$1,671.32
Use 65778 for single-layer amniotic membrane treatment with a self-retaining technique; use 65780 when multiple layers are placed.
On this page
CMS RVU26D · Effective 2026-10-01
65780 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$606.31
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.
Ophthalmic surgery
About 65780: Multilayer amniotic membrane reconstruction
Ophthalmologists use this surgery to rebuild a damaged ocular surface with multiple layers of amniotic membrane, such as for a persistent epithelial defect.
An ophthalmologist, often a cornea specialist, places multiple layers of amniotic membrane on the ocular surface to support reconstruction and healing. This approach may be used for severe surface damage, including a persistent epithelial defect or injury from a chemical or thermal burn. The service is typically performed in an operating room or other surgical setting when the extent of the ocular surface problem calls for multilayer reconstruction.
Report this code when the operative record supports amniotic membrane reconstruction using multiple layers. The documentation should identify the treated eye, the ocular surface condition, and the multilayer technique; do not report separate units for each layer. Medicare assigns a 90-day global period, which includes 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. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 65780
- 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 RVU6.85 · 44%
- Practice expense (office) RVU8.06 · 52%
- Malpractice RVU0.54 · 3%
1.8K
Medicare services in 2024 · #2530 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.
65780 compared with similar codes
Office rates for Vallejo, from the same CMS release.
$1,483.90
Use 65779 for a single sutured layer. The multilayer reconstruction described by 65780 is a different service.
No office rate
65781 involves limbal stem cell allograft reconstruction, rather than multilayer amniotic membrane placement.
No office rate
65782 uses the patient's own limbal stem cells for reconstruction; 65780 represents multilayer amniotic membrane reconstruction.
The same code, a different location
How does Vallejo compare?
65780 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Merced
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Modesto
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Napa
California · 65780
Office
Unavailable
Facility
$607.19
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 65780
Office
Unavailable
Facility
$564.65
No comparable office rate is available.
Redding
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Rest Of California
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 65780
Office
Unavailable
Facility
$543.36
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 65780
Office
Unavailable
Facility
$559.79
No comparable office rate is available.
Salinas
California · 65780
Office
Unavailable
Facility
$557.57
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 65780
Office
Unavailable
Facility
$567.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65780
Office
Unavailable
Facility
$638.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65780
Office
Unavailable
Facility
$637.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65780
Office
Unavailable
Facility
$651.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65780
Office
Unavailable
Facility
$649.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 65780
Office
Unavailable
Facility
$548.98
No comparable office rate is available.
Santa Cruz-Watsonville
California · 65780
Office
Unavailable
Facility
$570.36
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 65780
Office
Unavailable
Facility
$558.77
No comparable office rate is available.
Santa Rosa-Petaluma
California · 65780
Office
Unavailable
Facility
$575.92
No comparable office rate is available.
Stockton
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Visalia
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Yuba City
California · 65780
Office
Unavailable
Facility
$537.41
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 65780
Office
Unavailable
Facility
$578.36
No comparable office rate is available.
Miami
Florida · 65780
Office
Unavailable
Facility
$554.66
No comparable office rate is available.
Chicago
Illinois · 65780
Office
Unavailable
Facility
$542.35
No comparable office rate is available.
Manhattan
New York · 65780
Office
Unavailable
Facility
$584.87
No comparable office rate is available.
Alaska*
Alaska · 65780
Office
Unavailable
Facility
$639.84
No comparable office rate is available.
Alabama
Alabama · 65780
Office
Unavailable
Facility
$474.56
No comparable office rate is available.
Arkansas
Arkansas · 65780
Office
Unavailable
Facility
$469.34
No comparable office rate is available.
Arizona
Arizona · 65780
Office
Unavailable
Facility
$505.10
No comparable office rate is available.
Colorado
Colorado · 65780
Office
Unavailable
Facility
$532.07
No comparable office rate is available.
Connecticut
Connecticut · 65780
Office
Unavailable
Facility
$545.14
No comparable office rate is available.
Delaware
Delaware · 65780
Office
Unavailable
Facility
$512.14
No comparable office rate is available.
Fort Lauderdale
Florida · 65780
Office
Unavailable
Facility
$534.12
No comparable office rate is available.
Rest Of Florida
Florida · 65780
Office
Unavailable
Facility
$513.27
No comparable office rate is available.
Atlanta
Georgia · 65780
Office
Unavailable
Facility
$524.66
No comparable office rate is available.
Rest Of Georgia
Georgia · 65780
Office
Unavailable
Facility
$490.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 65780
Office
Unavailable
Facility
$545.33
No comparable office rate is available.
Iowa
Iowa · 65780
Office
Unavailable
Facility
$482.28
No comparable office rate is available.
Idaho
Idaho · 65780
Office
Unavailable
Facility
$485.00
No comparable office rate is available.
East St. Louis
Illinois · 65780
Office
Unavailable
Facility
$512.80
No comparable office rate is available.
Rest Of Illinois
Illinois · 65780
Office
Unavailable
Facility
$502.78
No comparable office rate is available.
Suburban Chicago
Illinois · 65780
Office
Unavailable
Facility
$538.84
No comparable office rate is available.
Indiana
Indiana · 65780
Office
Unavailable
Facility
$487.12
No comparable office rate is available.
Kansas
Kansas · 65780
Office
Unavailable
Facility
$481.25
No comparable office rate is available.
Kentucky
Kentucky · 65780
Office
Unavailable
Facility
$484.63
No comparable office rate is available.
New Orleans
Louisiana · 65780
Office
Unavailable
Facility
$502.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 65780
Office
Unavailable
Facility
$484.33
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 65780
Office
Unavailable
Facility
$575.67
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 65780
Office
Unavailable
Facility
$530.31
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 65780
Office
Unavailable
Facility
$543.63
No comparable office rate is available.
Rest Of Maryland
Maryland · 65780
Office
Unavailable
Facility
$520.08
No comparable office rate is available.
Rest Of Maine
Maine · 65780
Office
Unavailable
Facility
$487.69
No comparable office rate is available.
Southern Maine
Maine · 65780
Office
Unavailable
Facility
$506.97
No comparable office rate is available.
Detroit
Michigan · 65780
Office
Unavailable
Facility
$518.99
No comparable office rate is available.
Rest Of Michigan
Michigan · 65780
Office
Unavailable
Facility
$494.95
No comparable office rate is available.
Minnesota
Minnesota · 65780
Office
Unavailable
Facility
$511.15
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 65780
Office
Unavailable
Facility
$499.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 65780
Office
Unavailable
Facility
$503.16
No comparable office rate is available.
Rest Of Missouri
Missouri · 65780
Office
Unavailable
Facility
$478.42
No comparable office rate is available.
Mississippi
Mississippi · 65780
Office
Unavailable
Facility
$473.92
No comparable office rate is available.
Montana**
Montana · 65780
Office
Unavailable
Facility
$516.01
No comparable office rate is available.
North Carolina
North Carolina · 65780
Office
Unavailable
Facility
$491.50
No comparable office rate is available.
North Dakota**
North Dakota · 65780
Office
Unavailable
Facility
$505.33
No comparable office rate is available.
Nebraska
Nebraska · 65780
Office
Unavailable
Facility
$484.10
No comparable office rate is available.
New Hampshire
New Hampshire · 65780
Office
Unavailable
Facility
$524.83
No comparable office rate is available.
Northern Nj
New Jersey · 65780
Office
Unavailable
Facility
$574.76
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 65780
Office
Unavailable
Facility
$551.71
No comparable office rate is available.
New Mexico
New Mexico · 65780
Office
Unavailable
Facility
$497.32
No comparable office rate is available.
Nevada**
Nevada · 65780
Office
Unavailable
Facility
$513.30
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 65780
Office
Unavailable
Facility
$597.03
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 65780
Office
Unavailable
Facility
$555.70
No comparable office rate is available.
Queens
New York · 65780
Office
Unavailable
Facility
$587.66
No comparable office rate is available.
Rest Of New York
New York · 65780
Office
Unavailable
Facility
$497.23
No comparable office rate is available.
Ohio
Ohio · 65780
Office
Unavailable
Facility
$492.77
No comparable office rate is available.
Oklahoma
Oklahoma · 65780
Office
Unavailable
Facility
$483.22
No comparable office rate is available.
Portland
Oregon · 65780
Office
Unavailable
Facility
$544.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 65780
Office
Unavailable
Facility
$509.61
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 65780
Office
Unavailable
Facility
$534.68
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 65780
Office
Unavailable
Facility
$492.98
No comparable office rate is available.
Puerto Rico
Puerto Rico · 65780
Office
Unavailable
Facility
$518.73
No comparable office rate is available.
Rhode Island
Rhode Island · 65780
Office
Unavailable
Facility
$527.33
No comparable office rate is available.
South Carolina
South Carolina · 65780
Office
Unavailable
Facility
$492.88
No comparable office rate is available.
South Dakota**
South Dakota · 65780
Office
Unavailable
Facility
$504.07
No comparable office rate is available.
Tennessee
Tennessee · 65780
Office
Unavailable
Facility
$483.19
No comparable office rate is available.
Austin
Texas · 65780
Office
Unavailable
Facility
$530.06
No comparable office rate is available.
Beaumont
Texas · 65780
Office
Unavailable
Facility
$490.53
No comparable office rate is available.
Brazoria
Texas · 65780
Office
Unavailable
Facility
$511.48
No comparable office rate is available.
Dallas
Texas · 65780
Office
Unavailable
Facility
$514.47
No comparable office rate is available.
Fort Worth
Texas · 65780
Office
Unavailable
Facility
$512.01
No comparable office rate is available.
Galveston
Texas · 65780
Office
Unavailable
Facility
$512.89
No comparable office rate is available.
Houston
Texas · 65780
Office
Unavailable
Facility
$522.77
No comparable office rate is available.
Rest Of Texas
Texas · 65780
Office
Unavailable
Facility
$500.56
No comparable office rate is available.
Utah
Utah · 65780
Office
Unavailable
Facility
$498.05
No comparable office rate is available.
Virginia
Virginia · 65780
Office
Unavailable
Facility
$506.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 65780
Office
Unavailable
Facility
$518.73
No comparable office rate is available.
Vermont
Vermont · 65780
Office
Unavailable
Facility
$504.44
No comparable office rate is available.
Rest Of Washington
Washington · 65780
Office
Unavailable
Facility
$528.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 65780
Office
Unavailable
Facility
$585.29
No comparable office rate is available.
Wisconsin
Wisconsin · 65780
Office
Unavailable
Facility
$492.26
No comparable office rate is available.
West Virginia
West Virginia · 65780
Office
Unavailable
Facility
$488.55
No comparable office rate is available.
Wyoming**
Wyoming · 65780
Office
Unavailable
Facility
$511.35
No comparable office rate is available.
See how rates vary across the country
65780 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 65780 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$666.94
$606.31 × 110% = $666.94
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 65780 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
7,342
- Code
- 65780
- Physician work
- 6.85
- Practice expense
- 8.06
- Malpractice
- 0.54
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.85 | × 1.063 | 7.2815 |
| Practice expense | 8.06 | × 1.318 | 10.6231 |
| Malpractice | 0.54 | × 0.459 | 0.2479 |
| Total RVUs | 18.1525 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$606.31
Open 65780 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.85 | 1.063 |
| Practice expense | 8.06 | 1.318 |
| Malpractice | 0.54 | 0.459 |
(6.85 × 1.063 + 8.06 × 1.318 + 0.54 × 0.459) × $33.4009 = $606.31
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
65780 · 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 | $606.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $606.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $606.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $606.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $674.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $674.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $674.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $674.38 | RVU25A |
65780 billing questions
How do I distinguish this from 65778 or 65779?
This code is for multilayer amniotic membrane reconstruction. Codes 65778 and 65779 describe single-layer techniques, distinguished by whether the membrane is self-retaining or sutured.
Can I report multiple units for multiple membrane layers?
No. The multiple-layer technique is represented by this code; do not count each layer as a separate unit.
What documentation supports the code?
Document the ocular surface condition, the treated eye, and that the reconstruction used multiple layers of amniotic membrane.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
Can this be billed bilaterally?
For bilateral performance, CMS pays the procedure with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation; team surgery is 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.
7,33965775,,Correction of astigmatism,A,,6.74,7.67,NA,7.67,,0.53,14.94,14.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34065778,,Cover eye w/membrane,A,,0.82,37.29,,0.21,,0.04,38.15,1.07,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34165779,,Cover eye w/membrane suture,A,,1.71,32.28,,0.69,,0.14,34.13,2.54,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34265780,,Ocular reconst transplant,A,,6.85,8.06,NA,8.06,,0.54,15.45,15.45,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34365781,,Ocular reconst transplant,A,,17.69,14.52,NA,14.52,,1.41,33.62,33.62,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34465782,,Ocular reconst transplant,A,,15.04,12.90,NA,12.90,,1.21,29.15,29.15,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34565785,,Impltj ntrstrml crnl rng seg,A,,5.26,57.15,,5.88,,0.42,62.83,11.56,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536