No office rate
This code concerns removal of an eye lesion. Code 65920 is for removing implanted material from the anterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
65920 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$705.95
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 65920: Anterior segment implant removal
Ophthalmic surgeons report this service when surgically removing implanted material from the eye’s anterior segment rather than repositioning or exchanging it.
An ophthalmic surgeon uses this service to remove implanted material from the anterior portion of the eye when the material must be taken out, rather than left in place or repositioned. A previously placed anterior-segment device or other implant may require removal during operative treatment of an implant-related problem. The procedure is generally performed in an operating-room setting by an ophthalmologist.
Report the code for removal of the implant itself, not for a lesion excision or removal of an anterior-segment blood clot. The operative report should identify the implant and its location and describe the removal performed. CMS classifies the service as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment is restricted; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 65920
- 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 RVU9.74 · 48%
- Practice expense (office) RVU9.86 · 48%
- Malpractice RVU0.79 · 4%
2.3K
Medicare services in 2024 · #2349 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.
65920 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
This code is for removing a blood clot from the anterior segment; code 65920 concerns implanted material.
$705.98
Both involve removal of implanted material, but 67120 applies to the posterior segment rather than the anterior segment.
No office rate
Use 66986 for an intraocular lens exchange. Code 65920 describes removal of implanted material without identifying an exchange as the service.
The same code, a different location
How does Merced compare?
65920 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Modesto
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Napa
California · 65920
Office
Unavailable
Facility
$793.29
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65920
Office
Unavailable
Facility
$740.14
No comparable office rate is available.
Redding
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Rest Of California
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65920
Office
Unavailable
Facility
$714.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65920
Office
Unavailable
Facility
$734.19
No comparable office rate is available.
Salinas
California · 65920
Office
Unavailable
Facility
$731.25
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65920
Office
Unavailable
Facility
$743.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65920
Office
Unavailable
Facility
$832.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65920
Office
Unavailable
Facility
$831.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65920
Office
Unavailable
Facility
$850.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65920
Office
Unavailable
Facility
$846.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65920
Office
Unavailable
Facility
$720.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65920
Office
Unavailable
Facility
$746.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65920
Office
Unavailable
Facility
$732.58
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65920
Office
Unavailable
Facility
$753.65
No comparable office rate is available.
Stockton
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Vallejo
California · 65920
Office
Unavailable
Facility
$791.99
No comparable office rate is available.
Visalia
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Yuba City
California · 65920
Office
Unavailable
Facility
$705.95
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65920
Office
Unavailable
Facility
$760.21
No comparable office rate is available.
Miami
Florida · 65920
Office
Unavailable
Facility
$734.89
No comparable office rate is available.
Chicago
Illinois · 65920
Office
Unavailable
Facility
$719.14
No comparable office rate is available.
Manhattan
New York · 65920
Office
Unavailable
Facility
$770.68
No comparable office rate is available.
Alaska*
Alaska · 65920
Office
Unavailable
Facility
$853.27
No comparable office rate is available.
Alabama
Alabama · 65920
Office
Unavailable
Facility
$628.43
No comparable office rate is available.
Arkansas
Arkansas · 65920
Office
Unavailable
Facility
$621.81
No comparable office rate is available.
Arizona
Arizona · 65920
Office
Unavailable
Facility
$667.04
No comparable office rate is available.
Colorado
Colorado · 65920
Office
Unavailable
Facility
$700.25
No comparable office rate is available.
Connecticut
Connecticut · 65920
Office
Unavailable
Facility
$718.45
No comparable office rate is available.
Delaware
Delaware · 65920
Office
Unavailable
Facility
$676.05
No comparable office rate is available.
Fort Lauderdale
Florida · 65920
Office
Unavailable
Facility
$706.65
No comparable office rate is available.
Rest Of Florida
Florida · 65920
Office
Unavailable
Facility
$679.83
No comparable office rate is available.
Atlanta
Georgia · 65920
Office
Unavailable
Facility
$692.59
No comparable office rate is available.
Rest Of Georgia
Georgia · 65920
Office
Unavailable
Facility
$650.54
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65920
Office
Unavailable
Facility
$715.05
No comparable office rate is available.
Iowa
Iowa · 65920
Office
Unavailable
Facility
$637.14
No comparable office rate is available.
Idaho
Idaho · 65920
Office
Unavailable
Facility
$640.79
No comparable office rate is available.
East St. Louis
Illinois · 65920
Office
Unavailable
Facility
$681.45
No comparable office rate is available.
Rest Of Illinois
Illinois · 65920
Office
Unavailable
Facility
$667.25
No comparable office rate is available.
Suburban Chicago
Illinois · 65920
Office
Unavailable
Facility
$712.58
No comparable office rate is available.
Indiana
Indiana · 65920
Office
Unavailable
Facility
$643.44
No comparable office rate is available.
Kansas
Kansas · 65920
Office
Unavailable
Facility
$636.34
No comparable office rate is available.
Kentucky
Kentucky · 65920
Office
Unavailable
Facility
$642.25
No comparable office rate is available.
New Orleans
Louisiana · 65920
Office
Unavailable
Facility
$665.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65920
Office
Unavailable
Facility
$642.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65920
Office
Unavailable
Facility
$755.37
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65920
Office
Unavailable
Facility
$698.35
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65920
Office
Unavailable
Facility
$716.54
No comparable office rate is available.
Rest Of Maryland
Maryland · 65920
Office
Unavailable
Facility
$686.09
No comparable office rate is available.
Rest Of Maine
Maine · 65920
Office
Unavailable
Facility
$644.72
No comparable office rate is available.
Southern Maine
Maine · 65920
Office
Unavailable
Facility
$668.34
No comparable office rate is available.
Detroit
Michigan · 65920
Office
Unavailable
Facility
$687.62
No comparable office rate is available.
Rest Of Michigan
Michigan · 65920
Office
Unavailable
Facility
$655.80
No comparable office rate is available.
Minnesota
Minnesota · 65920
Office
Unavailable
Facility
$672.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65920
Office
Unavailable
Facility
$660.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65920
Office
Unavailable
Facility
$665.29
No comparable office rate is available.
Rest Of Missouri
Missouri · 65920
Office
Unavailable
Facility
$634.91
No comparable office rate is available.
Mississippi
Mississippi · 65920
Office
Unavailable
Facility
$628.38
No comparable office rate is available.
Montana**
Montana · 65920
Office
Unavailable
Facility
$680.99
No comparable office rate is available.
North Carolina
North Carolina · 65920
Office
Unavailable
Facility
$649.45
No comparable office rate is available.
North Dakota**
North Dakota · 65920
Office
Unavailable
Facility
$665.37
No comparable office rate is available.
Nebraska
Nebraska · 65920
Office
Unavailable
Facility
$639.27
No comparable office rate is available.
New Hampshire
New Hampshire · 65920
Office
Unavailable
Facility
$691.25
No comparable office rate is available.
Northern Nj
New Jersey · 65920
Office
Unavailable
Facility
$756.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65920
Office
Unavailable
Facility
$726.92
No comparable office rate is available.
New Mexico
New Mexico · 65920
Office
Unavailable
Facility
$659.01
No comparable office rate is available.
Nevada**
Nevada · 65920
Office
Unavailable
Facility
$676.97
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65920
Office
Unavailable
Facility
$786.72
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65920
Office
Unavailable
Facility
$732.51
No comparable office rate is available.
Queens
New York · 65920
Office
Unavailable
Facility
$773.47
No comparable office rate is available.
Rest Of New York
New York · 65920
Office
Unavailable
Facility
$656.74
No comparable office rate is available.
Ohio
Ohio · 65920
Office
Unavailable
Facility
$652.60
No comparable office rate is available.
Oklahoma
Oklahoma · 65920
Office
Unavailable
Facility
$639.92
No comparable office rate is available.
Portland
Oregon · 65920
Office
Unavailable
Facility
$716.05
No comparable office rate is available.
Rest Of Oregon
Oregon · 65920
Office
Unavailable
Facility
$671.89
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65920
Office
Unavailable
Facility
$705.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65920
Office
Unavailable
Facility
$652.59
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65920
Office
Unavailable
Facility
$684.27
No comparable office rate is available.
Rhode Island
Rhode Island · 65920
Office
Unavailable
Facility
$695.24
No comparable office rate is available.
South Carolina
South Carolina · 65920
Office
Unavailable
Facility
$652.06
No comparable office rate is available.
South Dakota**
South Dakota · 65920
Office
Unavailable
Facility
$663.52
No comparable office rate is available.
Tennessee
Tennessee · 65920
Office
Unavailable
Facility
$638.86
No comparable office rate is available.
Austin
Texas · 65920
Office
Unavailable
Facility
$697.79
No comparable office rate is available.
Beaumont
Texas · 65920
Office
Unavailable
Facility
$649.53
No comparable office rate is available.
Brazoria
Texas · 65920
Office
Unavailable
Facility
$674.88
No comparable office rate is available.
Dallas
Texas · 65920
Office
Unavailable
Facility
$678.91
No comparable office rate is available.
Fort Worth
Texas · 65920
Office
Unavailable
Facility
$675.96
No comparable office rate is available.
Galveston
Texas · 65920
Office
Unavailable
Facility
$676.80
No comparable office rate is available.
Houston
Texas · 65920
Office
Unavailable
Facility
$691.26
No comparable office rate is available.
Rest Of Texas
Texas · 65920
Office
Unavailable
Facility
$661.69
No comparable office rate is available.
Utah
Utah · 65920
Office
Unavailable
Facility
$658.59
No comparable office rate is available.
Virginia
Virginia · 65920
Office
Unavailable
Facility
$667.69
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65920
Office
Unavailable
Facility
$684.27
No comparable office rate is available.
Vermont
Vermont · 65920
Office
Unavailable
Facility
$664.72
No comparable office rate is available.
Rest Of Washington
Washington · 65920
Office
Unavailable
Facility
$696.42
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65920
Office
Unavailable
Facility
$767.24
No comparable office rate is available.
Wisconsin
Wisconsin · 65920
Office
Unavailable
Facility
$648.95
No comparable office rate is available.
West Virginia
West Virginia · 65920
Office
Unavailable
Facility
$649.27
No comparable office rate is available.
Wyoming**
Wyoming · 65920
Office
Unavailable
Facility
$674.18
No comparable office rate is available.
See how rates vary across the country
65920 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 65920 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$776.55
$705.95 × 110% = $776.55
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 65920 in Merced.
PPRRVU2026_Oct_nonQPP.csv
7,358
- Code
- 65920
- Physician work
- 9.74
- Practice expense
- 9.86
- Malpractice
- 0.79
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.74 | × 1.017 | 9.9056 |
| Practice expense | 9.86 | × 1.096 | 10.8066 |
| Malpractice | 0.79 | × 0.536 | 0.4234 |
| Total RVUs | 21.1356 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$705.95
Open 65920 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.74 | 1.017 |
| Practice expense | 9.86 | 1.096 |
| Malpractice | 0.79 | 0.536 |
(9.74 × 1.017 + 9.86 × 1.096 + 0.79 × 0.536) × $33.4009 = $705.95
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
65920 · 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 | $705.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $705.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $705.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $705.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $791.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $791.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $791.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $791.33 | RVU25A |
65920 billing questions
How is this code different from repositioning an intraocular lens?
Use this code when implanted material is removed from the anterior segment. If an intraocular lens is repositioned and remains in the eye, consider the repositioning service instead.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period.
How is bilateral removal reported?
When the procedure is performed bilaterally, report modifier 50; CMS payment for the bilateral procedure is at 150%.
Can an assistant at surgery be paid for this procedure?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code.
What documentation supports reporting this code?
Document what implanted material was removed, its anterior-segment location, and the removal performed. Co-surgeon payment requires supporting documentation.
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.
7,35565875,,Incise inner eye adhesions,A,,7.61,8.20,NA,8.20,,0.60,16.41,16.41,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35665880,,Incise inner eye adhesions,A,,8.15,8.38,NA,8.38,,0.64,17.17,17.17,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35765900,,Remove eye lesion,A,,12.20,12.25,NA,12.25,,0.99,25.44,25.44,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35865920,,Remove implant of eye,A,,9.74,9.86,NA,9.86,,0.79,20.39,20.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35965930,,Remove blood clot from eye,A,,8.18,7.58,NA,7.58,,0.64,16.40,16.40,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36066020,,Injection treatment of eye,A,,1.60,4.16,,1.68,,0.13,5.89,3.41,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36166030,,Injection treatment of eye,A,,1.27,3.93,,1.56,,0.09,5.29,2.92,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623