$124.09
65800 describes an anterior chamber paracentesis. Choose 65930 when the operative service removes a clot rather than performing a chamber tap.
On this page
CMS RVU26D · Effective 2026-10-01
65930 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$560.57
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.
Ophthalmic surgery
About 65930: Anterior segment blood clot removal
Reports surgical removal of a blood clot from the eye’s anterior segment, such as an organized clot associated with hyphema.
An ophthalmologist reports this service when surgically removing a blood clot from the anterior segment of the eye. A typical clinical context is a persistent or organized hyphema after trauma; the documented target is the clot in the front portion of the eye, not blood in the vitreous cavity. The procedure is generally performed in an operating room or other surgical setting when the clot requires operative removal rather than simple observation or a fluid tap.
Select this code based on the documented location and removal of the clot. The operative report should identify the anterior-segment clot and describe its removal and clinical rationale. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 identifies bilateral performance and is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 65930
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.18 · 50%
- Practice expense (office) RVU7.58 · 46%
- Malpractice RVU0.64 · 4%
461
Medicare services in 2024 · #3633 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.
65930 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
65900 concerns removal of an eye lesion; 65930 is selected for removal of a blood clot from the anterior segment.
No office rate
65920 concerns removal of implanted material from the eye. It is not the clot-removal code.
No office rate
67010 addresses vitreous removal by an anterior approach. Use 65930 for a clot in the anterior segment, not blood or material in the vitreous cavity.
The same code, a different location
How does Austin compare?
65930 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 65930
Office
Unavailable
Facility
$532.79
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 65930
Office
Unavailable
Facility
$598.13
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65930
Office
Unavailable
Facility
$610.01
No comparable office rate is available.
Miami
Florida · 65930
Office
Unavailable
Facility
$590.84
No comparable office rate is available.
Chicago
Illinois · 65930
Office
Unavailable
Facility
$578.64
No comparable office rate is available.
Manhattan
New York · 65930
Office
Unavailable
Facility
$618.80
No comparable office rate is available.
Alaska*
Alaska · 65930
Office
Unavailable
Facility
$691.24
No comparable office rate is available.
Alabama
Alabama · 65930
Office
Unavailable
Facility
$506.85
No comparable office rate is available.
Arkansas
Arkansas · 65930
Office
Unavailable
Facility
$501.71
No comparable office rate is available.
Arizona
Arizona · 65930
Office
Unavailable
Facility
$536.85
No comparable office rate is available.
Bakersfield
California · 65930
Office
Unavailable
Facility
$568.91
No comparable office rate is available.
Chico
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
El Centro
California · 65930
Office
Unavailable
Facility
$566.91
No comparable office rate is available.
Fresno
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Hanford-Corcoran
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Madera
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Merced
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Modesto
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Napa
California · 65930
Office
Unavailable
Facility
$634.98
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65930
Office
Unavailable
Facility
$593.44
No comparable office rate is available.
Redding
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Rest Of California
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65930
Office
Unavailable
Facility
$573.86
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65930
Office
Unavailable
Facility
$588.96
No comparable office rate is available.
Salinas
California · 65930
Office
Unavailable
Facility
$586.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65930
Office
Unavailable
Facility
$595.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65930
Office
Unavailable
Facility
$665.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65930
Office
Unavailable
Facility
$665.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65930
Office
Unavailable
Facility
$679.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65930
Office
Unavailable
Facility
$676.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65930
Office
Unavailable
Facility
$577.69
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65930
Office
Unavailable
Facility
$598.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65930
Office
Unavailable
Facility
$587.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65930
Office
Unavailable
Facility
$603.78
No comparable office rate is available.
Stockton
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Vallejo
California · 65930
Office
Unavailable
Facility
$633.93
No comparable office rate is available.
Visalia
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Yuba City
California · 65930
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Colorado
Colorado · 65930
Office
Unavailable
Facility
$562.58
No comparable office rate is available.
Connecticut
Connecticut · 65930
Office
Unavailable
Facility
$577.22
No comparable office rate is available.
Delaware
Delaware · 65930
Office
Unavailable
Facility
$543.94
No comparable office rate is available.
Fort Lauderdale
Florida · 65930
Office
Unavailable
Facility
$568.34
No comparable office rate is available.
Rest Of Florida
Florida · 65930
Office
Unavailable
Facility
$547.39
No comparable office rate is available.
Atlanta
Georgia · 65930
Office
Unavailable
Facility
$556.94
No comparable office rate is available.
Rest Of Georgia
Georgia · 65930
Office
Unavailable
Facility
$524.54
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65930
Office
Unavailable
Facility
$573.46
No comparable office rate is available.
Iowa
Iowa · 65930
Office
Unavailable
Facility
$513.36
No comparable office rate is available.
Idaho
Idaho · 65930
Office
Unavailable
Facility
$516.25
No comparable office rate is available.
East St. Louis
Illinois · 65930
Office
Unavailable
Facility
$549.20
No comparable office rate is available.
Rest Of Illinois
Illinois · 65930
Office
Unavailable
Facility
$537.78
No comparable office rate is available.
Suburban Chicago
Illinois · 65930
Office
Unavailable
Facility
$573.03
No comparable office rate is available.
Indiana
Indiana · 65930
Office
Unavailable
Facility
$518.31
No comparable office rate is available.
Kansas
Kansas · 65930
Office
Unavailable
Facility
$512.87
No comparable office rate is available.
Kentucky
Kentucky · 65930
Office
Unavailable
Facility
$517.85
No comparable office rate is available.
New Orleans
Louisiana · 65930
Office
Unavailable
Facility
$535.74
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65930
Office
Unavailable
Facility
$517.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65930
Office
Unavailable
Facility
$605.74
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65930
Office
Unavailable
Facility
$561.23
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65930
Office
Unavailable
Facility
$575.69
No comparable office rate is available.
Rest Of Maryland
Maryland · 65930
Office
Unavailable
Facility
$551.79
No comparable office rate is available.
Rest Of Maine
Maine · 65930
Office
Unavailable
Facility
$519.44
No comparable office rate is available.
Southern Maine
Maine · 65930
Office
Unavailable
Facility
$537.61
No comparable office rate is available.
Detroit
Michigan · 65930
Office
Unavailable
Facility
$553.58
No comparable office rate is available.
Rest Of Michigan
Michigan · 65930
Office
Unavailable
Facility
$528.51
No comparable office rate is available.
Minnesota
Minnesota · 65930
Office
Unavailable
Facility
$540.07
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65930
Office
Unavailable
Facility
$531.84
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65930
Office
Unavailable
Facility
$535.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 65930
Office
Unavailable
Facility
$512.28
No comparable office rate is available.
Mississippi
Mississippi · 65930
Office
Unavailable
Facility
$507.00
No comparable office rate is available.
Montana**
Montana · 65930
Office
Unavailable
Facility
$547.73
No comparable office rate is available.
North Carolina
North Carolina · 65930
Office
Unavailable
Facility
$523.09
No comparable office rate is available.
North Dakota**
North Dakota · 65930
Office
Unavailable
Facility
$535.08
No comparable office rate is available.
Nebraska
Nebraska · 65930
Office
Unavailable
Facility
$514.98
No comparable office rate is available.
New Hampshire
New Hampshire · 65930
Office
Unavailable
Facility
$555.48
No comparable office rate is available.
Northern Nj
New Jersey · 65930
Office
Unavailable
Facility
$606.95
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65930
Office
Unavailable
Facility
$584.07
No comparable office rate is available.
New Mexico
New Mexico · 65930
Office
Unavailable
Facility
$531.06
No comparable office rate is available.
Nevada**
Nevada · 65930
Office
Unavailable
Facility
$544.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65930
Office
Unavailable
Facility
$631.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65930
Office
Unavailable
Facility
$588.61
No comparable office rate is available.
Queens
New York · 65930
Office
Unavailable
Facility
$620.79
No comparable office rate is available.
Rest Of New York
New York · 65930
Office
Unavailable
Facility
$528.77
No comparable office rate is available.
Ohio
Ohio · 65930
Office
Unavailable
Facility
$525.92
No comparable office rate is available.
Oklahoma
Oklahoma · 65930
Office
Unavailable
Facility
$515.92
No comparable office rate is available.
Portland
Oregon · 65930
Office
Unavailable
Facility
$574.78
No comparable office rate is available.
Rest Of Oregon
Oregon · 65930
Office
Unavailable
Facility
$540.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65930
Office
Unavailable
Facility
$567.20
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65930
Office
Unavailable
Facility
$525.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65930
Office
Unavailable
Facility
$550.24
No comparable office rate is available.
Rhode Island
Rhode Island · 65930
Office
Unavailable
Facility
$559.01
No comparable office rate is available.
South Carolina
South Carolina · 65930
Office
Unavailable
Facility
$525.33
No comparable office rate is available.
South Dakota**
South Dakota · 65930
Office
Unavailable
Facility
$533.58
No comparable office rate is available.
Tennessee
Tennessee · 65930
Office
Unavailable
Facility
$514.84
No comparable office rate is available.
Utah
Utah · 65930
Office
Unavailable
Facility
$530.40
No comparable office rate is available.
Virginia
Virginia · 65930
Office
Unavailable
Facility
$537.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65930
Office
Unavailable
Facility
$550.24
No comparable office rate is available.
Vermont
Vermont · 65930
Office
Unavailable
Facility
$534.68
No comparable office rate is available.
Rest Of Washington
Washington · 65930
Office
Unavailable
Facility
$559.64
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65930
Office
Unavailable
Facility
$615.00
No comparable office rate is available.
Wisconsin
Wisconsin · 65930
Office
Unavailable
Facility
$522.35
No comparable office rate is available.
West Virginia
West Virginia · 65930
Office
Unavailable
Facility
$523.82
No comparable office rate is available.
Wyoming**
Wyoming · 65930
Office
Unavailable
Facility
$542.22
No comparable office rate is available.
See how rates vary across the country
65930 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
- 65930 in Austin
Multiple payment areas
- 65930 in Barton Creek
- 65930 in Bee Cave
- 65930 in Briarcliff
- 65930 in Cedar Park
Multiple payment areas
- 65930 in Creedmoor
Multiple payment areas
- 65930 in Elgin
Multiple payment areas
- 65930 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 65930 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$616.63
$560.57 × 110% = $616.63
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.
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 65930 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,359
- Code
- 65930
- Physician work
- 8.18
- Practice expense
- 7.58
- Malpractice
- 0.64
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.18 | × 1.002 | 8.1964 |
| Practice expense | 7.58 | × 1.058 | 8.0196 |
| Malpractice | 0.64 | × 0.886 | 0.5670 |
| Total RVUs | 16.7830 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$560.57
Open 65930 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.18 | 1.002 |
| Practice expense | 7.58 | 1.058 |
| Malpractice | 0.64 | 0.886 |
(8.18 × 1.002 + 7.58 × 1.058 + 0.64 × 0.886) × $33.4009 = $560.57
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
65930 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $560.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $560.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $560.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $560.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $627.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $627.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $627.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $627.98 | RVU25A |
65930 billing questions
When should 65930 be selected instead of an anterior chamber paracentesis?
Use 65930 when the documented service is surgical removal of a blood clot from the anterior segment. A paracentesis describes an anterior chamber tap or fluid removal, not clot extraction.
Does this code describe removal of vitreous blood?
No. The target for 65930 is a clot in the anterior segment; blood in the vitreous cavity involves a different anatomical site and procedure.
What documentation supports reporting 65930?
Document the clot’s anterior-segment location, the operative removal performed, and the clinical reason for intervention, such as a persistent or organized hyphema.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are bilateral procedures and multiple procedures handled?
Modifier 50 identifies bilateral performance and is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only with supporting documentation; team surgery is 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.
7,35665880,,Incise inner eye adhesions,A,,8.15,8.38,NA,8.38,,0.64,17.17,17.17,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35765900,,Remove eye lesion,A,,12.20,12.25,NA,12.25,,0.99,25.44,25.44,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35865920,,Remove implant of eye,A,,9.74,9.86,NA,9.86,,0.79,20.39,20.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35965930,,Remove blood clot from eye,A,,8.18,7.58,NA,7.58,,0.64,16.40,16.40,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36066020,,Injection treatment of eye,A,,1.60,4.16,,1.68,,0.13,5.89,3.41,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36166030,,Injection treatment of eye,A,,1.27,3.93,,1.56,,0.09,5.29,2.92,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36266130,,Remove eye lesion,A,,7.63,12.90,,6.02,,0.62,21.15,14.27,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858