$301.17
Choose 65273 when conjunctival advancement or resection is part of the repair. Code 65270 describes the related conjunctival repair without that distinction.
On this page
CMS RVU26D · Effective 2026-10-01
65273 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$331.11
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.
Ophthalmic surgery
About 65273: Conjunctival wound repair with advancement
Repair of a conjunctival laceration with advancement or resection is reported when closure requires mobilizing or removing conjunctival tissue over a nonperforating scleral injury.
This code describes surgical repair of a conjunctival laceration when the surgeon advances or removes conjunctival tissue to close the wound. It may be used for a conjunctival injury accompanied by a nonperforating scleral laceration. An ophthalmologist typically performs the repair in an operating room or other surgical setting, often after eye trauma. The operative report should identify the injured tissue and explain the advancement or resection performed.
Select this code based on the repair method and the structures involved, rather than wound size alone. Document whether the sclera is lacerated and whether the injury is nonperforating; a penetrating corneal or scleral wound belongs to a different repair category. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 identifies bilateral services, 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 65273
- 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 RVU5.03 · 52%
- Practice expense (office) RVU4.18 · 43%
- Malpractice RVU0.40 · 4%
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.
65273 compared with similar codes
Office rates for El Centro, from the same CMS release.
$558.38
Code 65272 is distinguished by repositioning or resection of uveal tissue; 65273 is identified by conjunctival advancement or resection.
$622.51
Code 65275 is for a nonperforating corneal laceration. Use 65273 for the conjunctival repair involving advancement or resection.
No office rate
Code 65280 addresses a perforating corneal or scleral wound. The 65273 repair is associated with conjunctival tissue and a nonperforating scleral injury.
The same code, a different location
How does El Centro compare?
65273 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 · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Modesto
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Napa
California · 65273
Office
Unavailable
Facility
$369.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65273
Office
Unavailable
Facility
$346.06
No comparable office rate is available.
Redding
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Rest Of California
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65273
Office
Unavailable
Facility
$335.45
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65273
Office
Unavailable
Facility
$343.59
No comparable office rate is available.
Salinas
California · 65273
Office
Unavailable
Facility
$342.19
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65273
Office
Unavailable
Facility
$347.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65273
Office
Unavailable
Facility
$386.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65273
Office
Unavailable
Facility
$386.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65273
Office
Unavailable
Facility
$394.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65273
Office
Unavailable
Facility
$393.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65273
Office
Unavailable
Facility
$337.05
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65273
Office
Unavailable
Facility
$348.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65273
Office
Unavailable
Facility
$342.66
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65273
Office
Unavailable
Facility
$351.66
No comparable office rate is available.
Stockton
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Vallejo
California · 65273
Office
Unavailable
Facility
$368.74
No comparable office rate is available.
Visalia
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Yuba City
California · 65273
Office
Unavailable
Facility
$331.04
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65273
Office
Unavailable
Facility
$356.42
No comparable office rate is available.
Miami
Florida · 65273
Office
Unavailable
Facility
$347.13
No comparable office rate is available.
Chicago
Illinois · 65273
Office
Unavailable
Facility
$340.16
No comparable office rate is available.
Manhattan
New York · 65273
Office
Unavailable
Facility
$362.18
No comparable office rate is available.
Alaska*
Alaska · 65273
Office
Unavailable
Facility
$408.06
No comparable office rate is available.
Alabama
Alabama · 65273
Office
Unavailable
Facility
$297.73
No comparable office rate is available.
Arkansas
Arkansas · 65273
Office
Unavailable
Facility
$294.82
No comparable office rate is available.
Arizona
Arizona · 65273
Office
Unavailable
Facility
$314.73
No comparable office rate is available.
Colorado
Colorado · 65273
Office
Unavailable
Facility
$329.01
No comparable office rate is available.
Connecticut
Connecticut · 65273
Office
Unavailable
Facility
$337.90
No comparable office rate is available.
Delaware
Delaware · 65273
Office
Unavailable
Facility
$318.80
No comparable office rate is available.
Fort Lauderdale
Florida · 65273
Office
Unavailable
Facility
$333.59
No comparable office rate is available.
Rest Of Florida
Florida · 65273
Office
Unavailable
Facility
$321.56
No comparable office rate is available.
Atlanta
Georgia · 65273
Office
Unavailable
Facility
$326.41
No comparable office rate is available.
Rest Of Georgia
Georgia · 65273
Office
Unavailable
Facility
$308.47
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65273
Office
Unavailable
Facility
$334.49
No comparable office rate is available.
Iowa
Iowa · 65273
Office
Unavailable
Facility
$301.06
No comparable office rate is available.
Idaho
Idaho · 65273
Office
Unavailable
Facility
$302.77
No comparable office rate is available.
East St. Louis
Illinois · 65273
Office
Unavailable
Facility
$323.36
No comparable office rate is available.
Rest Of Illinois
Illinois · 65273
Office
Unavailable
Facility
$316.36
No comparable office rate is available.
Suburban Chicago
Illinois · 65273
Office
Unavailable
Facility
$336.24
No comparable office rate is available.
Indiana
Indiana · 65273
Office
Unavailable
Facility
$303.92
No comparable office rate is available.
Kansas
Kansas · 65273
Office
Unavailable
Facility
$300.95
No comparable office rate is available.
Kentucky
Kentucky · 65273
Office
Unavailable
Facility
$304.35
No comparable office rate is available.
New Orleans
Louisiana · 65273
Office
Unavailable
Facility
$314.56
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65273
Office
Unavailable
Facility
$304.37
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65273
Office
Unavailable
Facility
$353.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65273
Office
Unavailable
Facility
$328.36
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65273
Office
Unavailable
Facility
$337.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 65273
Office
Unavailable
Facility
$323.24
No comparable office rate is available.
Rest Of Maine
Maine · 65273
Office
Unavailable
Facility
$304.76
No comparable office rate is available.
Southern Maine
Maine · 65273
Office
Unavailable
Facility
$314.80
No comparable office rate is available.
Detroit
Michigan · 65273
Office
Unavailable
Facility
$325.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 65273
Office
Unavailable
Facility
$310.56
No comparable office rate is available.
Minnesota
Minnesota · 65273
Office
Unavailable
Facility
$315.63
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65273
Office
Unavailable
Facility
$312.16
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65273
Office
Unavailable
Facility
$314.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 65273
Office
Unavailable
Facility
$301.37
No comparable office rate is available.
Mississippi
Mississippi · 65273
Office
Unavailable
Facility
$298.09
No comparable office rate is available.
Montana**
Montana · 65273
Office
Unavailable
Facility
$320.96
No comparable office rate is available.
North Carolina
North Carolina · 65273
Office
Unavailable
Facility
$306.81
No comparable office rate is available.
North Dakota**
North Dakota · 65273
Office
Unavailable
Facility
$313.05
No comparable office rate is available.
Nebraska
Nebraska · 65273
Office
Unavailable
Facility
$301.92
No comparable office rate is available.
New Hampshire
New Hampshire · 65273
Office
Unavailable
Facility
$325.04
No comparable office rate is available.
Northern Nj
New Jersey · 65273
Office
Unavailable
Facility
$354.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65273
Office
Unavailable
Facility
$341.84
No comparable office rate is available.
New Mexico
New Mexico · 65273
Office
Unavailable
Facility
$312.08
No comparable office rate is available.
Nevada**
Nevada · 65273
Office
Unavailable
Facility
$318.89
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65273
Office
Unavailable
Facility
$369.57
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65273
Office
Unavailable
Facility
$344.61
No comparable office rate is available.
Queens
New York · 65273
Office
Unavailable
Facility
$363.05
No comparable office rate is available.
Rest Of New York
New York · 65273
Office
Unavailable
Facility
$310.03
No comparable office rate is available.
Ohio
Ohio · 65273
Office
Unavailable
Facility
$308.94
No comparable office rate is available.
Oklahoma
Oklahoma · 65273
Office
Unavailable
Facility
$303.06
No comparable office rate is available.
Portland
Oregon · 65273
Office
Unavailable
Facility
$335.75
No comparable office rate is available.
Rest Of Oregon
Oregon · 65273
Office
Unavailable
Facility
$316.46
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65273
Office
Unavailable
Facility
$332.31
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65273
Office
Unavailable
Facility
$308.80
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65273
Office
Unavailable
Facility
$322.32
No comparable office rate is available.
Rhode Island
Rhode Island · 65273
Office
Unavailable
Facility
$327.34
No comparable office rate is available.
South Carolina
South Carolina · 65273
Office
Unavailable
Facility
$308.37
No comparable office rate is available.
South Dakota**
South Dakota · 65273
Office
Unavailable
Facility
$312.11
No comparable office rate is available.
Tennessee
Tennessee · 65273
Office
Unavailable
Facility
$302.09
No comparable office rate is available.
Austin
Texas · 65273
Office
Unavailable
Facility
$327.89
No comparable office rate is available.
Beaumont
Texas · 65273
Office
Unavailable
Facility
$307.47
No comparable office rate is available.
Brazoria
Texas · 65273
Office
Unavailable
Facility
$318.13
No comparable office rate is available.
Dallas
Texas · 65273
Office
Unavailable
Facility
$320.04
No comparable office rate is available.
Fort Worth
Texas · 65273
Office
Unavailable
Facility
$318.82
No comparable office rate is available.
Galveston
Texas · 65273
Office
Unavailable
Facility
$319.05
No comparable office rate is available.
Houston
Texas · 65273
Office
Unavailable
Facility
$326.37
No comparable office rate is available.
Rest Of Texas
Texas · 65273
Office
Unavailable
Facility
$312.57
No comparable office rate is available.
Utah
Utah · 65273
Office
Unavailable
Facility
$311.24
No comparable office rate is available.
Virginia
Virginia · 65273
Office
Unavailable
Facility
$314.68
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65273
Office
Unavailable
Facility
$322.32
No comparable office rate is available.
Vermont
Vermont · 65273
Office
Unavailable
Facility
$312.99
No comparable office rate is available.
Rest Of Washington
Washington · 65273
Office
Unavailable
Facility
$327.37
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65273
Office
Unavailable
Facility
$358.63
No comparable office rate is available.
Wisconsin
Wisconsin · 65273
Office
Unavailable
Facility
$305.87
No comparable office rate is available.
West Virginia
West Virginia · 65273
Office
Unavailable
Facility
$308.45
No comparable office rate is available.
Wyoming**
Wyoming · 65273
Office
Unavailable
Facility
$317.51
No comparable office rate is available.
See how rates vary across the country
65273 · 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 65273 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$364.22
$331.11 × 110% = $364.22
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 65273 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
7,312
- Code
- 65273
- Physician work
- 5.03
- Practice expense
- 4.18
- Malpractice
- 0.40
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.03 | × 1.017 | 5.1155 |
| Practice expense | 4.18 | × 1.096 | 4.5813 |
| Malpractice | 0.40 | × 0.541 | 0.2164 |
| Total RVUs | 9.9132 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$331.11
Open 65273 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.03 | 1.017 |
| Practice expense | 4.18 | 1.096 |
| Malpractice | 0.4 | 0.541 |
(5.03 × 1.017 + 4.18 × 1.096 + 0.4 × 0.541) × $33.4009 = $331.11
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
65273 · 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 | $331.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $331.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $331.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $331.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $377.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $377.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $377.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $377.43 | RVU25A |
65273 billing questions
When is 65273 a better fit than 65270?
Use 65273 when the repair includes conjunctival advancement or resection. Code 65270 is the related repair without that tissue advancement or resection.
How does 65273 differ from 65272?
The distinction is the repair performed: 65273 involves conjunctival advancement or resection, while 65272 addresses repositioning or resection of uveal tissue.
What documentation supports 65273?
The operative report should describe the conjunctival wound, any associated scleral injury and whether it is nonperforating, and the advancement or resection used to complete the repair.
How is modifier 50 handled for bilateral repairs?
When the service is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction.
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.
7,30965265,,Remove foreign body from eye,A,,13.98,13.10,NA,13.10,,1.12,28.20,28.20,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31065270,,Repair of eye wound,A,,1.90,6.39,,1.50,,0.15,8.44,3.55,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31165272,,Repair of eye wound,A,,4.50,10.90,,4.11,,0.36,15.76,8.97,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31265273,,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
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