No office rate
Both codes describe enucleation, but 65103 includes placement of an orbital implant with muscles attached to it; 65101 is for removal without an implant.
On this page
CMS RVU26D · Effective 2026-10-01
65101 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$753.11
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 surgery
About 65101: Enucleation without orbital implant
Reports surgical removal of the entire globe without placement of an orbital implant, such as for an eye with a painful blind condition or intraocular disease.
This procedure removes the entire eyeball while leaving the surrounding orbital tissues in place; no orbital implant is placed during the operation. An ophthalmologist, often an oculoplastic surgeon, typically performs it in an operating room. Clinical situations may include a painful, blind eye or an eye affected by disease requiring removal. The operative note should establish that the globe was removed intact rather than its contents evacuated, and document that no implant was placed.
Report the code for the eye treated and support the service with the indication, operative findings, and implant status. The major-surgery global period includes 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 the others are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 65101
- 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 RVU8.09 · 36%
- Practice expense (office) RVU14.01 · 62%
- Malpractice RVU0.64 · 3%
78
Medicare services in 2024 · #5079 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.
65101 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 65105 for enucleation with an orbital implant and its specified muscle-management approach. Use 65101 when no implant is placed.
No office rate
65110 describes evisceration, which removes the ocular contents but leaves the scleral shell. Code 65101 represents removal of the entire globe.
The same code, a different location
How does Delaware compare?
65101 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 65101
Office
Unavailable
Facility
$691.77
No comparable office rate is available.
Arkansas
Arkansas · 65101
Office
Unavailable
Facility
$683.19
No comparable office rate is available.
Arizona
Arizona · 65101
Office
Unavailable
Facility
$741.95
No comparable office rate is available.
Bakersfield
California · 65101
Office
Unavailable
Facility
$801.24
No comparable office rate is available.
Chico
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
El Centro
California · 65101
Office
Unavailable
Facility
$799.24
No comparable office rate is available.
Fresno
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Hanford-Corcoran
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Madera
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Merced
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Modesto
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Napa
California · 65101
Office
Unavailable
Facility
$914.85
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65101
Office
Unavailable
Facility
$844.21
No comparable office rate is available.
Redding
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Rest Of California
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65101
Office
Unavailable
Facility
$806.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65101
Office
Unavailable
Facility
$835.62
No comparable office rate is available.
Salinas
California · 65101
Office
Unavailable
Facility
$832.40
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65101
Office
Unavailable
Facility
$849.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65101
Office
Unavailable
Facility
$965.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65101
Office
Unavailable
Facility
$964.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65101
Office
Unavailable
Facility
$986.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65101
Office
Unavailable
Facility
$983.20
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65101
Office
Unavailable
Facility
$819.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65101
Office
Unavailable
Facility
$855.90
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65101
Office
Unavailable
Facility
$834.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65101
Office
Unavailable
Facility
$864.42
No comparable office rate is available.
Stockton
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Vallejo
California · 65101
Office
Unavailable
Facility
$913.80
No comparable office rate is available.
Visalia
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Yuba City
California · 65101
Office
Unavailable
Facility
$799.13
No comparable office rate is available.
Colorado
Colorado · 65101
Office
Unavailable
Facility
$788.05
No comparable office rate is available.
Connecticut
Connecticut · 65101
Office
Unavailable
Facility
$805.46
No comparable office rate is available.
Fort Lauderdale
Florida · 65101
Office
Unavailable
Facility
$782.89
No comparable office rate is available.
Rest Of Florida
Florida · 65101
Office
Unavailable
Facility
$749.70
No comparable office rate is available.
Atlanta
Georgia · 65101
Office
Unavailable
Facility
$772.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 65101
Office
Unavailable
Facility
$713.10
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65101
Office
Unavailable
Facility
$814.65
No comparable office rate is available.
Iowa
Iowa · 65101
Office
Unavailable
Facility
$706.87
No comparable office rate is available.
Idaho
Idaho · 65101
Office
Unavailable
Facility
$710.84
No comparable office rate is available.
East St. Louis
Illinois · 65101
Office
Unavailable
Facility
$743.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 65101
Office
Unavailable
Facility
$730.86
No comparable office rate is available.
Suburban Chicago
Illinois · 65101
Office
Unavailable
Facility
$790.57
No comparable office rate is available.
Indiana
Indiana · 65101
Office
Unavailable
Facility
$714.39
No comparable office rate is available.
Kansas
Kansas · 65101
Office
Unavailable
Facility
$704.01
No comparable office rate is available.
Kentucky
Kentucky · 65101
Office
Unavailable
Facility
$705.78
No comparable office rate is available.
New Orleans
Louisiana · 65101
Office
Unavailable
Facility
$734.83
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65101
Office
Unavailable
Facility
$704.82
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65101
Office
Unavailable
Facility
$859.05
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65101
Office
Unavailable
Facility
$784.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65101
Office
Unavailable
Facility
$803.09
No comparable office rate is available.
Rest Of Maryland
Maryland · 65101
Office
Unavailable
Facility
$766.10
No comparable office rate is available.
Rest Of Maine
Maine · 65101
Office
Unavailable
Facility
$714.02
No comparable office rate is available.
Southern Maine
Maine · 65101
Office
Unavailable
Facility
$747.44
No comparable office rate is available.
Detroit
Michigan · 65101
Office
Unavailable
Facility
$757.82
No comparable office rate is available.
Rest Of Michigan
Michigan · 65101
Office
Unavailable
Facility
$721.58
No comparable office rate is available.
Minnesota
Minnesota · 65101
Office
Unavailable
Facility
$758.06
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65101
Office
Unavailable
Facility
$730.50
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65101
Office
Unavailable
Facility
$737.12
No comparable office rate is available.
Rest Of Missouri
Missouri · 65101
Office
Unavailable
Facility
$694.40
No comparable office rate is available.
Mississippi
Mississippi · 65101
Office
Unavailable
Facility
$688.91
No comparable office rate is available.
Montana**
Montana · 65101
Office
Unavailable
Facility
$759.49
No comparable office rate is available.
North Carolina
North Carolina · 65101
Office
Unavailable
Facility
$720.47
No comparable office rate is available.
North Dakota**
North Dakota · 65101
Office
Unavailable
Facility
$746.84
No comparable office rate is available.
Nebraska
Nebraska · 65101
Office
Unavailable
Facility
$710.21
No comparable office rate is available.
New Hampshire
New Hampshire · 65101
Office
Unavailable
Facility
$776.05
No comparable office rate is available.
Northern Nj
New Jersey · 65101
Office
Unavailable
Facility
$852.88
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65101
Office
Unavailable
Facility
$815.47
No comparable office rate is available.
New Mexico
New Mexico · 65101
Office
Unavailable
Facility
$724.99
No comparable office rate is available.
Nevada**
Nevada · 65101
Office
Unavailable
Facility
$756.43
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65101
Office
Unavailable
Facility
$883.59
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65101
Office
Unavailable
Facility
$820.64
No comparable office rate is available.
Queens
New York · 65101
Office
Unavailable
Facility
$871.44
No comparable office rate is available.
Rest Of New York
New York · 65101
Office
Unavailable
Facility
$729.79
No comparable office rate is available.
Ohio
Ohio · 65101
Office
Unavailable
Facility
$719.00
No comparable office rate is available.
Oklahoma
Oklahoma · 65101
Office
Unavailable
Facility
$704.70
No comparable office rate is available.
Portland
Oregon · 65101
Office
Unavailable
Facility
$810.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 65101
Office
Unavailable
Facility
$751.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65101
Office
Unavailable
Facility
$787.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65101
Office
Unavailable
Facility
$719.99
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65101
Office
Unavailable
Facility
$764.36
No comparable office rate is available.
Rhode Island
Rhode Island · 65101
Office
Unavailable
Facility
$777.80
No comparable office rate is available.
South Carolina
South Carolina · 65101
Office
Unavailable
Facility
$720.77
No comparable office rate is available.
South Dakota**
South Dakota · 65101
Office
Unavailable
Facility
$745.34
No comparable office rate is available.
Tennessee
Tennessee · 65101
Office
Unavailable
Facility
$707.06
No comparable office rate is available.
Austin
Texas · 65101
Office
Unavailable
Facility
$784.78
No comparable office rate is available.
Beaumont
Texas · 65101
Office
Unavailable
Facility
$715.90
No comparable office rate is available.
Brazoria
Texas · 65101
Office
Unavailable
Facility
$752.78
No comparable office rate is available.
Dallas
Texas · 65101
Office
Unavailable
Facility
$757.06
No comparable office rate is available.
Fort Worth
Texas · 65101
Office
Unavailable
Facility
$752.66
No comparable office rate is available.
Galveston
Texas · 65101
Office
Unavailable
Facility
$754.75
No comparable office rate is available.
Houston
Texas · 65101
Office
Unavailable
Facility
$766.46
No comparable office rate is available.
Rest Of Texas
Texas · 65101
Office
Unavailable
Facility
$733.60
No comparable office rate is available.
Utah
Utah · 65101
Office
Unavailable
Facility
$729.28
No comparable office rate is available.
Virginia
Virginia · 65101
Office
Unavailable
Facility
$745.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65101
Office
Unavailable
Facility
$764.36
No comparable office rate is available.
Vermont
Vermont · 65101
Office
Unavailable
Facility
$744.30
No comparable office rate is available.
Rest Of Washington
Washington · 65101
Office
Unavailable
Facility
$782.74
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65101
Office
Unavailable
Facility
$875.36
No comparable office rate is available.
Wisconsin
Wisconsin · 65101
Office
Unavailable
Facility
$725.09
No comparable office rate is available.
West Virginia
West Virginia · 65101
Office
Unavailable
Facility
$707.45
No comparable office rate is available.
Wyoming**
Wyoming · 65101
Office
Unavailable
Facility
$753.98
No comparable office rate is available.
See how rates vary across the country
65101 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 65101 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$828.42
$753.11 × 110% = $828.42
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 65101 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,290
- Code
- 65101
- Physician work
- 8.09
- Practice expense
- 14.01
- Malpractice
- 0.64
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.09 | × 1.005 | 8.1304 |
| Practice expense | 14.01 | × 0.988 | 13.8419 |
| Malpractice | 0.64 | × 0.899 | 0.5754 |
| Total RVUs | 22.5477 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$753.11
Open 65101 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.09 | 1.005 |
| Practice expense | 14.01 | 0.988 |
| Malpractice | 0.64 | 0.899 |
(8.09 × 1.005 + 14.01 × 0.988 + 0.64 × 0.899) × $33.4009 = $753.11
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
65101 · 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 | $753.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $753.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $753.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $753.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $808.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $808.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $808.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $808.76 | RVU25A |
65101 billing questions
How does this differ from enucleation with an implant?
Use 65101 when the entire globe is removed and no orbital implant is placed during the operation. Codes 65103 and 65105 describe enucleation with an implant.
How do I distinguish this from evisceration?
Enucleation removes the entire globe. Evisceration removes the contents while retaining the scleral shell, so it is not reported with 65101.
Is routine postoperative care separately billable?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
What is the bilateral payment rule?
When both eyes are treated, report modifier 50; CMS pays the bilateral procedure at 150% under the supplied rule.
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.
What documentation supports choosing 65101?
Document removal of the entire globe, the clinical indication, the eye treated, and that no orbital implant was placed.
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.
7,28764999,,Unlisted px nervous system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28865091,,Revise eye,A,,7.08,12.20,NA,12.20,,0.56,19.84,19.84,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28965093,,Revise eye with implant,A,,6.86,12.34,NA,12.34,,0.55,19.75,19.75,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29065101,,Removal of eye,A,,8.09,14.01,NA,14.01,,0.64,22.74,22.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29165103,,Remove eye/insert implant,A,,8.62,14.07,NA,14.07,,0.68,23.37,23.37,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29265105,,Remove eye/attach implant,A,,9.68,14.91,NA,14.91,,0.79,25.38,25.38,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29365110,,Removal of eye,A,,15.31,17.77,NA,17.77,,1.23,34.31,34.31,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503