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CMS RVU26D · Effective 2026-10-01

65430 in Redding

Office / nonfacility

$120.83

Base rate per service

Facility setting

$87.88

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

About 65430: Diagnostic corneal scraping for smear or culture

An ophthalmologist scrapes material from a suspected infected corneal surface to obtain a specimen for smear, culture, or both.

An ophthalmologist uses a sterile instrument to collect superficial material from the corneal surface when an ulcer or infiltrate raises concern for infectious keratitis. The sample is placed on slides and/or submitted for culture, allowing microbiology testing to identify an organism and guide treatment. The service is typically performed in an eye clinic or hospital setting; it is diagnostic sampling, not removal of diseased tissue or therapeutic epithelial debridement.

Report 65430 for the corneal scraping itself when the record identifies the eye, the suspicious corneal finding, and specimen collection for smear, culture, or both. Laboratory microscopy and culture are distinct testing services and may be separately reported by the laboratory when performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% multiple-procedure reduction. For bilateral scraping, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 65430

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.43 · 41%
  • Practice expense (office) RVU1.92 · 55%
  • Malpractice RVU0.11 · 3%

3.2K

Medicare services in 2024 · #2129 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.

65430 compared with similar codes

Office rates for Redding, from the same CMS release.

65410

Corneal biopsy

Tissue sampling

$151.95

65430 collects superficial corneal material for smear or culture. 65410 describes a corneal biopsy, a different sampling technique.

65435

Corneal treatment

Epithelial removal

$87.83

65430 is diagnostic specimen collection. 65435 treats the corneal surface by removing epithelium, with or without chemical cauterization.

65400

Corneal excision

Superficial lesion, not pterygium

$734.95

65430 scrapes the cornea to obtain a diagnostic specimen. 65400 is used for excision of a corneal lesion, not routine infectious sampling.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 65430 is $121.19—$0.36 higher than the $120.83 rate in Redding. Both use the same code, release and participation basis.

65430 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $120.83

  2. Bakersfield

    $121.19

    $0.36 higher than Redding

  3. Chico

    $120.83

    The same base rate than Redding

  4. El Centro

    $120.85

    $0.02 higher than Redding

  5. Fresno

    $120.83

    The same base rate than Redding

  6. Hanford-Corcoran

    $120.83

    The same base rate than Redding

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

    $128.03

    $7.20 higher than Redding

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, 65430 ranges from $104.74 in Arkansas to $147.46 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 · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Merced

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Modesto

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Napa

    California · 65430

    Office

    $137.16

    Facility

    $97.54

    $16.33 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65430

    Office

    $127.19

    Facility

    $91.66

    $6.36 higher than Redding for the office setting.

  • Rest Of California

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65430

    Office

    $122.04

    Facility

    $89.10

    $1.21 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65430

    Office

    $126.03

    Facility

    $91.07

    $5.20 higher than Redding for the office setting.

  • Salinas

    California · 65430

    Office

    $125.54

    Facility

    $90.70

    $4.71 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65430

    Office

    $127.89

    Facility

    $91.93

    $7.06 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65430

    Office

    $144.41

    Facility

    $102.02

    $23.58 higher than Redding for the office setting.

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

    California · 65430

    Office

    $144.29

    Facility

    $101.90

    $23.46 higher than Redding for the office setting.

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

    California · 65430

    Office

    $147.46

    Facility

    $104.11

    $26.63 higher than Redding for the office setting.

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

    California · 65430

    Office

    $146.95

    Facility

    $103.60

    $26.12 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65430

    Office

    $123.59

    Facility

    $89.35

    $2.76 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 65430

    Office

    $128.65

    Facility

    $92.13

    $7.82 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 65430

    Office

    $125.85

    Facility

    $90.79

    $5.02 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 65430

    Office

    $129.92

    Facility

    $93.00

    $9.09 higher than Redding for the office setting.

  • Stockton

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 65430

    Office

    $136.98

    Facility

    $97.36

    $16.15 higher than Redding for the office setting.

  • Visalia

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 65430

    Office

    $120.83

    Facility

    $87.88

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65430

    Office

    $129.98

    Facility

    $94.56

    $9.15 higher than Redding for the office setting.

  • Miami

    Florida · 65430

    Office

    $123.81

    Facility

    $92.52

    $2.98 higher than Redding for the office setting.

  • Chicago

    Illinois · 65430

    Office

    $120.98

    Facility

    $90.77

    $0.15 higher than Redding for the office setting.

  • Manhattan

    New York · 65430

    Office

    $131.17

    Facility

    $96.24

    $10.34 higher than Redding for the office setting.

  • Alaska*

    Alaska · 65430

    Office

    $141.97

    Facility

    $109.95

    $21.14 higher than Redding for the office setting.

  • Alabama

    Alabama · 65430

    Office

    $105.96

    Facility

    $79.65

    $14.87 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 65430

    Office

    $104.74

    Facility

    $78.92

    $16.09 lower than Redding for the office setting.

  • Arizona

    Arizona · 65430

    Office

    $113.05

    Facility

    $83.92

    $7.78 lower than Redding for the office setting.

  • Colorado

    Colorado · 65430

    Office

    $119.44

    Facility

    $87.46

    $1.39 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 65430

    Office

    $122.23

    Facility

    $89.86

    $1.40 higher than Redding for the office setting.

  • Delaware

    Delaware · 65430

    Office

    $114.67

    Facility

    $84.97

    $6.16 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 65430

    Office

    $119.37

    Facility

    $88.92

    $1.46 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 65430

    Office

    $114.59

    Facility

    $85.86

    $6.24 lower than Redding for the office setting.

  • Atlanta

    Georgia · 65430

    Office

    $117.47

    Facility

    $86.93

    $3.36 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 65430

    Office

    $109.35

    Facility

    $82.53

    $11.48 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 65430

    Office

    $122.81

    Facility

    $88.63

    $1.98 higher than Redding for the office setting.

  • Iowa

    Iowa · 65430

    Office

    $107.90

    Facility

    $80.39

    $12.93 lower than Redding for the office setting.

  • Idaho

    Idaho · 65430

    Office

    $108.50

    Facility

    $80.84

    $12.33 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 65430

    Office

    $114.16

    Facility

    $86.51

    $6.67 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 65430

    Office

    $112.06

    Facility

    $84.61

    $8.77 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 65430

    Office

    $120.47

    Facility

    $89.60

    $0.36 lower than Redding for the office setting.

  • Indiana

    Indiana · 65430

    Office

    $109.00

    Facility

    $81.13

    $11.83 lower than Redding for the office setting.

  • Kansas

    Kansas · 65430

    Office

    $107.59

    Facility

    $80.41

    $13.24 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 65430

    Office

    $108.14

    Facility

    $81.41

    $12.69 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 65430

    Office

    $112.28

    Facility

    $84.00

    $8.55 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 65430

    Office

    $108.04

    Facility

    $81.43

    $12.79 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 65430

    Office

    $129.56

    Facility

    $93.67

    $8.73 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65430

    Office

    $118.98

    Facility

    $87.33

    $1.85 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65430

    Office

    $121.88

    Facility

    $89.63

    $1.05 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 65430

    Office

    $116.51

    Facility

    $86.09

    $4.32 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 65430

    Office

    $109.05

    Facility

    $81.39

    $11.78 lower than Redding for the office setting.

  • Southern Maine

    Maine · 65430

    Office

    $113.63

    Facility

    $83.84

    $7.20 lower than Redding for the office setting.

  • Detroit

    Michigan · 65430

    Office

    $115.84

    Facility

    $86.83

    $4.99 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 65430

    Office

    $110.46

    Facility

    $83.02

    $10.37 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 65430

    Office

    $114.84

    Facility

    $83.91

    $5.99 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 65430

    Office

    $111.57

    Facility

    $83.34

    $9.26 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 65430

    Office

    $112.50

    Facility

    $83.88

    $8.33 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 65430

    Office

    $106.62

    Facility

    $80.71

    $14.21 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 65430

    Office

    $105.69

    Facility

    $79.81

    $15.14 lower than Redding for the office setting.

  • Montana**

    Montana · 65430

    Office

    $115.56

    Facility

    $85.50

    $5.27 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 65430

    Office

    $109.94

    Facility

    $81.90

    $10.89 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 65430

    Office

    $113.38

    Facility

    $83.32

    $7.45 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 65430

    Office

    $108.34

    Facility

    $80.60

    $12.49 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 65430

    Office

    $117.74

    Facility

    $86.44

    $3.09 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 65430

    Office

    $129.09

    Facility

    $94.22

    $8.26 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 65430

    Office

    $123.73

    Facility

    $90.91

    $2.90 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 65430

    Office

    $110.98

    Facility

    $83.42

    $9.85 lower than Redding for the office setting.

  • Nevada**

    Nevada · 65430

    Office

    $115.02

    Facility

    $84.93

    $5.81 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65430

    Office

    $133.89

    Facility

    $98.15

    $13.06 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65430

    Office

    $124.58

    Facility

    $91.66

    $3.75 higher than Redding for the office setting.

  • Queens

    New York · 65430

    Office

    $131.92

    Facility

    $96.39

    $11.09 higher than Redding for the office setting.

  • Rest Of New York

    New York · 65430

    Office

    $111.27

    Facility

    $82.71

    $9.56 lower than Redding for the office setting.

  • Ohio

    Ohio · 65430

    Office

    $110.02

    Facility

    $82.57

    $10.81 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 65430

    Office

    $107.89

    Facility

    $81.04

    $12.94 lower than Redding for the office setting.

  • Portland

    Oregon · 65430

    Office

    $122.51

    Facility

    $89.11

    $1.68 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 65430

    Office

    $114.22

    Facility

    $84.28

    $6.61 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65430

    Office

    $119.77

    Facility

    $88.47

    $1.06 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65430

    Office

    $110.11

    Facility

    $82.51

    $10.72 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 65430

    Office

    $116.22

    Facility

    $85.83

    $4.61 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 65430

    Office

    $118.19

    Facility

    $87.14

    $2.64 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 65430

    Office

    $110.14

    Facility

    $82.37

    $10.69 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 65430

    Office

    $113.13

    Facility

    $83.07

    $7.70 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 65430

    Office

    $108.03

    Facility

    $80.70

    $12.80 lower than Redding for the office setting.

  • Austin

    Texas · 65430

    Office

    $118.96

    Facility

    $87.16

    $1.87 lower than Redding for the office setting.

  • Beaumont

    Texas · 65430

    Office

    $109.53

    Facility

    $82.18

    $11.30 lower than Redding for the office setting.

  • Brazoria

    Texas · 65430

    Office

    $114.56

    Facility

    $84.77

    $6.27 lower than Redding for the office setting.

  • Dallas

    Texas · 65430

    Office

    $115.22

    Facility

    $85.28

    $5.61 lower than Redding for the office setting.

  • Fort Worth

    Texas · 65430

    Office

    $114.63

    Facility

    $84.99

    $6.20 lower than Redding for the office setting.

  • Galveston

    Texas · 65430

    Office

    $114.87

    Facility

    $85.02

    $5.96 lower than Redding for the office setting.

  • Houston

    Texas · 65430

    Office

    $116.88

    Facility

    $87.03

    $3.95 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 65430

    Office

    $111.94

    Facility

    $83.41

    $8.89 lower than Redding for the office setting.

  • Utah

    Utah · 65430

    Office

    $111.34

    Facility

    $83.09

    $9.49 lower than Redding for the office setting.

  • Virginia

    Virginia · 65430

    Office

    $113.40

    Facility

    $83.85

    $7.43 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65430

    Office

    $116.22

    Facility

    $85.83

    $4.61 lower than Redding for the office setting.

  • Vermont

    Vermont · 65430

    Office

    $113.11

    Facility

    $83.35

    $7.72 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 65430

    Office

    $118.71

    Facility

    $87.05

    $2.12 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 65430

    Office

    $131.84

    Facility

    $94.96

    $11.01 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 65430

    Office

    $110.33

    Facility

    $81.53

    $10.50 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 65430

    Office

    $108.75

    Facility

    $82.63

    $12.08 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 65430

    Office

    $114.61

    Facility

    $84.55

    $6.22 lower than Redding for the office setting.

See how rates vary across the country

65430 · 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.

$104.74

$141.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$141.971
AL$105.961
AR$104.741
AZ$113.051
CA$120.83–$147.4629
CO$119.441
CT$122.231
DC$129.981
DE$114.671
FL$114.59–$123.813
GA$109.35–$117.472
GU$122.811
HI$122.811
IA$107.901
ID$108.501
IL$112.06–$120.984
IN$109.001
KS$107.591
KY$108.141
LA$108.04–$112.282
MA$118.98–$129.562
MD$116.51–$129.983
ME$109.05–$113.632
MI$110.46–$115.842
MN$114.841
MO$106.62–$112.503
MS$105.691
MT$115.561
NC$109.941
ND$113.381
NE$108.341
NH$117.741
NJ$123.73–$129.092
NM$110.981
NV$115.021
NY$111.27–$133.895
OH$110.021
OK$107.891
OR$114.22–$122.512
PA$110.11–$119.772
PR$116.221
RI$118.191
SC$110.141
SD$113.131
TN$108.031
TX$109.53–$118.968
UT$111.341
VA$113.40–$129.982
VI$116.221
VT$113.111
WA$118.71–$131.842
WI$110.331
WV$108.751
WY$114.611

Explore 65430 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 65430 in Redding, the physician’s office rate is $120.83 and the facility-setting rate is $87.88: a difference of $32.95.

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 65430 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$132.91

$120.83 × 110% = $132.91

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 65430 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,322

Code
65430
Physician work
1.43
Practice expense
1.92
Malpractice
0.11

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 65430 in Redding
ComponentRVULocality factorAdjusted
Physician work1.43× 1.0171.4543
Practice expense1.92× 1.0962.1043
Malpractice0.11× 0.5360.0590
Total RVUs3.6176
Conversion factor× 33.4009

Office / nonfacility rate, Redding$120.83

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

Open 65430 in the RVU calculator →

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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.431.017
Practice expense1.921.096
Malpractice0.110.536

(1.43 × 1.017 + 1.92 × 1.096 + 0.11 × 0.536) × $33.4009 = $120.83

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.431.017
Practice expense1.021.096
Malpractice0.110.536

(1.43 × 1.017 + 1.02 × 1.096 + 0.11 × 0.536) × $33.4009 = $87.88

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

65430 · Office / nonfacility

$120.83

Effective 2026-10-01

The base rate is $5.04 higher than on 2025-10-01, moving from $115.79 to $120.83 (4.4%).

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

    $115.79changed to$120.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.47 changed to 1.43
    • Practice expense RVU 1.85 changed to 1.92
    • Malpractice RVU 0.12 changed to 0.11
    • 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: $115.79

    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$120.83$87.88RVU26D
2026-07-01$120.83$87.88RVU26C
2026-04-01$120.83$87.88RVU26B
2026-01-01$120.83$87.88RVU26A
2025-10-01$115.79$100.95RVU25D
2025-07-01$115.79$100.95RVU25C
2025-04-01$115.79$100.95RVU25B
2025-01-01$115.79$100.95RVU25A

65430 billing questions

When should 65430 be used instead of 65410?

Use 65430 when the clinician scrapes the corneal surface to obtain material for smear, culture, or both. Use 65410 when the service is a corneal biopsy rather than surface scraping.

Can the laboratory testing be billed separately?

The code represents collection of the corneal specimen. Microscopy or culture performed on that specimen is a distinct laboratory service and may be reported separately by the laboratory when performed.

What documentation supports 65430?

Document the eye, the corneal ulcer or infiltrate prompting diagnostic sampling, the scraping performed, and whether material was collected for smear, culture, or both.

How is bilateral corneal scraping reported?

When both corneas are scraped, report the bilateral procedure with modifier 50. CMS pays the bilateral procedure at 150%.

How does another procedure in the same session affect payment?

CMS pays the highest-valued procedure in full and applies a 50% multiple-procedure reduction to the others. Same-day preoperative and postoperative care is included in 65430's 0-day global period.

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 65430PPRRVU2026_Oct_nonQPP.csv, line 7,322 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet