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CMS RVU26D · Effective 2026-10-01

65286 in Vallejo

Office / nonfacility

$851.58

Base rate per service

Facility setting

$483.99

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 65286: Transconjunctival leaking bleb repair

Reports transconjunctival repair of a leaking glaucoma filtering bleb, often after trabeculectomy, rather than repair of a traumatic eye laceration.

An ophthalmologist uses a transconjunctival approach to close a leaking glaucoma filtering bleb, commonly after trabeculectomy. The service treats leakage from the bleb, not a traumatic corneal or scleral laceration. It may be performed in an office procedure area or operating room, depending on the clinical circumstances. Documentation should identify the leaking bleb and the transconjunctival repair performed.

Report this code for repair of a leaking bleb by this approach, rather than for general revision of an anterior-segment operative wound. 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 multiple-procedure reduction. For bilateral treatment, 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 65286

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 RVU6.46 · 31%
  • Practice expense (office) RVU13.96 · 67%
  • Malpractice RVU0.50 · 2%

579

Medicare services in 2024 · #3430 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.

65286 compared with similar codes

Office rates for Vallejo, from the same CMS release.

65270

Eye wound repair

Perforating cornea or sclera

$351.06

This code addresses a leaking glaucoma filtering bleb. Code 65270 is for repair of a superficial conjunctival wound.

65285

Eye wound repair

Perforating, with uveal tissue

No office rate

Use this code for transconjunctival leaking bleb repair; 65285 describes repair of a perforating corneal or scleral laceration with multiple sutures.

66250

Eye wound repair

Anterior segment revision

$915.78

This code is specific to transconjunctival repair of a leaking bleb. Code 66250 describes revision or repair of an anterior-segment operative wound more generally.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 65286 is $741.08—$110.50 lower than the $851.58 rate in Vallejo. Both use the same code, release and participation basis.

65286 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $851.58

  2. Bakersfield

    $741.08

    $110.50 lower than Vallejo

  3. Chico

    $739.43

    $112.15 lower than Vallejo

  4. El Centro

    $739.51

    $112.07 lower than Vallejo

  5. Fresno

    $739.43

    $112.15 lower than Vallejo

  6. Hanford-Corcoran

    $739.43

    $112.15 lower than Vallejo

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

    $787.31

    $64.27 lower than Vallejo

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, 65286 ranges from $624.90 in Arkansas to $920.83 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 · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Merced

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Modesto

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Napa

    California · 65286

    Office

    $852.40

    Facility

    $484.81

    $0.82 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 65286

    Office

    $783.35

    Facility

    $453.70

    $68.23 lower than Vallejo for the office setting.

  • Redding

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Rest Of California

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 65286

    Office

    $744.94

    Facility

    $439.27

    $106.64 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 65286

    Office

    $774.77

    Facility

    $450.41

    $76.81 lower than Vallejo for the office setting.

  • Salinas

    California · 65286

    Office

    $771.82

    Facility

    $448.58

    $79.76 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 65286

    Office

    $788.96

    Facility

    $455.40

    $62.62 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 65286

    Office

    $901.38

    Facility

    $508.14

    $49.80 higher than Vallejo for the office setting.

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

    California · 65286

    Office

    $900.82

    Facility

    $507.57

    $49.24 higher than Vallejo for the office setting.

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

    California · 65286

    Office

    $920.83

    Facility

    $518.66

    $69.25 higher than Vallejo for the office setting.

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

    California · 65286

    Office

    $918.51

    Facility

    $516.34

    $66.93 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 65286

    Office

    $759.48

    Facility

    $441.81

    $92.10 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 65286

    Office

    $795.78

    Facility

    $456.92

    $55.80 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 65286

    Office

    $774.44

    Facility

    $449.25

    $77.14 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 65286

    Office

    $803.78

    Facility

    $461.30

    $47.80 lower than Vallejo for the office setting.

  • Stockton

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Visalia

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Yuba City

    California · 65286

    Office

    $739.43

    Facility

    $433.76

    $112.15 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 65286

    Office

    $795.28

    Facility

    $466.74

    $56.30 lower than Vallejo for the office setting.

  • Miami

    Florida · 65286

    Office

    $743.40

    Facility

    $453.07

    $108.18 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 65286

    Office

    $724.22

    Facility

    $443.92

    $127.36 lower than Vallejo for the office setting.

  • Manhattan

    New York · 65286

    Office

    $797.88

    Facility

    $473.80

    $53.70 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 65286

    Office

    $829.44

    Facility

    $532.42

    $22.14 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 65286

    Office

    $633.21

    Facility

    $389.18

    $218.37 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 65286

    Office

    $624.90

    Facility

    $385.33

    $226.68 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 65286

    Office

    $681.89

    Facility

    $411.64

    $169.69 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 65286

    Office

    $727.52

    Facility

    $430.77

    $124.06 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 65286

    Office

    $742.47

    Facility

    $442.10

    $109.11 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 65286

    Office

    $692.54

    Facility

    $416.99

    $159.04 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 65286

    Office

    $718.30

    Facility

    $435.78

    $133.28 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 65286

    Office

    $686.63

    Facility

    $420.00

    $164.95 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 65286

    Office

    $710.21

    Facility

    $426.85

    $141.37 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 65286

    Office

    $651.60

    Facility

    $402.82

    $199.98 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 65286

    Office

    $755.60

    Facility

    $438.49

    $95.98 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 65286

    Office

    $649.04

    Facility

    $393.85

    $202.54 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 65286

    Office

    $652.64

    Facility

    $396.06

    $198.94 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 65286

    Office

    $678.38

    Facility

    $421.79

    $173.20 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 65286

    Office

    $667.58

    Facility

    $412.95

    $184.00 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 65286

    Office

    $725.74

    Facility

    $439.31

    $125.84 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 65286

    Office

    $656.12

    Facility

    $397.59

    $195.46 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 65286

    Office

    $645.70

    Facility

    $393.58

    $205.88 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 65286

    Office

    $645.57

    Facility

    $397.63

    $206.01 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 65286

    Office

    $673.51

    Facility

    $411.07

    $178.07 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 65286

    Office

    $644.42

    Facility

    $397.60

    $207.16 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 65286

    Office

    $796.21

    Facility

    $463.21

    $55.37 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 65286

    Office

    $723.52

    Facility

    $429.84

    $128.06 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 65286

    Office

    $740.20

    Facility

    $440.94

    $111.38 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 65286

    Office

    $705.13

    Facility

    $422.89

    $146.45 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 65286

    Office

    $655.13

    Facility

    $398.55

    $196.45 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 65286

    Office

    $688.39

    Facility

    $412.00

    $163.19 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 65286

    Office

    $693.88

    Facility

    $424.75

    $157.70 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 65286

    Office

    $660.34

    Facility

    $405.70

    $191.24 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 65286

    Office

    $700.51

    Facility

    $413.53

    $151.07 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 65286

    Office

    $669.92

    Facility

    $408.04

    $181.66 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 65286

    Office

    $676.40

    Facility

    $410.89

    $175.18 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 65286

    Office

    $633.97

    Facility

    $393.56

    $217.61 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 65286

    Office

    $629.58

    Facility

    $389.44

    $222.00 lower than Vallejo for the office setting.

  • Montana**

    Montana · 65286

    Office

    $698.71

    Facility

    $419.82

    $152.87 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 65286

    Office

    $661.48

    Facility

    $401.27

    $190.10 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 65286

    Office

    $688.83

    Facility

    $409.93

    $162.75 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 65286

    Office

    $652.46

    Facility

    $395.03

    $199.12 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 65286

    Office

    $715.78

    Facility

    $425.44

    $135.80 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 65286

    Office

    $788.08

    Facility

    $464.56

    $63.50 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 65286

    Office

    $751.90

    Facility

    $447.34

    $99.68 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 65286

    Office

    $663.40

    Facility

    $407.65

    $188.18 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 65286

    Office

    $696.42

    Facility

    $417.25

    $155.16 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 65286

    Office

    $814.99

    Facility

    $483.39

    $36.59 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 65286

    Office

    $756.26

    Facility

    $450.87

    $95.32 lower than Vallejo for the office setting.

  • Queens

    New York · 65286

    Office

    $804.80

    Facility

    $475.14

    $46.78 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 65286

    Office

    $670.47

    Facility

    $405.52

    $181.11 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 65286

    Office

    $658.31

    Facility

    $403.68

    $193.27 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 65286

    Office

    $645.13

    Facility

    $396.08

    $206.45 lower than Vallejo for the office setting.

  • Portland

    Oregon · 65286

    Office

    $749.68

    Facility

    $439.83

    $101.90 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 65286

    Office

    $691.92

    Facility

    $414.14

    $159.66 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 65286

    Office

    $724.97

    Facility

    $434.64

    $126.61 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 65286

    Office

    $659.59

    Facility

    $403.57

    $191.99 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 65286

    Office

    $703.63

    Facility

    $421.66

    $147.95 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 65286

    Office

    $716.43

    Facility

    $428.33

    $135.15 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 65286

    Office

    $660.80

    Facility

    $403.10

    $190.78 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 65286

    Office

    $687.66

    Facility

    $408.76

    $163.92 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 65286

    Office

    $648.58

    Facility

    $395.07

    $203.00 lower than Vallejo for the office setting.

  • Austin

    Texas · 65286

    Office

    $724.32

    Facility

    $429.24

    $127.26 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 65286

    Office

    $655.60

    Facility

    $401.80

    $195.98 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 65286

    Office

    $692.60

    Facility

    $416.21

    $158.98 lower than Vallejo for the office setting.

  • Dallas

    Texas · 65286

    Office

    $696.45

    Facility

    $418.67

    $155.13 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 65286

    Office

    $692.01

    Facility

    $417.01

    $159.57 lower than Vallejo for the office setting.

  • Galveston

    Texas · 65286

    Office

    $694.34

    Facility

    $417.39

    $157.24 lower than Vallejo for the office setting.

  • Houston

    Texas · 65286

    Office

    $703.49

    Facility

    $426.54

    $148.09 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 65286

    Office

    $673.35

    Facility

    $408.67

    $178.23 lower than Vallejo for the office setting.

  • Utah

    Utah · 65286

    Office

    $669.07

    Facility

    $406.90

    $182.51 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 65286

    Office

    $685.91

    Facility

    $411.75

    $165.67 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 65286

    Office

    $703.63

    Facility

    $421.66

    $147.95 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 65286

    Office

    $685.83

    Facility

    $409.73

    $165.75 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 65286

    Office

    $722.27

    Facility

    $428.59

    $129.31 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 65286

    Office

    $812.32

    Facility

    $470.12

    $39.26 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 65286

    Office

    $667.61

    Facility

    $400.42

    $183.97 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 65286

    Office

    $644.86

    Facility

    $402.50

    $206.72 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 65286

    Office

    $694.40

    Facility

    $415.51

    $157.18 lower than Vallejo for the office setting.

See how rates vary across the country

65286 · 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.

$624.90

$830.13

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$829.441
AL$633.211
AR$624.901
AZ$681.891
CA$739.43–$920.8329
CO$727.521
CT$742.471
DC$795.281
DE$692.541
FL$686.63–$743.403
GA$651.60–$710.212
GU$755.601
HI$755.601
IA$649.041
ID$652.641
IL$667.58–$725.744
IN$656.121
KS$645.701
KY$645.571
LA$644.42–$673.512
MA$723.52–$796.212
MD$705.13–$795.283
ME$655.13–$688.392
MI$660.34–$693.882
MN$700.511
MO$633.97–$676.403
MS$629.581
MT$698.711
NC$661.481
ND$688.831
NE$652.461
NH$715.781
NJ$751.90–$788.082
NM$663.401
NV$696.421
NY$670.47–$814.995
OH$658.311
OK$645.131
OR$691.92–$749.682
PA$659.59–$724.972
PR$703.631
RI$716.431
SC$660.801
SD$687.661
TN$648.581
TX$655.60–$724.328
UT$669.071
VA$685.91–$795.282
VI$703.631
VT$685.831
WA$722.27–$812.322
WI$667.611
WV$644.861
WY$694.401

Explore 65286 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 65286 in Vallejo, the physician’s office rate is $851.58 and the facility-setting rate is $483.99: a difference of $367.59.

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 65286 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$936.74

$851.58 × 110% = $936.74

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 65286 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

7,316

Code
65286
Physician work
6.46
Practice expense
13.96
Malpractice
0.50

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 65286 in Vallejo
ComponentRVULocality factorAdjusted
Physician work6.46× 1.0636.8670
Practice expense13.96× 1.31818.3993
Malpractice0.50× 0.4590.2295
Total RVUs25.4958
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$851.58

Open 65286 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.461.063
Practice expense13.961.318
Malpractice0.50.459

(6.46 × 1.063 + 13.96 × 1.318 + 0.5 × 0.459) × $33.4009 = $851.58

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.461.063
Practice expense5.611.318
Malpractice0.50.459

(6.46 × 1.063 + 5.61 × 1.318 + 0.5 × 0.459) × $33.4009 = $483.99

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

65286 · Office / nonfacility

$851.58

Effective 2026-10-01

The base rate is $50.39 higher than on 2025-10-01, moving from $801.19 to $851.58 (6.3%).

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

    $801.19changed to$851.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.63 changed to 6.46
    • Practice expense RVU 13.37 changed to 13.96
    • Malpractice RVU 0.51 changed to 0.50
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $801.19

    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$851.58$483.99RVU26D
2026-07-01$851.58$483.99RVU26C
2026-04-01$851.58$483.99RVU26B
2026-01-01$851.58$483.99RVU26A
2025-10-01$801.19$553.72RVU25D
2025-07-01$801.19$553.72RVU25C
2025-04-01$801.19$553.72RVU25B
2025-01-01$801.19$553.72RVU25A

65286 billing questions

When is this code appropriate instead of a traumatic eye-wound repair code?

Use it for transconjunctival repair of a leaking glaucoma filtering bleb. Codes for traumatic wounds describe repair of injuries such as conjunctival, corneal, or scleral lacerations.

What should the operative note document?

Document the leaking filtering bleb, the repair performed, and that the approach was transconjunctival. Include the treated eye and the clinical findings supporting repair.

Does the code include postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How is bilateral repair reported?

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

How does Medicare handle another procedure performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service. 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 65286PPRRVU2026_Oct_nonQPP.csv, line 7,316 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet