No office rate
Both report ocular implant insertion. Choose 65130 when the extraocular muscles are attached to the implant; choose 65135 when they are not.
On this page
CMS RVU26D · Effective 2026-10-01
65130 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$834.00
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 65130: Ocular implant insertion with muscle attachment
Reports insertion of an ocular implant with extraocular muscles attached, typically when placing an implant in an anophthalmic socket.
An ophthalmic or oculoplastic surgeon inserts an implant into an anophthalmic socket and attaches the extraocular muscles to the implant. This is distinct from removing the eye and placing an implant during the same operation. The service is generally performed in an operating room when a patient needs implant placement in a socket after a prior eye removal or other circumstance leaving the socket without an implant.
Select this code when the operative report supports both implant insertion and attachment of the muscles; use the sibling code when the muscles are not attached. Document the socket and implant work, the muscle attachment, and whether another procedure was performed in the same session. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 65130
- 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 RVU8.21 · 36%
- Practice expense (office) RVU13.94 · 61%
- Malpractice RVU0.65 · 3%
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.
65130 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
65103 combines enucleation with implant placement. 65130 reports implant insertion into a socket without the eye-removal service.
No office rate
65140 concerns attachment of extraocular muscles to an implant. 65130 includes insertion of the implant with muscle attachment.
$509.19
65125 is for revision of an existing ocular implant, not insertion of an implant into the socket.
The same code, a different location
How does Salinas compare?
65130 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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 · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Merced
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Modesto
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Napa
California · 65130
Office
Unavailable
Facility
$916.20
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65130
Office
Unavailable
Facility
$845.77
No comparable office rate is available.
Redding
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Rest Of California
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65130
Office
Unavailable
Facility
$807.98
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65130
Office
Unavailable
Facility
$837.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65130
Office
Unavailable
Facility
$851.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65130
Office
Unavailable
Facility
$966.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65130
Office
Unavailable
Facility
$966.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65130
Office
Unavailable
Facility
$987.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65130
Office
Unavailable
Facility
$984.41
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65130
Office
Unavailable
Facility
$820.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65130
Office
Unavailable
Facility
$857.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65130
Office
Unavailable
Facility
$836.44
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65130
Office
Unavailable
Facility
$865.85
No comparable office rate is available.
Stockton
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Vallejo
California · 65130
Office
Unavailable
Facility
$915.13
No comparable office rate is available.
Visalia
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Yuba City
California · 65130
Office
Unavailable
Facility
$800.83
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65130
Office
Unavailable
Facility
$861.68
No comparable office rate is available.
Miami
Florida · 65130
Office
Unavailable
Facility
$813.83
No comparable office rate is available.
Chicago
Illinois · 65130
Office
Unavailable
Facility
$793.90
No comparable office rate is available.
Manhattan
New York · 65130
Office
Unavailable
Facility
$867.24
No comparable office rate is available.
Alaska*
Alaska · 65130
Office
Unavailable
Facility
$919.17
No comparable office rate is available.
Alabama
Alabama · 65130
Office
Unavailable
Facility
$693.92
No comparable office rate is available.
Arkansas
Arkansas · 65130
Office
Unavailable
Facility
$685.36
No comparable office rate is available.
Arizona
Arizona · 65130
Office
Unavailable
Facility
$743.98
No comparable office rate is available.
Colorado
Colorado · 65130
Office
Unavailable
Facility
$789.88
No comparable office rate is available.
Connecticut
Connecticut · 65130
Office
Unavailable
Facility
$807.44
No comparable office rate is available.
Delaware
Delaware · 65130
Office
Unavailable
Facility
$755.13
No comparable office rate is available.
Fort Lauderdale
Florida · 65130
Office
Unavailable
Facility
$785.14
No comparable office rate is available.
Rest Of Florida
Florida · 65130
Office
Unavailable
Facility
$751.97
No comparable office rate is available.
Atlanta
Georgia · 65130
Office
Unavailable
Facility
$774.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 65130
Office
Unavailable
Facility
$715.42
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65130
Office
Unavailable
Facility
$816.19
No comparable office rate is available.
Iowa
Iowa · 65130
Office
Unavailable
Facility
$708.87
No comparable office rate is available.
Idaho
Idaho · 65130
Office
Unavailable
Facility
$712.85
No comparable office rate is available.
East St. Louis
Illinois · 65130
Office
Unavailable
Facility
$746.31
No comparable office rate is available.
Rest Of Illinois
Illinois · 65130
Office
Unavailable
Facility
$733.26
No comparable office rate is available.
Suburban Chicago
Illinois · 65130
Office
Unavailable
Facility
$792.79
No comparable office rate is available.
Indiana
Indiana · 65130
Office
Unavailable
Facility
$716.39
No comparable office rate is available.
Kansas
Kansas · 65130
Office
Unavailable
Facility
$706.07
No comparable office rate is available.
Kentucky
Kentucky · 65130
Office
Unavailable
Facility
$708.01
No comparable office rate is available.
New Orleans
Louisiana · 65130
Office
Unavailable
Facility
$737.02
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65130
Office
Unavailable
Facility
$707.08
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65130
Office
Unavailable
Facility
$860.72
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65130
Office
Unavailable
Facility
$786.20
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65130
Office
Unavailable
Facility
$805.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 65130
Office
Unavailable
Facility
$768.09
No comparable office rate is available.
Rest Of Maine
Maine · 65130
Office
Unavailable
Facility
$716.09
No comparable office rate is available.
Southern Maine
Maine · 65130
Office
Unavailable
Facility
$749.34
No comparable office rate is available.
Detroit
Michigan · 65130
Office
Unavailable
Facility
$760.14
No comparable office rate is available.
Rest Of Michigan
Michigan · 65130
Office
Unavailable
Facility
$723.83
No comparable office rate is available.
Minnesota
Minnesota · 65130
Office
Unavailable
Facility
$759.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65130
Office
Unavailable
Facility
$732.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65130
Office
Unavailable
Facility
$739.23
No comparable office rate is available.
Rest Of Missouri
Missouri · 65130
Office
Unavailable
Facility
$696.72
No comparable office rate is available.
Mississippi
Mississippi · 65130
Office
Unavailable
Facility
$691.15
No comparable office rate is available.
Montana**
Montana · 65130
Office
Unavailable
Facility
$761.50
No comparable office rate is available.
North Carolina
North Carolina · 65130
Office
Unavailable
Facility
$722.51
No comparable office rate is available.
North Dakota**
North Dakota · 65130
Office
Unavailable
Facility
$748.64
No comparable office rate is available.
Nebraska
Nebraska · 65130
Office
Unavailable
Facility
$712.18
No comparable office rate is available.
New Hampshire
New Hampshire · 65130
Office
Unavailable
Facility
$777.92
No comparable office rate is available.
Northern Nj
New Jersey · 65130
Office
Unavailable
Facility
$854.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65130
Office
Unavailable
Facility
$817.45
No comparable office rate is available.
New Mexico
New Mexico · 65130
Office
Unavailable
Facility
$727.26
No comparable office rate is available.
Nevada**
Nevada · 65130
Office
Unavailable
Facility
$758.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65130
Office
Unavailable
Facility
$885.70
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65130
Office
Unavailable
Facility
$822.67
No comparable office rate is available.
Queens
New York · 65130
Office
Unavailable
Facility
$873.43
No comparable office rate is available.
Rest Of New York
New York · 65130
Office
Unavailable
Facility
$731.81
No comparable office rate is available.
Ohio
Ohio · 65130
Office
Unavailable
Facility
$721.21
No comparable office rate is available.
Oklahoma
Oklahoma · 65130
Office
Unavailable
Facility
$706.88
No comparable office rate is available.
Portland
Oregon · 65130
Office
Unavailable
Facility
$812.05
No comparable office rate is available.
Rest Of Oregon
Oregon · 65130
Office
Unavailable
Facility
$753.23
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65130
Office
Unavailable
Facility
$789.76
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65130
Office
Unavailable
Facility
$722.17
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65130
Office
Unavailable
Facility
$766.34
No comparable office rate is available.
Rhode Island
Rhode Island · 65130
Office
Unavailable
Facility
$779.77
No comparable office rate is available.
South Carolina
South Carolina · 65130
Office
Unavailable
Facility
$722.90
No comparable office rate is available.
South Dakota**
South Dakota · 65130
Office
Unavailable
Facility
$747.12
No comparable office rate is available.
Tennessee
Tennessee · 65130
Office
Unavailable
Facility
$709.12
No comparable office rate is available.
Austin
Texas · 65130
Office
Unavailable
Facility
$786.62
No comparable office rate is available.
Beaumont
Texas · 65130
Office
Unavailable
Facility
$718.09
No comparable office rate is available.
Brazoria
Texas · 65130
Office
Unavailable
Facility
$754.77
No comparable office rate is available.
Dallas
Texas · 65130
Office
Unavailable
Facility
$759.06
No comparable office rate is available.
Fort Worth
Texas · 65130
Office
Unavailable
Facility
$754.69
No comparable office rate is available.
Galveston
Texas · 65130
Office
Unavailable
Facility
$756.74
No comparable office rate is available.
Houston
Texas · 65130
Office
Unavailable
Facility
$768.64
No comparable office rate is available.
Rest Of Texas
Texas · 65130
Office
Unavailable
Facility
$735.69
No comparable office rate is available.
Utah
Utah · 65130
Office
Unavailable
Facility
$731.39
No comparable office rate is available.
Virginia
Virginia · 65130
Office
Unavailable
Facility
$747.24
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65130
Office
Unavailable
Facility
$766.34
No comparable office rate is available.
Vermont
Vermont · 65130
Office
Unavailable
Facility
$746.16
No comparable office rate is available.
Rest Of Washington
Washington · 65130
Office
Unavailable
Facility
$784.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65130
Office
Unavailable
Facility
$876.97
No comparable office rate is available.
Wisconsin
Wisconsin · 65130
Office
Unavailable
Facility
$726.96
No comparable office rate is available.
West Virginia
West Virginia · 65130
Office
Unavailable
Facility
$709.90
No comparable office rate is available.
Wyoming**
Wyoming · 65130
Office
Unavailable
Facility
$755.90
No comparable office rate is available.
See how rates vary across the country
65130 · 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?
Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 65130 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$917.40
$834.00 × 110% = $917.40
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 65130 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
7,297
- Code
- 65130
- Physician work
- 8.21
- Practice expense
- 13.94
- Malpractice
- 0.65
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.21 | × 1.031 | 8.4645 |
| Practice expense | 13.94 | × 1.159 | 16.1565 |
| Malpractice | 0.65 | × 0.536 | 0.3484 |
| Total RVUs | 24.9694 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$834.00
Open 65130 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.21 | 1.031 |
| Practice expense | 13.94 | 1.159 |
| Malpractice | 0.65 | 0.536 |
(8.21 × 1.031 + 13.94 × 1.159 + 0.65 × 0.536) × $33.4009 = $834.00
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
65130 · 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 | $834.00 | RVU26D |
| 2026-07-01 | Not available in this setting | $834.00 | RVU26C |
| 2026-04-01 | Not available in this setting | $834.00 | RVU26B |
| 2026-01-01 | Not available in this setting | $834.00 | RVU26A |
| 2025-10-01 | Not available in this setting | $901.12 | RVU25D |
| 2025-07-01 | Not available in this setting | $901.12 | RVU25C |
| 2025-04-01 | Not available in this setting | $901.12 | RVU25B |
| 2025-01-01 | Not available in this setting | $901.12 | RVU25A |
65130 billing questions
How does this differ from 65135?
Use 65130 when the extraocular muscles are attached to the inserted implant. Use 65135 when the implant is inserted without attaching the muscles.
Is this the code for implant placement during enucleation?
No. When the eye is removed and an implant is placed during that operation, consider the enucleation code that includes implant placement, such as 65103 when its requirements are met.
What documentation supports reporting 65130?
The operative report should establish that an ocular implant was inserted and that the extraocular muscles were attached to it. Document the socket and any other procedures performed in the same session.
Can the surgeon report routine postoperative visits separately?
Related postoperative care during the 90-day global period is included. The day-before preoperative visit is also included.
How are bilateral procedures and assistant surgeons handled?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
7,29465112,,Remove eye/revise socket,A,,18.05,19.63,NA,19.63,,1.44,39.12,39.12,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29565114,,Remove eye/revise socket,A,,19.16,20.02,NA,20.02,,1.51,40.69,40.69,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29665125,,Revise ocular implant,A,,3.19,10.20,,4.37,,0.25,13.64,7.81,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29765130,,Insert ocular implant,A,,8.21,13.94,NA,13.94,,0.65,22.80,22.80,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29865135,,Insert ocular implant,A,,8.39,14.01,NA,14.01,,0.66,23.06,23.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29965140,,Attach ocular implant,A,,9.22,14.74,NA,14.74,,0.73,24.69,24.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30065150,,Revise ocular implant,A,,6.27,12.11,NA,12.11,,0.48,18.86,18.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459