Billing code 65775: Corneal surgeryMedicare rate & RVUs in Alaska

A corneal surgeon removes a wedge-shaped section of corneal tissue to change its curvature and reduce astigmatism when this technique is selected.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 65775 in Alaska.

—Office (non-facility)
$620.27Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 65775 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 65775 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 65775 covers

This procedure uses a wedge-shaped excision of corneal tissue to alter corneal curvature and reduce astigmatism. An ophthalmologist performs it as a surgical treatment when correction by tissue removal is selected, rather than relying on relaxing incisions. The operative report should identify the treated eye and describe the astigmatism and the corneal work performed.

Report 65775 for the wedge-resection technique, not for corneal relaxing incisions reported with 65772. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

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.

65775 in Alaska*

65775 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*Unavailable$620.27

How the 65775 rate is calculated

Each of 65775’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 65775

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.74Practice expense 7.67Malpractice 0.53

14.9400 adjusted RVUs×$33.4009 conversion factor=$499.01

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 65775

65775 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 65775

Corneal surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 65775

Corneal surgery

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

65775 without 50 · national facility

$499.01

Corneal surgery

65775-50 · Bilateral: 150%

$748.52

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

65775 compared with similar codes

Compare codes

65775 vs 65772 vs 65771 vs 65760: national Medicare rates

Swap in your local Medicare rate.

  • 65775
    Corneal surgery · 6.74 wRVU
    —
  • 65772
    Astigmatism correction · 4.96 wRVU
    $460.26
  • 65771
    · 0 wRVU
    —
  • 65760
    · 0 wRVU
    —

How to choose

65772Astigmatism correction
Choose 65775 for wedge-shaped corneal tissue excision; choose 65772 for astigmatism correction by relaxing incisions.
65771Radial keratotomy
65771 describes radial keratotomy, a different incision pattern used for refractive correction. It is not the wedge-resection procedure reported with 65775.
65760Keratomileusis
65760 describes keratomileusis, a distinct corneal reshaping technique. Report 65775 when the operative technique is wedge-shaped tissue excision.

65775 billing questions

How is 65775 different from 65772?

65775 describes correction using wedge-shaped corneal tissue excision. Use 65772 when the surgeon corrects astigmatism with corneal relaxing incisions.

What should the operative note include?

Document the treated eye, the astigmatism being addressed, and the wedge-resection work performed. The note should make clear that tissue excision, rather than relaxing incisions, was the technique.

Can 65775 be reported for both eyes?

When the procedure is bilateral, CMS payment is based on reporting modifier 50 and is 150%. Document which eye or eyes were treated.

How does the 90-day global period affect postoperative visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant, co-surgeon, or surgical team be paid?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 65775PPRRVU2026_Oct_nonQPP.csv, line 7,339 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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