Choose 65779 when the single membrane layer is sutured. Choose 65778 when it is placed without sutures as a self-retaining membrane.
On this page
CMS RVU26D · Effective 2026-10-01
65779 in Wyoming**
Office / nonfacility
$1138.76
Base rate per service
Facility setting
$83.62
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Ophthalmology
About 65779: Sutured single-layer amniotic membrane placement
Reports sutured placement of a single amniotic membrane layer on the ocular surface to support healing of a damaged or persistently defective surface.
An ophthalmologist places one amniotic membrane layer over the ocular surface and secures it with sutures. This approach may be used for a persistent corneal epithelial defect or other ocular-surface damage when coverage is needed to support healing. The operative record should establish the ocular surface treated and that the membrane was placed as a single layer and sutured.
Select this code for sutured single-layer placement, not for a self-retaining membrane application or a multi-layer ocular surface reconstruction. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65779
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.71 · 5%
- Practice expense (office) RVU32.28 · 95%
- Malpractice RVU0.14 · 0%
591
Medicare services in 2024 · #3408 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.
65779 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
65780 describes multi-layer amniotic membrane reconstruction; 65779 is for a single sutured layer.
65781 involves ocular surface reconstruction with a limbal stem cell allograft, not single-layer amniotic membrane placement.
The same code, a different location
How does Wyoming** compare?
65779 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
$1138.76
$199.29 higher than Wyoming**
$1335.50
$196.74 higher than Wyoming**
$1191.33
$52.57 higher than Wyoming**
$1151.82
$13.06 higher than Wyoming**
$1321.03
$182.27 higher than Wyoming**
$1236.51
$97.75 higher than Wyoming**
Other payment areas listed in Wyoming 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, 65779 ranges from $985.68 in Arkansas to $1620.64 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
Alabama
Alabama · 65779
Office
$1003.17
Facility
$79.93
$135.59 lower than Wyoming** for the office setting.
Arkansas
Arkansas · 65779
Office
$985.68
Facility
$79.32
$153.08 lower than Wyoming** for the office setting.
Arizona
Arizona · 65779
Office
$1105.88
Facility
$83.45
$32.88 lower than Wyoming** for the office setting.
Bakersfield
California · 65779
Office
$1242.73
Facility
$86.31
$103.97 higher than Wyoming** for the office setting.
Chico
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
El Centro
California · 65779
Office
$1242.30
Facility
$85.88
$103.54 higher than Wyoming** for the office setting.
Fresno
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Hanford-Corcoran
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Madera
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Merced
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Modesto
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Napa
California · 65779
Office
$1484.13
Facility
$93.46
$345.37 higher than Wyoming** for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 65779
Office
$1336.04
Facility
$88.87
$197.28 higher than Wyoming** for the office setting.
Redding
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Rest Of California
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Riverside-San Bernardino-Ontario
California · 65779
Office
$1243.82
Facility
$87.39
$105.06 higher than Wyoming** for the office setting.
Sacramento-Roseville-Folsom
California · 65779
Office
$1315.60
Facility
$88.48
$176.84 higher than Wyoming** for the office setting.
Salinas
California · 65779
Office
$1311.00
Facility
$88.10
$172.24 higher than Wyoming** for the office setting.
San Diego-Chula Vista-Carlsbad
California · 65779
Office
$1350.87
Facility
$88.93
$212.11 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 65779
Office
$1584.92
Facility
$97.18
$446.16 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 65779
Office
$1584.76
Facility
$97.02
$446.00 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 65779
Office
$1620.64
Facility
$99.14
$481.88 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 65779
Office
$1619.99
Facility
$98.49
$481.23 higher than Wyoming** for the office setting.
San Luis Obispo-Paso Robles
California · 65779
Office
$1288.64
Facility
$86.84
$149.88 higher than Wyoming** for the office setting.
Santa Cruz-Watsonville
California · 65779
Office
$1370.81
Facility
$88.82
$232.05 higher than Wyoming** for the office setting.
Santa Maria-Santa Barbara
California · 65779
Office
$1318.38
Facility
$88.09
$179.62 higher than Wyoming** for the office setting.
Santa Rosa-Petaluma
California · 65779
Office
$1385.34
Facility
$89.64
$246.58 higher than Wyoming** for the office setting.
Stockton
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Vallejo
California · 65779
Office
$1483.90
Facility
$93.24
$345.14 higher than Wyoming** for the office setting.
Visalia
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Yuba City
California · 65779
Office
$1242.28
Facility
$85.85
$103.52 higher than Wyoming** for the office setting.
Colorado
Colorado · 65779
Office
$1208.64
Facility
$85.97
$69.88 higher than Wyoming** for the office setting.
Connecticut
Connecticut · 65779
Office
$1225.12
Facility
$88.74
$86.36 higher than Wyoming** for the office setting.
Delaware
Delaware · 65779
Office
$1126.85
Facility
$84.38
$11.91 lower than Wyoming** for the office setting.
Fort Lauderdale
Florida · 65779
Office
$1157.77
Facility
$88.92
$19.01 higher than Wyoming** for the office setting.
Rest Of Florida
Florida · 65779
Office
$1094.88
Facility
$86.18
$43.88 lower than Wyoming** for the office setting.
Atlanta
Georgia · 65779
Office
$1158.33
Facility
$86.32
$19.57 higher than Wyoming** for the office setting.
Rest Of Georgia
Georgia · 65779
Office
$1024.43
Facility
$83.25
$114.33 lower than Wyoming** for the office setting.
Hawaii, Guam
Hawaii · 65779
Office
$1285.71
Facility
$86.03
$146.95 higher than Wyoming** for the office setting.
Iowa
Iowa · 65779
Office
$1045.51
Facility
$80.06
$93.25 lower than Wyoming** for the office setting.
Idaho
Idaho · 65779
Office
$1051.25
Facility
$80.53
$87.51 lower than Wyoming** for the office setting.
East St. Louis
Illinois · 65779
Office
$1058.46
Facility
$87.74
$80.30 lower than Wyoming** for the office setting.
Rest Of Illinois
Illinois · 65779
Office
$1048.80
Facility
$85.47
$89.96 lower than Wyoming** for the office setting.
Suburban Chicago
Illinois · 65779
Office
$1173.09
Facility
$89.47
$34.33 higher than Wyoming** for the office setting.
Indiana
Indiana · 65779
Office
$1058.86
Facility
$80.75
$79.90 lower than Wyoming** for the office setting.
Kansas
Kansas · 65779
Office
$1034.15
Facility
$80.31
$104.61 lower than Wyoming** for the office setting.
Kentucky
Kentucky · 65779
Office
$1019.90
Facility
$81.88
$118.86 lower than Wyoming** for the office setting.
New Orleans
Louisiana · 65779
Office
$1077.00
Facility
$84.11
$61.76 lower than Wyoming** for the office setting.
Rest Of Louisiana
Louisiana · 65779
Office
$1015.79
Facility
$81.99
$122.97 lower than Wyoming** for the office setting.
Metropolitan Boston
Massachusetts · 65779
Office
$1350.97
Facility
$91.14
$212.21 higher than Wyoming** for the office setting.
Rest Of Massachusetts
Massachusetts · 65779
Office
$1197.08
Facility
$86.02
$58.32 higher than Wyoming** for the office setting.
Baltimore/Surr. Cntys
Maryland · 65779
Office
$1220.70
Facility
$88.54
$81.94 higher than Wyoming** for the office setting.
Rest Of Maryland
Maryland · 65779
Office
$1153.10
Facility
$85.30
$14.34 higher than Wyoming** for the office setting.
Rest Of Maine
Maine · 65779
Office
$1051.95
Facility
$81.23
$86.81 lower than Wyoming** for the office setting.
Southern Maine
Maine · 65779
Office
$1128.54
Facility
$82.91
$10.22 lower than Wyoming** for the office setting.
Detroit
Michigan · 65779
Office
$1105.44
Facility
$87.24
$33.32 lower than Wyoming** for the office setting.
Rest Of Michigan
Michigan · 65779
Office
$1046.77
Facility
$83.44
$91.99 lower than Wyoming** for the office setting.
Minnesota
Minnesota · 65779
Office
$1167.95
Facility
$82.21
$29.19 higher than Wyoming** for the office setting.
Metropolitan Kansas City
Missouri · 65779
Office
$1074.10
Facility
$83.32
$64.66 lower than Wyoming** for the office setting.
Metropolitan St. Louis
Missouri · 65779
Office
$1088.23
Facility
$83.74
$50.53 lower than Wyoming** for the office setting.
Rest Of Missouri
Missouri · 65779
Office
$991.06
Facility
$81.54
$147.70 lower than Wyoming** for the office setting.
Mississippi
Mississippi · 65779
Office
$988.89
Facility
$80.41
$149.87 lower than Wyoming** for the office setting.
Montana**
Montana · 65779
Office
$1139.96
Facility
$84.83
$1.20 higher than Wyoming** for the office setting.
North Carolina
North Carolina · 65779
Office
$1066.05
Facility
$81.61
$72.71 lower than Wyoming** for the office setting.
North Dakota**
North Dakota · 65779
Office
$1137.20
Facility
$82.06
$1.56 lower than Wyoming** for the office setting.
Nebraska
Nebraska · 65779
Office
$1054.04
Facility
$80.16
$84.72 lower than Wyoming** for the office setting.
New Hampshire
New Hampshire · 65779
Office
$1183.59
Facility
$85.20
$44.83 higher than Wyoming** for the office setting.
Northern Nj
New Jersey · 65779
Office
$1316.40
Facility
$92.44
$177.64 higher than Wyoming** for the office setting.
Rest Of New Jersey
New Jersey · 65779
Office
$1241.90
Facility
$89.70
$103.14 higher than Wyoming** for the office setting.
New Mexico
New Mexico · 65779
Office
$1051.42
Facility
$83.87
$87.34 lower than Wyoming** for the office setting.
Nevada**
Nevada · 65779
Office
$1140.27
Facility
$84.08
$1.51 higher than Wyoming** for the office setting.
Nyc Suburbs/Long Island
New York · 65779
Office
$1351.41
Facility
$96.86
$212.65 higher than Wyoming** for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 65779
Office
$1245.95
Facility
$90.58
$107.19 higher than Wyoming** for the office setting.
Queens
New York · 65779
Office
$1341.92
Facility
$94.76
$203.16 higher than Wyoming** for the office setting.
Rest Of New York
New York · 65779
Office
$1084.67
Facility
$82.30
$54.09 lower than Wyoming** for the office setting.
Ohio
Ohio · 65779
Office
$1046.21
Facility
$82.87
$92.55 lower than Wyoming** for the office setting.
Oklahoma
Oklahoma · 65779
Office
$1023.56
Facility
$81.33
$115.20 lower than Wyoming** for the office setting.
Portland
Oregon · 65779
Office
$1259.37
Facility
$87.11
$120.61 higher than Wyoming** for the office setting.
Rest Of Oregon
Oregon · 65779
Office
$1134.27
Facility
$83.36
$4.49 lower than Wyoming** for the office setting.
Metropolitan Philadelphia
Pennsylvania · 65779
Office
$1186.11
Facility
$87.71
$47.35 higher than Wyoming** for the office setting.
Rest Of Pennsylvania
Pennsylvania · 65779
Office
$1051.30
Facility
$82.69
$87.46 lower than Wyoming** for the office setting.
Puerto Rico
Puerto Rico · 65779
Office
$1151.76
Facility
$85.02
$13.00 higher than Wyoming** for the office setting.
Rhode Island
Rhode Island · 65779
Office
$1176.13
Facility
$86.18
$37.37 higher than Wyoming** for the office setting.
South Carolina
South Carolina · 65779
Office
$1057.33
Facility
$82.39
$81.43 lower than Wyoming** for the office setting.
South Dakota**
South Dakota · 65779
Office
$1136.87
Facility
$81.73
$1.89 lower than Wyoming** for the office setting.
Tennessee
Tennessee · 65779
Office
$1039.69
Facility
$80.58
$99.07 lower than Wyoming** for the office setting.
Austin
Texas · 65779
Office
$1202.09
Facility
$85.76
$63.33 higher than Wyoming** for the office setting.
Beaumont
Texas · 65779
Office
$1042.60
Facility
$82.43
$96.16 lower than Wyoming** for the office setting.
Brazoria
Texas · 65779
Office
$1129.70
Facility
$84.06
$9.06 lower than Wyoming** for the office setting.
Dallas
Texas · 65779
Office
$1135.51
Facility
$84.60
$3.25 lower than Wyoming** for the office setting.
Fort Worth
Texas · 65779
Office
$1124.79
Facility
$84.43
$13.97 lower than Wyoming** for the office setting.
Galveston
Texas · 65779
Office
$1132.08
Facility
$84.33
$6.68 lower than Wyoming** for the office setting.
Houston
Texas · 65779
Office
$1134.64
Facility
$86.89
$4.12 lower than Wyoming** for the office setting.
Rest Of Texas
Texas · 65779
Office
$1084.53
Facility
$83.21
$54.23 lower than Wyoming** for the office setting.
Utah
Utah · 65779
Office
$1074.80
Facility
$82.98
$63.96 lower than Wyoming** for the office setting.
Virginia
Virginia · 65779
Office
$1120.27
Facility
$83.07
$18.49 lower than Wyoming** for the office setting.
Virgin Islands
United States Virgin Islands · 65779
Office
$1151.76
Facility
$85.02
$13.00 higher than Wyoming** for the office setting.
Vermont
Vermont · 65779
Office
$1126.88
Facility
$82.30
$11.88 lower than Wyoming** for the office setting.
Rest Of Washington
Washington · 65779
Office
$1196.74
Facility
$85.68
$57.98 higher than Wyoming** for the office setting.
Seattle (King Cnty)
Washington · 65779
Office
$1386.72
Facility
$92.07
$247.96 higher than Wyoming** for the office setting.
Wisconsin
Wisconsin · 65779
Office
$1091.45
Facility
$80.63
$47.31 lower than Wyoming** for the office setting.
West Virginia
West Virginia · 65779
Office
$1000.75
Facility
$83.83
$138.01 lower than Wyoming** for the office setting.
See how rates vary across the country
65779 · 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.
$985.68
$1,431.46
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,236.51 | 1 |
| AL | $1,003.17 | 1 |
| AR | $985.68 | 1 |
| AZ | $1,105.88 | 1 |
| CA | $1,242.28–$1,620.64 | 29 |
| CO | $1,208.64 | 1 |
| CT | $1,225.12 | 1 |
| DC | $1,335.50 | 1 |
| DE | $1,126.85 | 1 |
| FL | $1,094.88–$1,191.33 | 3 |
| GA | $1,024.43–$1,158.33 | 2 |
| GU | $1,285.71 | 1 |
| HI | $1,285.71 | 1 |
| IA | $1,045.51 | 1 |
| ID | $1,051.25 | 1 |
| IL | $1,048.80–$1,173.09 | 4 |
| IN | $1,058.86 | 1 |
| KS | $1,034.15 | 1 |
| KY | $1,019.90 | 1 |
| LA | $1,015.79–$1,077.00 | 2 |
| MA | $1,197.08–$1,350.97 | 2 |
| MD | $1,153.10–$1,335.50 | 3 |
| ME | $1,051.95–$1,128.54 | 2 |
| MI | $1,046.77–$1,105.44 | 2 |
| MN | $1,167.95 | 1 |
| MO | $991.06–$1,088.23 | 3 |
| MS | $988.89 | 1 |
| MT | $1,139.96 | 1 |
| NC | $1,066.05 | 1 |
| ND | $1,137.20 | 1 |
| NE | $1,054.04 | 1 |
| NH | $1,183.59 | 1 |
| NJ | $1,241.90–$1,316.40 | 2 |
| NM | $1,051.42 | 1 |
| NV | $1,140.27 | 1 |
| NY | $1,084.67–$1,351.41 | 5 |
| OH | $1,046.21 | 1 |
| OK | $1,023.56 | 1 |
| OR | $1,134.27–$1,259.37 | 2 |
| PA | $1,051.30–$1,186.11 | 2 |
| PR | $1,151.76 | 1 |
| RI | $1,176.13 | 1 |
| SC | $1,057.33 | 1 |
| SD | $1,136.87 | 1 |
| TN | $1,039.69 | 1 |
| TX | $1,042.60–$1,202.09 | 8 |
| UT | $1,074.80 | 1 |
| VA | $1,120.27–$1,335.50 | 2 |
| VI | $1,151.76 | 1 |
| VT | $1,126.88 | 1 |
| WA | $1,196.74–$1,386.72 | 2 |
| WI | $1,091.45 | 1 |
| WV | $1,000.75 | 1 |
| WY | $1,138.76 | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 65779 in Wyoming**, the physician’s office rate is $1138.76 and the facility-setting rate is $83.62: a difference of $1055.14.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 65779 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1252.64
$1138.76 × 110% = $1252.64
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 65779 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,341
- Code
- 65779
- Physician work
- 1.71
- Practice expense
- 32.28
- Malpractice
- 0.14
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 32.28 | × 1.000 | 32.2800 |
| Malpractice | 0.14 | × 0.740 | 0.1036 |
| Total RVUs | 34.0936 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$1138.76
Open 65779 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 32.28 | 1 |
| Malpractice | 0.14 | 0.74 |
(1.71 × 1 + 32.28 × 1 + 0.14 × 0.74) × $33.4009 = $1138.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 0.69 | 1 |
| Malpractice | 0.14 | 0.74 |
(1.71 × 1 + 0.69 × 1 + 0.14 × 0.74) × $33.4009 = $83.62
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
65779 · Office / nonfacility
$1138.76
Effective 2026-10-01
The base rate is $73.24 higher than on 2025-10-01, moving from $1065.52 to $1138.76 (6.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1065.52changed to$1138.76
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.75 changed to 1.71
- Practice expense RVU 31.08 changed to 32.28
- Malpractice RVU 0.15 changed to 0.14
- Malpractice GPCI 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $1065.52
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
65779 billing questions
How does 65779 differ from 65778?
65779 is for a single amniotic membrane layer secured with sutures. 65778 is the corresponding placement without sutures, using a self-retaining membrane.
When is 65780 a better fit?
Use 65780 for ocular surface reconstruction involving multiple amniotic membrane layers. A single sutured layer is reported with 65779.
What documentation supports 65779?
Document the ocular surface condition treated, the single-layer membrane placement, and that the membrane was secured with sutures.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both eyes.
Can an assistant surgeon be paid?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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.
