No office rate
Both apply to posterior-segment foreign bodies. Choose 65265 for magnetic extraction and 65260 for nonmagnetic extraction.
On this page
CMS RVU26D · Effective 2026-10-01
65265 Eye foreign body removal Medicare reimbursement rates in California
Reports surgical magnetic extraction of a metallic foreign body from the eye’s posterior segment, typically after a penetrating injury. Compare 65265 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 65265 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$974.49–$1169.31
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $194.82 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 65265 pays more and less in California
Ophthalmic surgery
About 65265: Posterior segment magnetic foreign body removal
Reports surgical magnetic extraction of a metallic foreign body from the eye’s posterior segment, typically after a penetrating injury.
An ophthalmic surgeon, often a retina specialist, uses magnetic extraction to remove a metallic foreign body located in the posterior segment of the eye. This is a major intraocular procedure, commonly performed in an operating room after a penetrating eye injury. The site and extraction method distinguish it from removal of a foreign body in the anterior chamber or lens, or removal using a nonmagnetic technique.
Report this code when the operative documentation identifies a posterior-segment foreign body and supports magnetic extraction. The record should describe the foreign body’s location, the approach and extraction method, and any related injury or procedures. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 65265
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.98 · 50%
- Practice expense (office) RVU13.10 · 46%
- Malpractice RVU1.12 · 4%
175
Medicare services in 2024 · #4446 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.
65265 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
65235 addresses an intraocular foreign body in the anterior chamber or lens; 65265 addresses the posterior segment and magnetic extraction.
$70.30–$86.02
65222 is for corneal foreign body removal using a slit lamp. It is not the code for magnetic extraction of a posterior-segment intraocular foreign body.
Compare 65265 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $978.16 |
| Chico | Office Unavailable | Facility $974.49 |
| El Centro | Office Unavailable | Facility $974.68 |
| Fresno | Office Unavailable | Facility $974.49 |
| Hanford-Corcoran | Office Unavailable | Facility $974.49 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1028.55 |
| Madera | Office Unavailable | Facility $974.49 |
| Merced | Office Unavailable | Facility $974.49 |
| Modesto | Office Unavailable | Facility $974.49 |
| Napa | Office Unavailable | Facility $1092.06 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1020.51 |
| Redding | Office Unavailable | Facility $974.49 |
| Rest Of California | Office Unavailable | Facility $974.49 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $986.82 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1012.68 |
| Salinas | Office Unavailable | Facility $1008.59 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1024.54 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1145.42 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1144.15 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1169.31 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1164.11 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $993.31 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1028.43 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1010.26 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1038.32 |
| Stockton | Office Unavailable | Facility $974.49 |
| Vallejo | Office Unavailable | Facility $1090.23 |
| Visalia | Office Unavailable | Facility $974.49 |
| Yuba City | Office Unavailable | Facility $974.49 |
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65265 billing questions
How does this code differ from 65260?
Both describe posterior-segment foreign body removal, but 65265 is for magnetic extraction and 65260 is for nonmagnetic extraction. The documented method determines the code.
When is 65235 more appropriate?
Use 65235 for an intraocular foreign body in the anterior chamber or lens. Code 65265 is for a foreign body in the posterior segment removed magnetically.
Can a corneal foreign body removal be reported with 65265?
A foreign body confined to the cornea is not a posterior-segment intraocular foreign body. Codes such as 65220 or 65222 address corneal removal, depending on the service performed.
What documentation supports 65265?
Document the foreign body’s posterior-segment location and that magnetic extraction was performed. The operative report should also identify the approach and describe the procedure.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Related postoperative care during the 90-day global period is included.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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.
7,30665222,,Remove foreign body from eye,A,,0.82,1.14,,0.39,,0.04,2.00,1.25,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30765235,,Remove foreign body from eye,A,,8.78,9.54,NA,9.54,,0.71,19.03,19.03,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30865260,,Remove foreign body from eye,A,,12.23,11.93,NA,11.93,,0.99,25.15,25.15,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30965265,,Remove foreign body from eye,A,,13.98,13.10,NA,13.10,,1.12,28.20,28.20,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31065270,,Repair of eye wound,A,,1.90,6.39,,1.50,,0.15,8.44,3.55,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31165272,,Repair of eye wound,A,,4.50,10.90,,4.11,,0.36,15.76,8.97,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31265273,,Repair of eye wound,A,,5.03,4.18,NA,4.18,,0.40,9.61,9.61,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00