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CMS RVU26D · Effective 2026-10-01

65779 in Madera

Office / nonfacility

$1242.28

Base rate per service

Facility setting

$85.85

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

About 65779: Sutured single-layer amniotic membrane placement

Reports sutured placement of a single amniotic membrane layer on the ocular surface to support healing of a damaged or persistently defective surface.

An ophthalmologist places one amniotic membrane layer over the ocular surface and secures it with sutures. This approach may be used for a persistent corneal epithelial defect or other ocular-surface damage when coverage is needed to support healing. The operative record should establish the ocular surface treated and that the membrane was placed as a single layer and sutured.

Select this code for sutured single-layer placement, not for a self-retaining membrane application or a multi-layer ocular surface reconstruction. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 65779

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.71 · 5%
  • Practice expense (office) RVU32.28 · 95%
  • Malpractice RVU0.14 · 0%

591

Medicare services in 2024 · #3408 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.

65779 compared with similar codes

Office rates for Madera, from the same CMS release.

65778

Amniotic membrane

Without sutures

$1,393.66

Choose 65779 when the single membrane layer is sutured. Choose 65778 when it is placed without sutures as a self-retaining membrane.

65780

Amniotic membrane graft

Multiple layers

No office rate

65780 describes multi-layer amniotic membrane reconstruction; 65779 is for a single sutured layer.

65781

Ocular reconstruction

Limbal stem cell allograft

No office rate

65781 involves ocular surface reconstruction with a limbal stem cell allograft, not single-layer amniotic membrane placement.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 65779 is $1242.73—$0.45 higher than the $1242.28 rate in Madera. Both use the same code, release and participation basis.

65779 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $1242.28

  2. Bakersfield

    $1242.73

    $0.45 higher than Madera

  3. Chico

    $1242.28

    The same base rate than Madera

  4. El Centro

    $1242.30

    $0.02 higher than Madera

  5. Fresno

    $1242.28

    The same base rate than Madera

  6. Hanford-Corcoran

    $1242.28

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1338.05

    $95.77 higher than Madera

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 65779 ranges from $985.68 in Arkansas to $1620.64 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Modesto

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Napa

    California · 65779

    Office

    $1484.13

    Facility

    $93.46

    $241.85 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65779

    Office

    $1336.04

    Facility

    $88.87

    $93.76 higher than Madera for the office setting.

  • Redding

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65779

    Office

    $1243.82

    Facility

    $87.39

    $1.54 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65779

    Office

    $1315.60

    Facility

    $88.48

    $73.32 higher than Madera for the office setting.

  • Salinas

    California · 65779

    Office

    $1311.00

    Facility

    $88.10

    $68.72 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65779

    Office

    $1350.87

    Facility

    $88.93

    $108.59 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65779

    Office

    $1584.92

    Facility

    $97.18

    $342.64 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 65779

    Office

    $1584.76

    Facility

    $97.02

    $342.48 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 65779

    Office

    $1620.64

    Facility

    $99.14

    $378.36 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 65779

    Office

    $1619.99

    Facility

    $98.49

    $377.71 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65779

    Office

    $1288.64

    Facility

    $86.84

    $46.36 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 65779

    Office

    $1370.81

    Facility

    $88.82

    $128.53 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 65779

    Office

    $1318.38

    Facility

    $88.09

    $76.10 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 65779

    Office

    $1385.34

    Facility

    $89.64

    $143.06 higher than Madera for the office setting.

  • Stockton

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 65779

    Office

    $1483.90

    Facility

    $93.24

    $241.62 higher than Madera for the office setting.

  • Visalia

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 65779

    Office

    $1242.28

    Facility

    $85.85

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65779

    Office

    $1335.50

    Facility

    $92.55

    $93.22 higher than Madera for the office setting.

  • Miami

    Florida · 65779

    Office

    $1191.33

    Facility

    $92.93

    $50.95 lower than Madera for the office setting.

  • Chicago

    Illinois · 65779

    Office

    $1151.82

    Facility

    $91.41

    $90.46 lower than Madera for the office setting.

  • Manhattan

    New York · 65779

    Office

    $1321.03

    Facility

    $94.97

    $78.75 higher than Madera for the office setting.

  • Alaska*

    Alaska · 65779

    Office

    $1236.51

    Facility

    $112.79

    $5.77 lower than Madera for the office setting.

  • Alabama

    Alabama · 65779

    Office

    $1003.17

    Facility

    $79.93

    $239.11 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 65779

    Office

    $985.68

    Facility

    $79.32

    $256.60 lower than Madera for the office setting.

  • Arizona

    Arizona · 65779

    Office

    $1105.88

    Facility

    $83.45

    $136.40 lower than Madera for the office setting.

  • Colorado

    Colorado · 65779

    Office

    $1208.64

    Facility

    $85.97

    $33.64 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 65779

    Office

    $1225.12

    Facility

    $88.74

    $17.16 lower than Madera for the office setting.

  • Delaware

    Delaware · 65779

    Office

    $1126.85

    Facility

    $84.38

    $115.43 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 65779

    Office

    $1157.77

    Facility

    $88.92

    $84.51 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 65779

    Office

    $1094.88

    Facility

    $86.18

    $147.40 lower than Madera for the office setting.

  • Atlanta

    Georgia · 65779

    Office

    $1158.33

    Facility

    $86.32

    $83.95 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 65779

    Office

    $1024.43

    Facility

    $83.25

    $217.85 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 65779

    Office

    $1285.71

    Facility

    $86.03

    $43.43 higher than Madera for the office setting.

  • Iowa

    Iowa · 65779

    Office

    $1045.51

    Facility

    $80.06

    $196.77 lower than Madera for the office setting.

  • Idaho

    Idaho · 65779

    Office

    $1051.25

    Facility

    $80.53

    $191.03 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 65779

    Office

    $1058.46

    Facility

    $87.74

    $183.82 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 65779

    Office

    $1048.80

    Facility

    $85.47

    $193.48 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 65779

    Office

    $1173.09

    Facility

    $89.47

    $69.19 lower than Madera for the office setting.

  • Indiana

    Indiana · 65779

    Office

    $1058.86

    Facility

    $80.75

    $183.42 lower than Madera for the office setting.

  • Kansas

    Kansas · 65779

    Office

    $1034.15

    Facility

    $80.31

    $208.13 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 65779

    Office

    $1019.90

    Facility

    $81.88

    $222.38 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 65779

    Office

    $1077.00

    Facility

    $84.11

    $165.28 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 65779

    Office

    $1015.79

    Facility

    $81.99

    $226.49 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 65779

    Office

    $1350.97

    Facility

    $91.14

    $108.69 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65779

    Office

    $1197.08

    Facility

    $86.02

    $45.20 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65779

    Office

    $1220.70

    Facility

    $88.54

    $21.58 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 65779

    Office

    $1153.10

    Facility

    $85.30

    $89.18 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 65779

    Office

    $1051.95

    Facility

    $81.23

    $190.33 lower than Madera for the office setting.

  • Southern Maine

    Maine · 65779

    Office

    $1128.54

    Facility

    $82.91

    $113.74 lower than Madera for the office setting.

  • Detroit

    Michigan · 65779

    Office

    $1105.44

    Facility

    $87.24

    $136.84 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 65779

    Office

    $1046.77

    Facility

    $83.44

    $195.51 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 65779

    Office

    $1167.95

    Facility

    $82.21

    $74.33 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 65779

    Office

    $1074.10

    Facility

    $83.32

    $168.18 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 65779

    Office

    $1088.23

    Facility

    $83.74

    $154.05 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 65779

    Office

    $991.06

    Facility

    $81.54

    $251.22 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 65779

    Office

    $988.89

    Facility

    $80.41

    $253.39 lower than Madera for the office setting.

  • Montana**

    Montana · 65779

    Office

    $1139.96

    Facility

    $84.83

    $102.32 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 65779

    Office

    $1066.05

    Facility

    $81.61

    $176.23 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 65779

    Office

    $1137.20

    Facility

    $82.06

    $105.08 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 65779

    Office

    $1054.04

    Facility

    $80.16

    $188.24 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 65779

    Office

    $1183.59

    Facility

    $85.20

    $58.69 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 65779

    Office

    $1316.40

    Facility

    $92.44

    $74.12 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 65779

    Office

    $1241.90

    Facility

    $89.70

    $0.38 lower than Madera for the office setting.

  • New Mexico

    New Mexico · 65779

    Office

    $1051.42

    Facility

    $83.87

    $190.86 lower than Madera for the office setting.

  • Nevada**

    Nevada · 65779

    Office

    $1140.27

    Facility

    $84.08

    $102.01 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65779

    Office

    $1351.41

    Facility

    $96.86

    $109.13 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65779

    Office

    $1245.95

    Facility

    $90.58

    $3.67 higher than Madera for the office setting.

  • Queens

    New York · 65779

    Office

    $1341.92

    Facility

    $94.76

    $99.64 higher than Madera for the office setting.

  • Rest Of New York

    New York · 65779

    Office

    $1084.67

    Facility

    $82.30

    $157.61 lower than Madera for the office setting.

  • Ohio

    Ohio · 65779

    Office

    $1046.21

    Facility

    $82.87

    $196.07 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 65779

    Office

    $1023.56

    Facility

    $81.33

    $218.72 lower than Madera for the office setting.

  • Portland

    Oregon · 65779

    Office

    $1259.37

    Facility

    $87.11

    $17.09 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 65779

    Office

    $1134.27

    Facility

    $83.36

    $108.01 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65779

    Office

    $1186.11

    Facility

    $87.71

    $56.17 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65779

    Office

    $1051.30

    Facility

    $82.69

    $190.98 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 65779

    Office

    $1151.76

    Facility

    $85.02

    $90.52 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 65779

    Office

    $1176.13

    Facility

    $86.18

    $66.15 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 65779

    Office

    $1057.33

    Facility

    $82.39

    $184.95 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 65779

    Office

    $1136.87

    Facility

    $81.73

    $105.41 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 65779

    Office

    $1039.69

    Facility

    $80.58

    $202.59 lower than Madera for the office setting.

  • Austin

    Texas · 65779

    Office

    $1202.09

    Facility

    $85.76

    $40.19 lower than Madera for the office setting.

  • Beaumont

    Texas · 65779

    Office

    $1042.60

    Facility

    $82.43

    $199.68 lower than Madera for the office setting.

  • Brazoria

    Texas · 65779

    Office

    $1129.70

    Facility

    $84.06

    $112.58 lower than Madera for the office setting.

  • Dallas

    Texas · 65779

    Office

    $1135.51

    Facility

    $84.60

    $106.77 lower than Madera for the office setting.

  • Fort Worth

    Texas · 65779

    Office

    $1124.79

    Facility

    $84.43

    $117.49 lower than Madera for the office setting.

  • Galveston

    Texas · 65779

    Office

    $1132.08

    Facility

    $84.33

    $110.20 lower than Madera for the office setting.

  • Houston

    Texas · 65779

    Office

    $1134.64

    Facility

    $86.89

    $107.64 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 65779

    Office

    $1084.53

    Facility

    $83.21

    $157.75 lower than Madera for the office setting.

  • Utah

    Utah · 65779

    Office

    $1074.80

    Facility

    $82.98

    $167.48 lower than Madera for the office setting.

  • Virginia

    Virginia · 65779

    Office

    $1120.27

    Facility

    $83.07

    $122.01 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65779

    Office

    $1151.76

    Facility

    $85.02

    $90.52 lower than Madera for the office setting.

  • Vermont

    Vermont · 65779

    Office

    $1126.88

    Facility

    $82.30

    $115.40 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 65779

    Office

    $1196.74

    Facility

    $85.68

    $45.54 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 65779

    Office

    $1386.72

    Facility

    $92.07

    $144.44 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 65779

    Office

    $1091.45

    Facility

    $80.63

    $150.83 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 65779

    Office

    $1000.75

    Facility

    $83.83

    $241.53 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 65779

    Office

    $1138.76

    Facility

    $83.62

    $103.52 lower than Madera for the office setting.

See how rates vary across the country

65779 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$985.68

$1,431.46

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,236.511
AL$1,003.171
AR$985.681
AZ$1,105.881
CA$1,242.28–$1,620.6429
CO$1,208.641
CT$1,225.121
DC$1,335.501
DE$1,126.851
FL$1,094.88–$1,191.333
GA$1,024.43–$1,158.332
GU$1,285.711
HI$1,285.711
IA$1,045.511
ID$1,051.251
IL$1,048.80–$1,173.094
IN$1,058.861
KS$1,034.151
KY$1,019.901
LA$1,015.79–$1,077.002
MA$1,197.08–$1,350.972
MD$1,153.10–$1,335.503
ME$1,051.95–$1,128.542
MI$1,046.77–$1,105.442
MN$1,167.951
MO$991.06–$1,088.233
MS$988.891
MT$1,139.961
NC$1,066.051
ND$1,137.201
NE$1,054.041
NH$1,183.591
NJ$1,241.90–$1,316.402
NM$1,051.421
NV$1,140.271
NY$1,084.67–$1,351.415
OH$1,046.211
OK$1,023.561
OR$1,134.27–$1,259.372
PA$1,051.30–$1,186.112
PR$1,151.761
RI$1,176.131
SC$1,057.331
SD$1,136.871
TN$1,039.691
TX$1,042.60–$1,202.098
UT$1,074.801
VA$1,120.27–$1,335.502
VI$1,151.761
VT$1,126.881
WA$1,196.74–$1,386.722
WI$1,091.451
WV$1,000.751
WY$1,138.761

Explore 65779 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 65779 in Madera, the physician’s office rate is $1242.28 and the facility-setting rate is $85.85: a difference of $1156.43.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 65779 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1366.51

$1242.28 × 110% = $1366.51

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.

Compare your contract offer →

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 65779 in Madera.

PPRRVU2026_Oct_nonQPP.csv

7,341

Code
65779
Physician work
1.71
Practice expense
32.28
Malpractice
0.14

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 65779 in Madera
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0171.7391
Practice expense32.28× 1.09635.3789
Malpractice0.14× 0.5360.0750
Total RVUs37.1930
Conversion factor× 33.4009

Office / nonfacility rate, Madera$1242.28

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 65779 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.711.017
Practice expense32.281.096
Malpractice0.140.536

(1.71 × 1.017 + 32.28 × 1.096 + 0.14 × 0.536) × $33.4009 = $1242.28

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.711.017
Practice expense0.691.096
Malpractice0.140.536

(1.71 × 1.017 + 0.69 × 1.096 + 0.14 × 0.536) × $33.4009 = $85.85

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

65779 · Office / nonfacility

$1242.28

Effective 2026-10-01

The base rate is $83.34 higher than on 2025-10-01, moving from $1158.94 to $1242.28 (7.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $1158.94changed to$1242.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.75 changed to 1.71
    • Practice expense RVU 31.08 changed to 32.28
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1158.94

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$1242.28$85.85RVU26D
2026-07-01$1242.28$85.85RVU26C
2026-04-01$1242.28$85.85RVU26B
2026-01-01$1242.28$85.85RVU26A
2025-10-01$1158.94$103.25RVU25D
2025-07-01$1158.94$103.25RVU25C
2025-04-01$1158.94$103.25RVU25B
2025-01-01$1158.94$103.25RVU25A

65779 billing questions

How does 65779 differ from 65778?

65779 is for a single amniotic membrane layer secured with sutures. 65778 is the corresponding placement without sutures, using a self-retaining membrane.

When is 65780 a better fit?

Use 65780 for ocular surface reconstruction involving multiple amniotic membrane layers. A single sutured layer is reported with 65779.

What documentation supports 65779?

Document the ocular surface condition treated, the single-layer membrane placement, and that the membrane was secured with sutures.

How is bilateral treatment reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both eyes.

Can an assistant surgeon be paid?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

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.

RVUs for 65779PPRRVU2026_Oct_nonQPP.csv, line 7,341 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet