No office rate
65155 is for returning an existing implant to position. 65150 is for revising the implant.
On this page
CMS RVU26D · Effective 2026-10-01
65155 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$896.51
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 65155: Reinsertion of ocular implant
Reports surgery to return a previously placed ocular implant to its position in the socket, such as after displacement or extrusion.
An ophthalmic or oculoplastic surgeon reports this service when a previously placed ocular implant has shifted or come out of position and is surgically returned to the socket. The operative work centers on reinserting the existing implant, rather than placing a new implant or removing the eye as part of the same procedure. These cases are typically managed in an operating room.
The operative report should identify the implant, describe its position or displacement, and document the steps taken to reinsert it. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery reported with modifier 50, payment is at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 65155
- 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 RVU9.85 · 38%
- Practice expense (office) RVU14.96 · 58%
- Malpractice RVU0.79 · 3%
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.
65155 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Use 65130 for insertion of an ocular implant; use 65155 when the service is reinsertion of an existing implant.
No office rate
65135 describes implant insertion, not reinsertion. Choose 65155 when the operative service returns an existing implant to position.
No office rate
65175 describes removal of an ocular implant. 65155 describes reinsertion rather than removal.
The same code, a different location
How does El Centro compare?
65155 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Modesto
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Napa
California · 65155
Office
Unavailable
Facility
$1021.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65155
Office
Unavailable
Facility
$945.27
No comparable office rate is available.
Redding
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Rest Of California
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65155
Office
Unavailable
Facility
$905.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65155
Office
Unavailable
Facility
$936.11
No comparable office rate is available.
Salinas
California · 65155
Office
Unavailable
Facility
$932.47
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65155
Office
Unavailable
Facility
$950.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65155
Office
Unavailable
Facility
$1076.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65155
Office
Unavailable
Facility
$1076.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65155
Office
Unavailable
Facility
$1099.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65155
Office
Unavailable
Facility
$1096.20
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65155
Office
Unavailable
Facility
$917.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65155
Office
Unavailable
Facility
$957.16
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65155
Office
Unavailable
Facility
$934.98
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65155
Office
Unavailable
Facility
$966.62
No comparable office rate is available.
Stockton
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Vallejo
California · 65155
Office
Unavailable
Facility
$1020.41
No comparable office rate is available.
Visalia
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Yuba City
California · 65155
Office
Unavailable
Facility
$896.38
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65155
Office
Unavailable
Facility
$964.75
No comparable office rate is available.
Miami
Florida · 65155
Office
Unavailable
Facility
$915.90
No comparable office rate is available.
Chicago
Illinois · 65155
Office
Unavailable
Facility
$894.04
No comparable office rate is available.
Manhattan
New York · 65155
Office
Unavailable
Facility
$972.53
No comparable office rate is available.
Alaska*
Alaska · 65155
Office
Unavailable
Facility
$1040.19
No comparable office rate is available.
Alabama
Alabama · 65155
Office
Unavailable
Facility
$781.15
No comparable office rate is available.
Arkansas
Arkansas · 65155
Office
Unavailable
Facility
$771.81
No comparable office rate is available.
Arizona
Arizona · 65155
Office
Unavailable
Facility
$835.77
No comparable office rate is available.
Colorado
Colorado · 65155
Office
Unavailable
Facility
$885.21
No comparable office rate is available.
Connecticut
Connecticut · 65155
Office
Unavailable
Facility
$905.66
No comparable office rate is available.
Delaware
Delaware · 65155
Office
Unavailable
Facility
$848.05
No comparable office rate is available.
Fort Lauderdale
Florida · 65155
Office
Unavailable
Facility
$882.88
No comparable office rate is available.
Rest Of Florida
Florida · 65155
Office
Unavailable
Facility
$846.35
No comparable office rate is available.
Atlanta
Georgia · 65155
Office
Unavailable
Facility
$869.35
No comparable office rate is available.
Rest Of Georgia
Georgia · 65155
Office
Unavailable
Facility
$806.16
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65155
Office
Unavailable
Facility
$912.41
No comparable office rate is available.
Iowa
Iowa · 65155
Office
Unavailable
Facility
$796.68
No comparable office rate is available.
Idaho
Idaho · 65155
Office
Unavailable
Facility
$801.18
No comparable office rate is available.
East St. Louis
Illinois · 65155
Office
Unavailable
Facility
$841.84
No comparable office rate is available.
Rest Of Illinois
Illinois · 65155
Office
Unavailable
Facility
$826.45
No comparable office rate is available.
Suburban Chicago
Illinois · 65155
Office
Unavailable
Facility
$891.23
No comparable office rate is available.
Indiana
Indiana · 65155
Office
Unavailable
Facility
$805.02
No comparable office rate is available.
Kansas
Kansas · 65155
Office
Unavailable
Facility
$794.01
No comparable office rate is available.
Kentucky
Kentucky · 65155
Office
Unavailable
Facility
$797.36
No comparable office rate is available.
New Orleans
Louisiana · 65155
Office
Unavailable
Facility
$829.17
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65155
Office
Unavailable
Facility
$796.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65155
Office
Unavailable
Facility
$962.59
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65155
Office
Unavailable
Facility
$881.45
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65155
Office
Unavailable
Facility
$903.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 65155
Office
Unavailable
Facility
$862.19
No comparable office rate is available.
Rest Of Maine
Maine · 65155
Office
Unavailable
Facility
$805.11
No comparable office rate is available.
Southern Maine
Maine · 65155
Office
Unavailable
Facility
$840.83
No comparable office rate is available.
Detroit
Michigan · 65155
Office
Unavailable
Facility
$855.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 65155
Office
Unavailable
Facility
$814.99
No comparable office rate is available.
Minnesota
Minnesota · 65155
Office
Unavailable
Facility
$850.98
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65155
Office
Unavailable
Facility
$823.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65155
Office
Unavailable
Facility
$831.13
No comparable office rate is available.
Rest Of Missouri
Missouri · 65155
Office
Unavailable
Facility
$785.42
No comparable office rate is available.
Mississippi
Mississippi · 65155
Office
Unavailable
Facility
$778.72
No comparable office rate is available.
Montana**
Montana · 65155
Office
Unavailable
Facility
$855.01
No comparable office rate is available.
North Carolina
North Carolina · 65155
Office
Unavailable
Facility
$812.06
No comparable office rate is available.
North Dakota**
North Dakota · 65155
Office
Unavailable
Facility
$839.39
No comparable office rate is available.
Nebraska
Nebraska · 65155
Office
Unavailable
Facility
$800.18
No comparable office rate is available.
New Hampshire
New Hampshire · 65155
Office
Unavailable
Facility
$872.25
No comparable office rate is available.
Northern Nj
New Jersey · 65155
Office
Unavailable
Facility
$957.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65155
Office
Unavailable
Facility
$916.75
No comparable office rate is available.
New Mexico
New Mexico · 65155
Office
Unavailable
Facility
$818.89
No comparable office rate is available.
Nevada**
Nevada · 65155
Office
Unavailable
Facility
$851.16
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65155
Office
Unavailable
Facility
$993.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65155
Office
Unavailable
Facility
$922.88
No comparable office rate is available.
Queens
New York · 65155
Office
Unavailable
Facility
$978.72
No comparable office rate is available.
Rest Of New York
New York · 65155
Office
Unavailable
Facility
$822.24
No comparable office rate is available.
Ohio
Ohio · 65155
Office
Unavailable
Facility
$811.80
No comparable office rate is available.
Oklahoma
Oklahoma · 65155
Office
Unavailable
Facility
$795.71
No comparable office rate is available.
Portland
Oregon · 65155
Office
Unavailable
Facility
$909.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 65155
Office
Unavailable
Facility
$845.23
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65155
Office
Unavailable
Facility
$886.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65155
Office
Unavailable
Facility
$812.64
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65155
Office
Unavailable
Facility
$860.16
No comparable office rate is available.
Rhode Island
Rhode Island · 65155
Office
Unavailable
Facility
$874.95
No comparable office rate is available.
South Carolina
South Carolina · 65155
Office
Unavailable
Facility
$813.13
No comparable office rate is available.
South Dakota**
South Dakota · 65155
Office
Unavailable
Facility
$837.54
No comparable office rate is available.
Tennessee
Tennessee · 65155
Office
Unavailable
Facility
$797.38
No comparable office rate is available.
Austin
Texas · 65155
Office
Unavailable
Facility
$881.69
No comparable office rate is available.
Beaumont
Texas · 65155
Office
Unavailable
Facility
$808.22
No comparable office rate is available.
Brazoria
Texas · 65155
Office
Unavailable
Facility
$847.39
No comparable office rate is available.
Dallas
Texas · 65155
Office
Unavailable
Facility
$852.28
No comparable office rate is available.
Fort Worth
Texas · 65155
Office
Unavailable
Facility
$847.62
No comparable office rate is available.
Galveston
Texas · 65155
Office
Unavailable
Facility
$849.66
No comparable office rate is available.
Houston
Texas · 65155
Office
Unavailable
Facility
$864.12
No comparable office rate is available.
Rest Of Texas
Texas · 65155
Office
Unavailable
Facility
$827.02
No comparable office rate is available.
Utah
Utah · 65155
Office
Unavailable
Facility
$822.39
No comparable office rate is available.
Virginia
Virginia · 65155
Office
Unavailable
Facility
$838.81
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65155
Office
Unavailable
Facility
$860.16
No comparable office rate is available.
Vermont
Vermont · 65155
Office
Unavailable
Facility
$837.03
No comparable office rate is available.
Rest Of Washington
Washington · 65155
Office
Unavailable
Facility
$879.52
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65155
Office
Unavailable
Facility
$980.11
No comparable office rate is available.
Wisconsin
Wisconsin · 65155
Office
Unavailable
Facility
$815.82
No comparable office rate is available.
West Virginia
West Virginia · 65155
Office
Unavailable
Facility
$800.98
No comparable office rate is available.
Wyoming**
Wyoming · 65155
Office
Unavailable
Facility
$848.20
No comparable office rate is available.
See how rates vary across the country
65155 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 65155 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$986.16
$896.51 × 110% = $986.16
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 65155 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
7,301
- Code
- 65155
- Physician work
- 9.85
- Practice expense
- 14.96
- Malpractice
- 0.79
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.85 | × 1.017 | 10.0174 |
| Practice expense | 14.96 | × 1.096 | 16.3962 |
| Malpractice | 0.79 | × 0.541 | 0.4274 |
| Total RVUs | 26.8410 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$896.51
Open 65155 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.85 | 1.017 |
| Practice expense | 14.96 | 1.096 |
| Malpractice | 0.79 | 0.541 |
(9.85 × 1.017 + 14.96 × 1.096 + 0.79 × 0.541) × $33.4009 = $896.51
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
65155 · 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 | $896.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $896.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $896.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $896.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $970.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $970.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $970.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $970.03 | RVU25A |
65155 billing questions
When should 65155 be chosen instead of 65130 or 65135?
Use 65155 when the surgical service is reinsertion of an existing ocular implant. Codes 65130 and 65135 describe insertion of an implant, rather than returning an existing implant to position.
How does reinsertion differ from implant revision?
65155 describes reinserting the implant. Consider 65150 when the work is revision of the implant rather than reinsertion.
What documentation supports 65155?
The operative note should establish that an ocular implant was already present, describe its displacement or position, and record the reinsertion performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 65155 paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Bilateral surgery reported with modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid for this code. 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.
7,29865135,,Insert ocular implant,A,,8.39,14.01,NA,14.01,,0.66,23.06,23.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29965140,,Attach ocular implant,A,,9.22,14.74,NA,14.74,,0.73,24.69,24.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30065150,,Revise ocular implant,A,,6.27,12.11,NA,12.11,,0.48,18.86,18.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30165155,,Reinsert ocular implant,A,,9.85,14.96,NA,14.96,,0.79,25.60,25.60,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30265175,,Removal of ocular implant,A,,7.22,13.15,NA,13.15,,0.57,20.94,20.94,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30365205,,Remove foreign body from eye,A,,0.48,0.34,,0.23,,0.02,0.84,0.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30465210,,Remove foreign body from eye,A,,0.59,0.52,,0.28,,0.03,1.14,0.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664