    Facility

    $63.35

    $2.35 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65435

    Office

    $91.83

    Facility

    $65.03

    $5.57 higher than Austin for the office setting.

  • Salinas

    California · 65435

    Office

    $91.47

    Facility

    $64.76

    $5.21 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65435

    Office

    $93.35

    Facility

    $65.79

    $7.09 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65435

    Office

    $106.05

    Facility

    $73.55

    $19.79 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 65435

    Office

    $105.97

    Facility

    $73.47

    $19.71 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 65435

    Office

    $108.31

    Facility

    $75.08

    $22.05 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 65435

    Office

    $107.99

    Facility

    $74.75

    $21.73 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65435

    Office

    $90.03

    Facility

    $63.78

    $3.77 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 65435

    Office

    $94.04

    Facility

    $66.03

    $7.78 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 65435

    Office

    $91.74

    Facility

    $64.87

    $5.48 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 65435

    Office

    $94.97

    Facility

    $66.67

    $8.71 higher than Austin for the office setting.

  • Stockton

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Vallejo

    California · 65435

    Office

    $100.38

    Facility

    $70.01

    $14.12 higher than Austin for the office setting.

  • Visalia

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Yuba City

    California · 65435

    Office

    $87.83

    Facility

    $62.58

    $1.57 higher than Austin for the office setting.

  • Colorado

    Colorado · 65435

    Office

    $86.62

    Facility

    $62.10

    $0.36 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 65435

    Office

    $88.53

    Facility

    $63.71

    $2.27 higher than Austin for the office setting.

  • Delaware

    Delaware · 65435

    Office

    $82.80

    Facility

    $60.03

    $3.46 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 65435

    Office

    $86.06

    Facility

    $62.71

    $0.20 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 65435

    Office

    $82.43

    Facility

    $60.40

    $3.83 lower than Austin for the office setting.

  • Atlanta

    Georgia · 65435

    Office

    $84.88

    Facility

    $61.46

    $1.38 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 65435

    Office

    $78.43

    Facility

    $57.87

    $7.83 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 65435

    Office

    $89.52

    Facility

    $63.32

    $3.26 higher than Austin for the office setting.

  • Iowa

    Iowa · 65435

    Office

    $77.75

    Facility

    $56.66

    $8.51 lower than Austin for the office setting.

  • Idaho

    Idaho · 65435

    Office

    $78.18

    Facility

    $56.98

    $8.08 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 65435

    Office

    $81.78

    Facility

    $60.58

    $4.48 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 65435

    Office

    $80.37

    Facility

    $59.33

    $5.89 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 65435

    Office

    $86.90

    Facility

    $63.23

    $0.64 higher than Austin for the office setting.

  • Indiana

    Indiana · 65435

    Office

    $78.57

    Facility

    $57.21

    $7.69 lower than Austin for the office setting.

  • Kansas

    Kansas · 65435

    Office

    $77.44

    Facility

    $56.60

    $8.82 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 65435

    Office

    $77.63

    Facility

    $57.14

    $8.63 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 65435

    Office

    $80.81

    Facility

    $59.12

    $5.45 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 65435

    Office

    $77.53

    Facility

    $57.13

    $8.73 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 65435

    Office

    $94.39

    Facility

    $66.87

    $8.13 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65435

    Office

    $86.22

    Facility

    $61.95

    $0.04 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65435

    Office

    $88.27

    Facility

    $63.54

    $2.01 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 65435

    Office

    $84.22

    Facility

    $60.90

    $2.04 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 65435

    Office

    $78.53

    Facility

    $57.33

    $7.73 lower than Austin for the office setting.

  • Southern Maine

    Maine · 65435

    Office

    $82.18

    Facility

    $59.34

    $4.08 lower than Austin for the office setting.

  • Detroit

    Michigan · 65435

    Office

    $83.32

    Facility

    $61.08

    $2.94 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 65435

    Office

    $79.36

    Facility

    $58.32

    $6.90 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 65435

    Office

    $83.34

    Facility

    $59.62

    $2.92 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 65435

    Office

    $80.33

    Facility

    $58.69

    $5.93 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 65435

    Office

    $81.05

    Facility

    $59.11

    $5.21 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 65435

    Office

    $76.39

    Facility

    $56.52

    $9.87 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 65435

    Office

    $75.79

    Facility

    $55.95

    $10.47 lower than Austin for the office setting.

  • Montana**

    Montana · 65435

    Office

    $83.50

    Facility

    $60.45

    $2.76 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 65435

    Office

    $79.23

    Facility

    $57.73

    $7.03 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 65435

    Office

    $82.11

    Facility

    $59.07

    $4.15 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 65435

    Office

    $78.11

    Facility

    $56.84

    $8.15 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 65435

    Office

    $85.31

    Facility

    $61.31

    $0.95 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 65435

    Office

    $93.73

    Facility

    $67.00

    $7.47 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 65435

    Office

    $89.63

    Facility

    $64.47

    $3.37 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 65435

    Office

    $79.73

    Facility

    $58.60

    $6.53 lower than Austin for the office setting.

  • Nevada**

    Nevada · 65435

    Office

    $83.16

    Facility

    $60.09

    $3.10 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65435

    Office

    $97.09

    Facility

    $69.69

    $10.83 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65435

    Office

    $90.20

    Facility

    $64.96

    $3.94 higher than Austin for the office setting.

  • Queens

    New York · 65435

    Office

    $95.76

    Facility

    $68.52

    $9.50 higher than Austin for the office setting.

  • Rest Of New York

    New York · 65435

    Office

    $80.25

    Facility

    $58.36

    $6.01 lower than Austin for the office setting.

  • Ohio

    Ohio · 65435

    Office

    $79.07

    Facility

    $58.03

    $7.19 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 65435

    Office

    $77.51

    Facility

    $56.93

    $8.75 lower than Austin for the office setting.

  • Portland

    Oregon · 65435

    Office

    $89.06

    Facility

    $63.45

    $2.80 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 65435

    Office

    $82.60

    Facility

    $59.65

    $3.66 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65435

    Office

    $86.59

    Facility

    $62.60

    $0.33 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65435

    Office

    $79.18

    Facility

    $58.03

    $7.08 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 65435

    Office

    $84.03

    Facility

    $60.73

    $2.23 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 65435

    Office

    $85.51

    Facility

    $61.70

    $0.75 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 65435

    Office

    $79.27

    Facility

    $57.97

    $6.99 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 65435

    Office

    $81.95

    Facility

    $58.90

    $4.31 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 65435

    Office

    $77.77

    Facility

    $56.82

    $8.49 lower than Austin for the office setting.

  • Utah

    Utah · 65435

    Office

    $80.20

    Facility

    $58.53

    $6.06 lower than Austin for the office setting.

  • Virginia

    Virginia · 65435

    Office

    $81.95

    Facility

    $59.29

    $4.31 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65435

    Office

    $84.03

    Facility

    $60.73

    $2.23 lower than Austin for the office setting.

  • Vermont

    Vermont · 65435

    Office

    $81.84

    Facility

    $59.02

    $4.42 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 65435

    Office

    $86.04

    Facility

    $61.77

    $0.22 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 65435

    Office

    $96.18

    Facility

    $67.90

    $9.92 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 65435

    Office

    $79.74

    Facility

    $57.66

    $6.52 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 65435

    Office

    $77.82

    Facility

    $57.79

    $8.44 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 65435

    Office

    $82.89

    Facility

    $59.85

    $3.37 lower than Austin for the office setting.

See how rates vary across the country

65435 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$75.16

$100.80

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$100.801
AL$76.101
AR$75.161
AZ$81.581
CA$87.83–$108.3129
CO$86.621
CT$88.531
DC$94.491
DE$82.801
FL$82.43–$89.173
GA$78.43–$84.882
GU$89.521
HI$89.521
IA$77.751
ID$78.181
IL$80.37–$87.004
IN$78.571
KS$77.441
KY$77.631
LA$77.53–$80.812
MA$86.22–$94.392
MD$84.22–$94.493
ME$78.53–$82.182
MI$79.36–$83.322
MN$83.341
MO$76.39–$81.053
MS$75.791
MT$83.501
NC$79.231
ND$82.111
NE$78.111
NH$85.311
NJ$89.63–$93.732
NM$79.731
NV$83.161
NY$80.25–$97.095
OH$79.071
OK$77.511
OR$82.60–$89.062
PA$79.18–$86.592
PR$84.031
RI$85.511
SC$79.271
SD$81.951
TN$77.771
TX$78.74–$86.268
UT$80.201
VA$81.95–$94.492
VI$84.031
VT$81.841
WA$86.04–$96.182
WI$79.741
WV$77.821
WY$82.891

Explore 65435 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 65435 in Austin, the physician’s office rate is $86.26 and the facility-setting rate is $61.88: a difference of $24.38.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 65435 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$94.89

$86.26 × 110% = $94.89

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 65435 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,323

Code
65435
Physician work
0.90
Practice expense
1.53
Malpractice
0.07

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 65435 in Austin
ComponentRVULocality factorAdjusted
Physician work0.90× 1.0020.9018
Practice expense1.53× 1.0581.6187
Malpractice0.07× 0.8860.0620
Total RVUs2.5826
Conversion factor× 33.4009

Office / nonfacility rate, Austin$86.26

Open 65435 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.91.002
Practice expense1.531.058
Malpractice0.070.886

(0.9 × 1.002 + 1.53 × 1.058 + 0.07 × 0.886) × $33.4009 = $86.26

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.91.002
Practice expense0.841.058
Malpractice0.070.886

(0.9 × 1.002 + 0.84 × 1.058 + 0.07 × 0.886) × $33.4009 = $61.88

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

65435 · Office / nonfacility

$86.26

Effective 2026-10-01

The base rate is $4.99 higher than on 2025-10-01, moving from $81.27 to $86.26 (6.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $81.27changed to$86.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.92 changed to 0.90
    • Practice expense RVU 1.47 changed to 1.53
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $81.27

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$86.26$61.88RVU26D
2026-07-01$86.26$61.88RVU26C
2026-04-01$86.26$61.88RVU26B
2026-01-01$86.26$61.88RVU26A
2025-10-01$81.27$68.41RVU25D
2025-07-01$81.27$68.41RVU25C
2025-04-01$81.27$68.41RVU25B
2025-01-01$81.27$68.41RVU25A

65435 billing questions

When should 65435 be chosen over 65436?

Use 65435 for therapeutic corneal epithelial removal, with or without chemical cauterization. Code 65436 is the related choice when the procedure also includes scraping of Bowman’s membrane.

Is 65435 used for a diagnostic corneal scraping?

No. Code 65435 describes therapeutic epithelial removal. Code 65430 is used for corneal scraping to obtain material for smear or culture.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

How is bilateral treatment reported?

Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.

How does payment work when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50% under the standard multiple procedure reduction.

Can an assistant, co-surgeon, or surgical team be reported?

Assistant-at-surgery payment is restricted for this service. 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 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.

RVUs for 65435PPRRVU2026_Oct_nonQPP.csv, line 7,323 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet