No office rate
Both address perforating corneal or scleral wounds. Report 65285 when uveal tissue is repositioned or resected; 65280 describes a wound without uveal tissue involvement.
On this page
CMS RVU26D · Effective 2026-10-01
65285 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$956.26
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 65285: Perforating corneoscleral laceration repair with uveal tissue
Repair a full-thickness corneal or scleral wound when uveal tissue must be repositioned or resected, typically after a penetrating eye injury.
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.
CMS billing rules for 65285
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.98 · 54%
- Practice expense (office) RVU11.63 · 42%
- Malpractice RVU1.21 · 4%
673
Medicare services in 2024 · #3294 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.
65285 compared with similar codes
Office rates for Chico, from the same CMS release.
$622.43
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.
No office rate
65273 addresses a nonperforating corneal laceration. A full-thickness corneal or scleral wound with uveal tissue management supports 65285.
The same code, a different location
How does Chico compare?
65285 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Modesto
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Napa
California · 65285
Office
Unavailable
Facility
$1064.38
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65285
Office
Unavailable
Facility
$998.68
No comparable office rate is available.
Redding
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Rest Of California
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65285
Office
Unavailable
Facility
$969.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65285
Office
Unavailable
Facility
$991.79
No comparable office rate is available.
Salinas
California · 65285
Office
Unavailable
Facility
$987.74
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65285
Office
Unavailable
Facility
$1001.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65285
Office
Unavailable
Facility
$1114.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65285
Office
Unavailable
Facility
$1112.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65285
Office
Unavailable
Facility
$1137.19
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65285
Office
Unavailable
Facility
$1131.58
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65285
Office
Unavailable
Facility
$972.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65285
Office
Unavailable
Facility
$1004.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65285
Office
Unavailable
Facility
$988.95
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65285
Office
Unavailable
Facility
$1014.04
No comparable office rate is available.
Stockton
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Vallejo
California · 65285
Office
Unavailable
Facility
$1062.40
No comparable office rate is available.
Visalia
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Yuba City
California · 65285
Office
Unavailable
Facility
$956.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65285
Office
Unavailable
Facility
$1029.94
No comparable office rate is available.
Miami
Florida · 65285
Office
Unavailable
Facility
$1006.93
No comparable office rate is available.
Chicago
Illinois · 65285
Office
Unavailable
Facility
$987.00
No comparable office rate is available.
Manhattan
New York · 65285
Office
Unavailable
Facility
$1047.85
No comparable office rate is available.
Alaska*
Alaska · 65285
Office
Unavailable
Facility
$1186.49
No comparable office rate is available.
Alabama
Alabama · 65285
Office
Unavailable
Facility
$863.12
No comparable office rate is available.
Arkansas
Arkansas · 65285
Office
Unavailable
Facility
$854.84
No comparable office rate is available.
Arizona
Arizona · 65285
Office
Unavailable
Facility
$911.35
No comparable office rate is available.
Colorado
Colorado · 65285
Office
Unavailable
Facility
$951.23
No comparable office rate is available.
Connecticut
Connecticut · 65285
Office
Unavailable
Facility
$977.62
No comparable office rate is available.
Delaware
Delaware · 65285
Office
Unavailable
Facility
$922.97
No comparable office rate is available.
Fort Lauderdale
Florida · 65285
Office
Unavailable
Facility
$966.92
No comparable office rate is available.
Rest Of Florida
Florida · 65285
Office
Unavailable
Facility
$932.45
No comparable office rate is available.
Atlanta
Georgia · 65285
Office
Unavailable
Facility
$945.05
No comparable office rate is available.
Rest Of Georgia
Georgia · 65285
Office
Unavailable
Facility
$895.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65285
Office
Unavailable
Facility
$965.42
No comparable office rate is available.
Iowa
Iowa · 65285
Office
Unavailable
Facility
$871.82
No comparable office rate is available.
Idaho
Idaho · 65285
Office
Unavailable
Facility
$876.84
No comparable office rate is available.
East St. Louis
Illinois · 65285
Office
Unavailable
Facility
$939.12
No comparable office rate is available.
Rest Of Illinois
Illinois · 65285
Office
Unavailable
Facility
$918.17
No comparable office rate is available.
Suburban Chicago
Illinois · 65285
Office
Unavailable
Facility
$974.40
No comparable office rate is available.
Indiana
Indiana · 65285
Office
Unavailable
Facility
$880.08
No comparable office rate is available.
Kansas
Kansas · 65285
Office
Unavailable
Facility
$871.88
No comparable office rate is available.
Kentucky
Kentucky · 65285
Office
Unavailable
Facility
$882.66
No comparable office rate is available.
New Orleans
Louisiana · 65285
Office
Unavailable
Facility
$911.79
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65285
Office
Unavailable
Facility
$882.84
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65285
Office
Unavailable
Facility
$1020.64
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65285
Office
Unavailable
Facility
$949.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65285
Office
Unavailable
Facility
$975.15
No comparable office rate is available.
Rest Of Maryland
Maryland · 65285
Office
Unavailable
Facility
$935.56
No comparable office rate is available.
Rest Of Maine
Maine · 65285
Office
Unavailable
Facility
$882.86
No comparable office rate is available.
Southern Maine
Maine · 65285
Office
Unavailable
Facility
$910.80
No comparable office rate is available.
Detroit
Michigan · 65285
Office
Unavailable
Facility
$943.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 65285
Office
Unavailable
Facility
$900.63
No comparable office rate is available.
Minnesota
Minnesota · 65285
Office
Unavailable
Facility
$912.03
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65285
Office
Unavailable
Facility
$904.59
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65285
Office
Unavailable
Facility
$910.65
No comparable office rate is available.
Rest Of Missouri
Missouri · 65285
Office
Unavailable
Facility
$874.56
No comparable office rate is available.
Mississippi
Mississippi · 65285
Office
Unavailable
Facility
$864.67
No comparable office rate is available.
Montana**
Montana · 65285
Office
Unavailable
Facility
$929.13
No comparable office rate is available.
North Carolina
North Carolina · 65285
Office
Unavailable
Facility
$888.60
No comparable office rate is available.
North Dakota**
North Dakota · 65285
Office
Unavailable
Facility
$905.21
No comparable office rate is available.
Nebraska
Nebraska · 65285
Office
Unavailable
Facility
$874.16
No comparable office rate is available.
New Hampshire
New Hampshire · 65285
Office
Unavailable
Facility
$940.09
No comparable office rate is available.
Northern Nj
New Jersey · 65285
Office
Unavailable
Facility
$1025.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65285
Office
Unavailable
Facility
$988.88
No comparable office rate is available.
New Mexico
New Mexico · 65285
Office
Unavailable
Facility
$905.09
No comparable office rate is available.
Nevada**
Nevada · 65285
Office
Unavailable
Facility
$922.85
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65285
Office
Unavailable
Facility
$1069.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65285
Office
Unavailable
Facility
$997.12
No comparable office rate is available.
Queens
New York · 65285
Office
Unavailable
Facility
$1049.80
No comparable office rate is available.
Rest Of New York
New York · 65285
Office
Unavailable
Facility
$897.79
No comparable office rate is available.
Ohio
Ohio · 65285
Office
Unavailable
Facility
$895.74
No comparable office rate is available.
Oklahoma
Oklahoma · 65285
Office
Unavailable
Facility
$878.64
No comparable office rate is available.
Portland
Oregon · 65285
Office
Unavailable
Facility
$969.99
No comparable office rate is available.
Rest Of Oregon
Oregon · 65285
Office
Unavailable
Facility
$915.66
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65285
Office
Unavailable
Facility
$961.95
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65285
Office
Unavailable
Facility
$895.14
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65285
Office
Unavailable
Facility
$932.88
No comparable office rate is available.
Rhode Island
Rhode Island · 65285
Office
Unavailable
Facility
$947.17
No comparable office rate is available.
South Carolina
South Carolina · 65285
Office
Unavailable
Facility
$893.63
No comparable office rate is available.
South Dakota**
South Dakota · 65285
Office
Unavailable
Facility
$902.38
No comparable office rate is available.
Tennessee
Tennessee · 65285
Office
Unavailable
Facility
$875.15
No comparable office rate is available.
Austin
Texas · 65285
Office
Unavailable
Facility
$948.14
No comparable office rate is available.
Beaumont
Texas · 65285
Office
Unavailable
Facility
$891.38
No comparable office rate is available.
Brazoria
Texas · 65285
Office
Unavailable
Facility
$920.83
No comparable office rate is available.
Dallas
Texas · 65285
Office
Unavailable
Facility
$926.42
No comparable office rate is available.
Fort Worth
Texas · 65285
Office
Unavailable
Facility
$923.06
No comparable office rate is available.
Galveston
Texas · 65285
Office
Unavailable
Facility
$923.55
No comparable office rate is available.
Houston
Texas · 65285
Office
Unavailable
Facility
$945.69
No comparable office rate is available.
Rest Of Texas
Texas · 65285
Office
Unavailable
Facility
$905.48
No comparable office rate is available.
Utah
Utah · 65285
Office
Unavailable
Facility
$901.78
No comparable office rate is available.
Virginia
Virginia · 65285
Office
Unavailable
Facility
$910.73
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65285
Office
Unavailable
Facility
$932.88
No comparable office rate is available.
Vermont
Vermont · 65285
Office
Unavailable
Facility
$905.36
No comparable office rate is available.
Rest Of Washington
Washington · 65285
Office
Unavailable
Facility
$946.65
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65285
Office
Unavailable
Facility
$1035.01
No comparable office rate is available.
Wisconsin
Wisconsin · 65285
Office
Unavailable
Facility
$884.93
No comparable office rate is available.
West Virginia
West Virginia · 65285
Office
Unavailable
Facility
$895.74
No comparable office rate is available.
Wyoming**
Wyoming · 65285
Office
Unavailable
Facility
$918.71
No comparable office rate is available.
See how rates vary across the country
65285 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 65285 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1051.89
$956.26 × 110% = $1051.89
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.
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 65285 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,315
- Code
- 65285
- Physician work
- 14.98
- Practice expense
- 11.63
- Malpractice
- 1.21
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.98 | × 1.017 | 15.2347 |
| Practice expense | 11.63 | × 1.096 | 12.7465 |
| Malpractice | 1.21 | × 0.536 | 0.6486 |
| Total RVUs | 28.6297 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$956.26
Open 65285 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.98 | 1.017 |
| Practice expense | 11.63 | 1.096 |
| Malpractice | 1.21 | 0.536 |
(14.98 × 1.017 + 11.63 × 1.096 + 1.21 × 0.536) × $33.4009 = $956.26
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
65285 · 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 | $956.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $956.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $956.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $956.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $1095.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $1095.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $1095.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $1095.28 | RVU25A |
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 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.
7,31265273,,Repair of eye wound,A,,5.03,4.18,NA,4.18,,0.40,9.61,9.61,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31365275,,Repair of eye wound,A,,6.13,11.08,,5.03,,0.48,17.69,11.64,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31465280,,Repair of eye wound,A,,8.87,7.37,NA,7.37,,0.70,16.94,16.94,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31565285,,Repair of eye wound,A,,14.98,11.63,NA,11.63,,1.21,27.82,27.82,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31665286,,Repair of eye wound,A,,6.46,13.96,,5.61,,0.50,20.92,12.57,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31765290,,Repair of eye socket wound,A,,6.37,5.57,NA,5.57,,0.49,12.43,12.43,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31865400,,Removal of eye lesion,A,,7.31,13.00,,7.76,,0.60,20.91,15.67,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536