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CMS RVU26D · Effective 2026-10-01

65860 in Modesto

Office / nonfacility

$325.43

Base rate per service

Facility setting

$214.88

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 65860: Laser severing of anterior-segment adhesions

Reports laser treatment that severs adhesions in the eye’s anterior segment, such as when an ophthalmologist treats adhesions affecting anterior-segment structures.

An ophthalmologist uses a laser to sever adhesions within the anterior segment of the eye. The service is selected for laser treatment of these adhesions, not for an incisional approach. It may be performed in an ophthalmology office or a facility, depending on the patient and procedure setting.

Report the service when the documented work supports laser severing of anterior-segment adhesions. The record should identify the treated eye, the adhesions and structures involved, the clinical reason for treatment, and the laser procedure performed. CMS assigns 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 65860

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
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 RVU3.50 · 38%
  • Practice expense (office) RVU5.51 · 59%
  • Malpractice RVU0.27 · 3%

712

Medicare services in 2024 · #3246 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.

65860 compared with similar codes

Office rates for Modesto, from the same CMS release.

65865

Eye adhesion lysis

Incisional technique

No office rate

Use 65860 for laser severing of anterior-segment adhesions. Use 65865 when the adhesions are divided with a surgical technique.

65855

Laser trabeculoplasty

Trabecular meshwork treatment

$257.22

Code 65855 describes laser treatment of the trabecular meshwork. This code is for laser severing of anterior-segment adhesions.

66761

Laser iridotomy

Peripheral iris opening

$316.16

Code 66761 describes laser iridotomy or iridectomy for glaucoma. Distinguish it from adhesion severing by the documented procedure and clinical purpose.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 65860 is $326.32—$0.89 higher than the $325.43 rate in Modesto. Both use the same code, release and participation basis.

65860 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $325.43

  2. Bakersfield

    $326.32

    $0.89 higher than Modesto

  3. Chico

    $325.43

    The same base rate than Modesto

  4. El Centro

    $325.48

    $0.05 higher than Modesto

  5. Fresno

    $325.43

    The same base rate than Modesto

  6. Hanford-Corcoran

    $325.43

    The same base rate than Modesto

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

    $345.40

    $19.97 higher than Modesto

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, 65860 ranges from $279.64 in Arkansas to $399.98 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

  • Madera

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Merced

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Napa

    California · 65860

    Office

    $371.41

    Facility

    $238.47

    $45.98 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65860

    Office

    $343.33

    Facility

    $224.10

    $17.90 higher than Modesto for the office setting.

  • Redding

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65860

    Office

    $328.41

    Facility

    $217.85

    $2.98 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65860

    Office

    $339.98

    Facility

    $222.67

    $14.55 higher than Modesto for the office setting.

  • Salinas

    California · 65860

    Office

    $338.66

    Facility

    $221.75

    $13.23 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65860

    Office

    $345.41

    Facility

    $224.77

    $19.98 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65860

    Office

    $391.64

    Facility

    $249.42

    $66.21 higher than Modesto for the office setting.

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

    California · 65860

    Office

    $391.34

    Facility

    $249.11

    $65.91 higher than Modesto for the office setting.

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

    California · 65860

    Office

    $399.98

    Facility

    $254.52

    $74.55 higher than Modesto for the office setting.

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

    California · 65860

    Office

    $398.73

    Facility

    $253.27

    $73.30 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65860

    Office

    $333.34

    Facility

    $218.45

    $7.91 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 65860

    Office

    $347.80

    Facility

    $225.24

    $22.37 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 65860

    Office

    $339.60

    Facility

    $221.98

    $14.17 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 65860

    Office

    $351.24

    Facility

    $227.37

    $25.81 higher than Modesto for the office setting.

  • Stockton

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 65860

    Office

    $370.97

    Facility

    $238.02

    $45.54 higher than Modesto for the office setting.

  • Visalia

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 65860

    Office

    $325.43

    Facility

    $214.88

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65860

    Office

    $350.05

    Facility

    $231.23

    $24.62 higher than Modesto for the office setting.

  • Miami

    Florida · 65860

    Office

    $331.29

    Facility

    $226.29

    $5.86 higher than Modesto for the office setting.

  • Chicago

    Illinois · 65860

    Office

    $323.38

    Facility

    $222.00

    $2.05 lower than Modesto for the office setting.

  • Manhattan

    New York · 65860

    Office

    $352.54

    Facility

    $235.33

    $27.11 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 65860

    Office

    $376.33

    Facility

    $268.90

    $50.90 higher than Modesto for the office setting.

  • Alabama

    Alabama · 65860

    Office

    $283.04

    Facility

    $194.78

    $42.39 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 65860

    Office

    $279.64

    Facility

    $192.99

    $45.79 lower than Modesto for the office setting.

  • Arizona

    Arizona · 65860

    Office

    $302.96

    Facility

    $205.21

    $22.47 lower than Modesto for the office setting.

  • Colorado

    Colorado · 65860

    Office

    $321.17

    Facility

    $213.84

    $4.26 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 65860

    Office

    $328.36

    Facility

    $219.73

    $2.93 higher than Modesto for the office setting.

  • Delaware

    Delaware · 65860

    Office

    $307.43

    Facility

    $207.77

    $18.00 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 65860

    Office

    $319.64

    Facility

    $217.46

    $5.79 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 65860

    Office

    $306.40

    Facility

    $209.97

    $19.03 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 65860

    Office

    $315.07

    Facility

    $212.58

    $10.36 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 65860

    Office

    $291.82

    Facility

    $201.84

    $33.61 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 65860

    Office

    $331.38

    Facility

    $216.69

    $5.95 higher than Modesto for the office setting.

  • Iowa

    Iowa · 65860

    Office

    $288.88

    Facility

    $196.58

    $36.55 lower than Modesto for the office setting.

  • Idaho

    Idaho · 65860

    Office

    $290.48

    Facility

    $197.68

    $34.95 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 65860

    Office

    $304.38

    Facility

    $211.58

    $21.05 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 65860

    Office

    $299.03

    Facility

    $206.93

    $26.40 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 65860

    Office

    $322.71

    Facility

    $219.12

    $2.72 lower than Modesto for the office setting.

  • Indiana

    Indiana · 65860

    Office

    $291.89

    Facility

    $198.38

    $33.54 lower than Modesto for the office setting.

  • Kansas

    Kansas · 65860

    Office

    $287.82

    Facility

    $196.63

    $37.61 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 65860

    Office

    $288.77

    Facility

    $199.09

    $36.66 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 65860

    Office

    $300.33

    Facility

    $205.41

    $25.10 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 65860

    Office

    $288.42

    Facility

    $199.15

    $37.01 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 65860

    Office

    $349.46

    Facility

    $229.03

    $24.03 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65860

    Office

    $319.75

    Facility

    $213.54

    $5.68 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65860

    Office

    $327.40

    Facility

    $219.17

    $1.97 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 65860

    Office

    $312.60

    Facility

    $210.52

    $12.83 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 65860

    Office

    $291.83

    Facility

    $199.03

    $33.60 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 65860

    Office

    $304.98

    Facility

    $205.01

    $20.45 lower than Modesto for the office setting.

  • Detroit

    Michigan · 65860

    Office

    $309.71

    Facility

    $212.37

    $15.72 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 65860

    Office

    $295.11

    Facility

    $203.02

    $30.32 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 65860

    Office

    $308.95

    Facility

    $205.15

    $16.48 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 65860

    Office

    $298.53

    Facility

    $203.81

    $26.90 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 65860

    Office

    $301.14

    Facility

    $205.12

    $24.29 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 65860

    Office

    $284.33

    Facility

    $197.38

    $41.10 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 65860

    Office

    $282.03

    Facility

    $195.18

    $43.40 lower than Modesto for the office setting.

  • Montana**

    Montana · 65860

    Office

    $309.94

    Facility

    $209.07

    $15.49 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 65860

    Office

    $294.37

    Facility

    $200.26

    $31.06 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 65860

    Office

    $304.60

    Facility

    $203.73

    $20.83 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 65860

    Office

    $290.18

    Facility

    $197.08

    $35.25 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 65860

    Office

    $316.38

    Facility

    $211.37

    $9.05 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 65860

    Office

    $347.38

    Facility

    $230.37

    $21.95 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 65860

    Office

    $332.44

    Facility

    $222.29

    $7.01 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 65860

    Office

    $296.50

    Facility

    $204.00

    $28.93 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 65860

    Office

    $308.64

    Facility

    $207.67

    $16.79 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65860

    Office

    $359.95

    Facility

    $240.02

    $34.52 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65860

    Office

    $334.60

    Facility

    $224.15

    $9.17 higher than Modesto for the office setting.

  • Queens

    New York · 65860

    Office

    $354.92

    Facility

    $235.69

    $29.49 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 65860

    Office

    $298.08

    Facility

    $202.25

    $27.35 lower than Modesto for the office setting.

  • Ohio

    Ohio · 65860

    Office

    $294.02

    Facility

    $201.93

    $31.41 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 65860

    Office

    $288.26

    Facility

    $198.18

    $37.17 lower than Modesto for the office setting.

  • Portland

    Oregon · 65860

    Office

    $329.95

    Facility

    $217.88

    $4.52 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 65860

    Office

    $306.55

    Facility

    $206.08

    $18.88 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65860

    Office

    $321.35

    Facility

    $216.34

    $4.08 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65860

    Office

    $294.37

    Facility

    $201.77

    $31.06 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 65860

    Office

    $311.85

    Facility

    $209.87

    $13.58 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 65860

    Office

    $317.28

    Facility

    $213.08

    $8.15 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 65860

    Office

    $294.62

    Facility

    $201.42

    $30.81 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 65860

    Office

    $303.97

    Facility

    $203.10

    $21.46 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 65860

    Office

    $289.04

    Facility

    $197.35

    $36.39 lower than Modesto for the office setting.

  • Austin

    Texas · 65860

    Office

    $319.84

    Facility

    $213.12

    $5.59 lower than Modesto for the office setting.

  • Beaumont

    Texas · 65860

    Office

    $292.76

    Facility

    $200.96

    $32.67 lower than Modesto for the office setting.

  • Brazoria

    Texas · 65860

    Office

    $307.26

    Facility

    $207.29

    $18.17 lower than Modesto for the office setting.

  • Dallas

    Texas · 65860

    Office

    $309.00

    Facility

    $208.53

    $16.43 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 65860

    Office

    $307.27

    Facility

    $207.81

    $18.16 lower than Modesto for the office setting.

  • Galveston

    Texas · 65860

    Office

    $308.06

    Facility

    $207.89

    $17.37 lower than Modesto for the office setting.

  • Houston

    Texas · 65860

    Office

    $313.00

    Facility

    $212.83

    $12.43 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 65860

    Office

    $299.70

    Facility

    $203.97

    $25.73 lower than Modesto for the office setting.

  • Utah

    Utah · 65860

    Office

    $298.00

    Facility

    $203.18

    $27.43 lower than Modesto for the office setting.

  • Virginia

    Virginia · 65860

    Office

    $304.18

    Facility

    $205.02

    $21.25 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65860

    Office

    $311.85

    Facility

    $209.87

    $13.58 lower than Modesto for the office setting.

  • Vermont

    Vermont · 65860

    Office

    $303.66

    Facility

    $203.80

    $21.77 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 65860

    Office

    $319.08

    Facility

    $212.86

    $6.35 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 65860

    Office

    $355.93

    Facility

    $232.16

    $30.50 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 65860

    Office

    $295.99

    Facility

    $199.36

    $29.44 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 65860

    Office

    $289.74

    Facility

    $202.08

    $35.69 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 65860

    Office

    $307.62

    Facility

    $206.74

    $17.81 lower than Modesto for the office setting.

See how rates vary across the country

65860 · 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.

$279.64

$376.33

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$376.331
AL$283.041
AR$279.641
AZ$302.961
CA$325.43–$399.9829
CO$321.171
CT$328.361
DC$350.051
DE$307.431
FL$306.40–$331.293
GA$291.82–$315.072
GU$331.381
HI$331.381
IA$288.881
ID$290.481
IL$299.03–$323.384
IN$291.891
KS$287.821
KY$288.771
LA$288.42–$300.332
MA$319.75–$349.462
MD$312.60–$350.053
ME$291.83–$304.982
MI$295.11–$309.712
MN$308.951
MO$284.33–$301.143
MS$282.031
MT$309.941
NC$294.371
ND$304.601
NE$290.181
NH$316.381
NJ$332.44–$347.382
NM$296.501
NV$308.641
NY$298.08–$359.955
OH$294.021
OK$288.261
OR$306.55–$329.952
PA$294.37–$321.352
PR$311.851
RI$317.281
SC$294.621
SD$303.971
TN$289.041
TX$292.76–$319.848
UT$298.001
VA$304.18–$350.052
VI$311.851
VT$303.661
WA$319.08–$355.932
WI$295.991
WV$289.741
WY$307.621

Explore 65860 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 65860 in Modesto, the physician’s office rate is $325.43 and the facility-setting rate is $214.88: a difference of $110.55.

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 65860 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$357.97

$325.43 × 110% = $357.97

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 65860 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

7,352

Code
65860
Physician work
3.50
Practice expense
5.51
Malpractice
0.27

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 65860 in Modesto
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0173.5595
Practice expense5.51× 1.0966.0390
Malpractice0.27× 0.5360.1447
Total RVUs9.7432
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$325.43

Open 65860 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.51.017
Practice expense5.511.096
Malpractice0.270.536

(3.5 × 1.017 + 5.51 × 1.096 + 0.27 × 0.536) × $33.4009 = $325.43

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.51.017
Practice expense2.491.096
Malpractice0.270.536

(3.5 × 1.017 + 2.49 × 1.096 + 0.27 × 0.536) × $33.4009 = $214.88

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

65860 · Office / nonfacility

$325.43

Effective 2026-10-01

The base rate is $16.64 higher than on 2025-10-01, moving from $308.79 to $325.43 (5.4%).

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

    $308.79changed to$325.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.59 changed to 3.50
    • Practice expense RVU 5.26 changed to 5.51
    • Malpractice RVU 0.28 changed to 0.27
    • 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: $308.79

    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$325.43$214.88RVU26D
2026-07-01$325.43$214.88RVU26C
2026-04-01$325.43$214.88RVU26B
2026-01-01$325.43$214.88RVU26A
2025-10-01$308.79$247.27RVU25D
2025-07-01$308.79$247.27RVU25C
2025-04-01$308.79$247.27RVU25B
2025-01-01$308.79$247.27RVU25A

65860 billing questions

How is this code distinguished from 65865?

This code describes laser severing of anterior-segment adhesions. Code 65865 is the surgical-technique counterpart, so choose based on the documented method.

Is this the same as laser trabeculoplasty?

No. This code treats adhesions in the anterior segment; 65855 treats the trabecular meshwork with laser surgery.

Does the 90-day global period include related postoperative care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code’s global period.

How should bilateral treatment be reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be paid for this service?

Assistant-at-surgery payment is available only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.

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 65860PPRRVU2026_Oct_nonQPP.csv, line 7,352 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet