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CMS RVU26D · Effective 2026-10-01

65600 in Redding

Office / nonfacility

$467.69

Base rate per service

Facility setting

$311.74

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 65600: Corneal scar revision

Corneal revision covers surgery to address corneal scar tissue, such as when an ophthalmologist removes scar tissue affecting the cornea.

An ophthalmologist, often a cornea specialist, performs this surgery to revise corneal tissue, including removal of scar tissue. The clinical situation may involve a scar that affects the cornea’s surface or clarity. The service is performed in an ophthalmic surgical setting or another setting equipped for the procedure; the operative report should identify the affected eye, the scar or other tissue being revised, and the work performed.

Report 65600 when the service is a corneal revision, not simply removal of a discrete corneal lesion or removal of the corneal epithelium. Documentation should support the reason for revision and describe the operative work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 65600

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.10 · 31%
  • Practice expense (office) RVU8.81 · 67%
  • Malpractice RVU0.33 · 2%

419

Medicare services in 2024 · #3698 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.

65600 compared with similar codes

Office rates for Redding, from the same CMS release.

65400

Corneal excision

Superficial lesion, not pterygium

$734.95

65600 represents revision of corneal tissue, such as scar removal; 65400 is used for excision of a corneal lesion.

65435

Corneal treatment

Epithelial removal

$87.83

65435 is for removal of corneal epithelium. Choose 65600 when the operative work is revision of corneal tissue rather than epithelial removal alone.

65710

Corneal transplant

Lamellar technique

No office rate

65710 describes penetrating corneal transplantation. 65600 is for corneal revision without the transplant service.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 65600 is $468.77—$1.08 higher than the $467.69 rate in Redding. Both use the same code, release and participation basis.

65600 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $467.69

  2. $1.08 higher than Redding

  3. Chico

    $467.69

    The same base rate than Redding

  4. El Centro

    $467.75

    $0.06 higher than Redding

  5. Fresno

    $467.69

    The same base rate than Redding

  6. The same base rate than Redding

  7. $30.30 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, 65600 ranges from $395.39 in Arkansas to $582.24 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 · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Merced

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Modesto

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Napa

    California · 65600

    Office

    $539.01

    Facility

    $351.47

    $71.32 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65600

    Office

    $495.46

    Facility

    $327.28

    $27.77 higher than Redding for the office setting.

  • Rest Of California

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65600

    Office

    $471.32

    Facility

    $315.37

    $3.63 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65600

    Office

    $490.01

    Facility

    $324.53

    $22.32 higher than Redding for the office setting.

  • Salinas

    California · 65600

    Office

    $488.15

    Facility

    $323.23

    $20.46 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65600

    Office

    $498.96

    Facility

    $328.79

    $31.27 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65600

    Office

    $569.92

    Facility

    $369.30

    $102.23 higher than Redding for the office setting.

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

    California · 65600

    Office

    $569.55

    Facility

    $368.92

    $101.86 higher than Redding for the office setting.

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

    California · 65600

    Office

    $582.24

    Facility

    $377.06

    $114.55 higher than Redding for the office setting.

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

    California · 65600

    Office

    $580.71

    Facility

    $375.53

    $113.02 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65600

    Office

    $480.34

    Facility

    $318.28

    $12.65 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 65600

    Office

    $503.26

    Facility

    $330.38

    $35.57 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 65600

    Office

    $489.80

    Facility

    $323.89

    $22.11 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 65600

    Office

    $508.31

    Facility

    $333.58

    $40.62 higher than Redding for the office setting.

  • Stockton

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 65600

    Office

    $538.47

    Facility

    $350.93

    $70.78 higher than Redding for the office setting.

  • Visalia

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 65600

    Office

    $467.69

    Facility

    $311.74

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65600

    Office

    $503.25

    Facility

    $335.63

    $35.56 higher than Redding for the office setting.

  • Miami

    Florida · 65600

    Office

    $471.15

    Facility

    $323.02

    $3.46 higher than Redding for the office setting.

  • Chicago

    Illinois · 65600

    Office

    $458.93

    Facility

    $315.93

    $8.76 lower than Redding for the office setting.

  • Manhattan

    New York · 65600

    Office

    $505.12

    Facility

    $339.78

    $37.43 higher than Redding for the office setting.

  • Alaska*

    Alaska · 65600

    Office

    $524.88

    Facility

    $373.34

    $57.19 higher than Redding for the office setting.

  • Alabama

    Alabama · 65600

    Office

    $400.66

    Facility

    $276.16

    $67.03 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 65600

    Office

    $395.39

    Facility

    $273.17

    $72.30 lower than Redding for the office setting.

  • Arizona

    Arizona · 65600

    Office

    $431.52

    Facility

    $293.64

    $36.17 lower than Redding for the office setting.

  • Colorado

    Colorado · 65600

    Office

    $460.29

    Facility

    $308.90

    $7.40 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 65600

    Office

    $469.94

    Facility

    $316.70

    $2.25 higher than Redding for the office setting.

  • Delaware

    Delaware · 65600

    Office

    $438.27

    Facility

    $297.69

    $29.42 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 65600

    Office

    $454.96

    Facility

    $310.82

    $12.73 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 65600

    Office

    $434.82

    Facility

    $298.80

    $32.87 lower than Redding for the office setting.

  • Atlanta

    Georgia · 65600

    Office

    $449.56

    Facility

    $305.00

    $18.13 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 65600

    Office

    $412.56

    Facility

    $285.64

    $55.13 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 65600

    Office

    $477.90

    Facility

    $316.12

    $10.21 higher than Redding for the office setting.

  • Iowa

    Iowa · 65600

    Office

    $410.57

    Facility

    $280.38

    $57.12 lower than Redding for the office setting.

  • Idaho

    Idaho · 65600

    Office

    $412.88

    Facility

    $281.97

    $54.81 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 65600

    Office

    $429.86

    Facility

    $298.96

    $37.83 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 65600

    Office

    $422.83

    Facility

    $292.92

    $44.86 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 65600

    Office

    $459.64

    Facility

    $313.51

    $8.05 lower than Redding for the office setting.

  • Indiana

    Indiana · 65600

    Office

    $415.08

    Facility

    $283.18

    $52.61 lower than Redding for the office setting.

  • Kansas

    Kansas · 65600

    Office

    $408.51

    Facility

    $279.88

    $59.18 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 65600

    Office

    $408.63

    Facility

    $282.13

    $59.06 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 65600

    Office

    $426.37

    Facility

    $292.47

    $41.32 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 65600

    Office

    $407.92

    Facility

    $282.00

    $59.77 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 65600

    Office

    $503.72

    Facility

    $333.83

    $36.03 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65600

    Office

    $457.78

    Facility

    $307.95

    $9.91 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65600

    Office

    $468.51

    Facility

    $315.84

    $0.82 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 65600

    Office

    $446.22

    Facility

    $302.23

    $21.47 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 65600

    Office

    $414.52

    Facility

    $283.62

    $53.17 lower than Redding for the office setting.

  • Southern Maine

    Maine · 65600

    Office

    $435.51

    Facility

    $294.51

    $32.18 lower than Redding for the office setting.

  • Detroit

    Michigan · 65600

    Office

    $439.49

    Facility

    $302.18

    $28.20 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 65600

    Office

    $418.05

    Facility

    $288.14

    $49.64 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 65600

    Office

    $443.00

    Facility

    $296.59

    $24.69 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 65600

    Office

    $424.02

    Facility

    $290.42

    $43.67 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 65600

    Office

    $428.13

    Facility

    $292.67

    $39.56 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 65600

    Office

    $401.33

    Facility

    $278.68

    $66.36 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 65600

    Office

    $398.45

    Facility

    $275.94

    $69.24 lower than Redding for the office setting.

  • Montana**

    Montana · 65600

    Office

    $442.21

    Facility

    $299.92

    $25.48 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 65600

    Office

    $418.53

    Facility

    $285.78

    $49.16 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 65600

    Office

    $435.68

    Facility

    $293.39

    $32.01 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 65600

    Office

    $412.71

    Facility

    $281.38

    $54.98 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 65600

    Office

    $452.91

    Facility

    $304.79

    $14.78 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 65600

    Office

    $498.69

    Facility

    $333.63

    $31.00 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 65600

    Office

    $475.85

    Facility

    $320.47

    $8.16 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 65600

    Office

    $420.02

    Facility

    $289.54

    $47.67 lower than Redding for the office setting.

  • Nevada**

    Nevada · 65600

    Office

    $440.68

    Facility

    $298.25

    $27.01 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65600

    Office

    $516.05

    Facility

    $346.87

    $48.36 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65600

    Office

    $478.66

    Facility

    $322.85

    $10.97 higher than Redding for the office setting.

  • Queens

    New York · 65600

    Office

    $509.42

    Facility

    $341.24

    $41.73 higher than Redding for the office setting.

  • Rest Of New York

    New York · 65600

    Office

    $424.24

    Facility

    $289.07

    $43.45 lower than Redding for the office setting.

  • Ohio

    Ohio · 65600

    Office

    $416.72

    Facility

    $286.81

    $50.97 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 65600

    Office

    $408.28

    Facility

    $281.22

    $59.41 lower than Redding for the office setting.

  • Portland

    Oregon · 65600

    Office

    $474.26

    Facility

    $316.18

    $6.57 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 65600

    Office

    $437.78

    Facility

    $296.06

    $29.91 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65600

    Office

    $458.88

    Facility

    $310.76

    $8.81 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65600

    Office

    $417.49

    Facility

    $286.87

    $50.20 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 65600

    Office

    $445.30

    Facility

    $301.45

    $22.39 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 65600

    Office

    $453.35

    Facility

    $306.37

    $14.34 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 65600

    Office

    $418.21

    Facility

    $286.74

    $49.48 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 65600

    Office

    $434.91

    Facility

    $292.62

    $32.78 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 65600

    Office

    $410.35

    Facility

    $281.01

    $57.34 lower than Redding for the office setting.

  • Austin

    Texas · 65600

    Office

    $458.31

    Facility

    $307.77

    $9.38 lower than Redding for the office setting.

  • Beaumont

    Texas · 65600

    Office

    $414.96

    Facility

    $285.48

    $52.73 lower than Redding for the office setting.

  • Brazoria

    Texas · 65600

    Office

    $438.25

    Facility

    $297.24

    $29.44 lower than Redding for the office setting.

  • Dallas

    Texas · 65600

    Office

    $440.72

    Facility

    $299.00

    $26.97 lower than Redding for the office setting.

  • Fort Worth

    Texas · 65600

    Office

    $437.92

    Facility

    $297.62

    $29.77 lower than Redding for the office setting.

  • Galveston

    Texas · 65600

    Office

    $439.37

    Facility

    $298.08

    $28.32 lower than Redding for the office setting.

  • Houston

    Texas · 65600

    Office

    $445.41

    Facility

    $304.12

    $22.28 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 65600

    Office

    $426.15

    Facility

    $291.12

    $41.54 lower than Redding for the office setting.

  • Utah

    Utah · 65600

    Office

    $423.45

    Facility

    $289.70

    $44.24 lower than Redding for the office setting.

  • Virginia

    Virginia · 65600

    Office

    $433.98

    Facility

    $294.12

    $33.71 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65600

    Office

    $445.30

    Facility

    $301.45

    $22.39 lower than Redding for the office setting.

  • Vermont

    Vermont · 65600

    Office

    $433.84

    Facility

    $292.98

    $33.85 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 65600

    Office

    $456.97

    Facility

    $307.14

    $10.72 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 65600

    Office

    $513.86

    Facility

    $339.27

    $46.17 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 65600

    Office

    $422.24

    Facility

    $285.93

    $45.45 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 65600

    Office

    $408.43

    Facility

    $284.78

    $59.26 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 65600

    Office

    $439.36

    Facility

    $297.07

    $28.33 lower than Redding for the office setting.

See how rates vary across the country

65600 · 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.

$395.39

$524.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$524.881
AL$400.661
AR$395.391
AZ$431.521
CA$467.69–$582.2429
CO$460.291
CT$469.941
DC$503.251
DE$438.271
FL$434.82–$471.153
GA$412.56–$449.562
GU$477.901
HI$477.901
IA$410.571
ID$412.881
IL$422.83–$459.644
IN$415.081
KS$408.511
KY$408.631
LA$407.92–$426.372
MA$457.78–$503.722
MD$446.22–$503.253
ME$414.52–$435.512
MI$418.05–$439.492
MN$443.001
MO$401.33–$428.133
MS$398.451
MT$442.211
NC$418.531
ND$435.681
NE$412.711
NH$452.911
NJ$475.85–$498.692
NM$420.021
NV$440.681
NY$424.24–$516.055
OH$416.721
OK$408.281
OR$437.78–$474.262
PA$417.49–$458.882
PR$445.301
RI$453.351
SC$418.211
SD$434.911
TN$410.351
TX$414.96–$458.318
UT$423.451
VA$433.98–$503.252
VI$445.301
VT$433.841
WA$456.97–$513.862
WI$422.241
WV$408.431
WY$439.361

Explore 65600 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.

Why are the office and facility amounts different?

For 65600 in Redding, the physician’s office rate is $467.69 and the facility-setting rate is $311.74: a difference of $155.95.

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 65600 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$514.46

$467.69 × 110% = $514.46

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.

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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 65600 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,326

Code
65600
Physician work
4.10
Practice expense
8.81
Malpractice
0.33

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 65600 in Redding
ComponentRVULocality factorAdjusted
Physician work4.10× 1.0174.1697
Practice expense8.81× 1.0969.6558
Malpractice0.33× 0.5360.1769
Total RVUs14.0023
Conversion factor× 33.4009

Office / nonfacility rate, Redding$467.69

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

Open 65600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.11.017
Practice expense8.811.096
Malpractice0.330.536

(4.1 × 1.017 + 8.81 × 1.096 + 0.33 × 0.536) × $33.4009 = $467.69

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.11.017
Practice expense4.551.096
Malpractice0.330.536

(4.1 × 1.017 + 4.55 × 1.096 + 0.33 × 0.536) × $33.4009 = $311.74

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

65600 · Office / nonfacility

$467.69

Effective 2026-10-01

The base rate is $25.21 higher than on 2025-10-01, moving from $442.48 to $467.69 (5.7%).

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

    $442.48changed to$467.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.20 changed to 4.10
    • Practice expense RVU 8.45 changed to 8.81
    • 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: $442.48

    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$467.69$311.74RVU26D
2026-07-01$467.69$311.74RVU26C
2026-04-01$467.69$311.74RVU26B
2026-01-01$467.69$311.74RVU26A
2025-10-01$442.48$344.55RVU25D
2025-07-01$442.48$344.55RVU25C
2025-04-01$442.48$344.55RVU25B
2025-01-01$442.48$344.55RVU25A

65600 billing questions

When should 65600 be chosen instead of 65400?

Use 65600 for revision of corneal tissue, such as removal of scar tissue. Use 65400 when the procedure is excision of a corneal lesion.

What should the operative note document?

Document the clinical reason for revision, the affected eye, the corneal tissue or scar addressed, and the work performed.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery reported?

For bilateral performance, modifier 50 is paid at 150% under the CMS facts for this code.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.

Can an assistant or co-surgeon be paid for this surgery?

Assistant-at-surgery services are not paid for this code. Co-surgeons and team surgery are not permitted.

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 65600PPRRVU2026_Oct_nonQPP.csv, line 7,326 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)