$476.84
65125 describes ocular implant revision without a graft; 65150 is the graft-based revision.
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CMS RVU26D · Effective 2026-10-01
65150 Ocular implant revision Medicare reimbursement rates in Colorado
Revision of an existing orbital implant with graft material, reported when an ophthalmic surgeon addresses implant-related socket coverage or contour problems. Compare 65150 office and facility rates across CMS payment localities in Colorado.
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 65150 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$654.83
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
Ophthalmic surgery
About 65150: Ocular implant revision with graft
Revision of an existing orbital implant with graft material, reported when an ophthalmic surgeon addresses implant-related socket coverage or contour problems.
CPT 65150 describes revision of an existing orbital implant using graft material. An ophthalmologist, often an oculoplastic surgeon, performs the operation in an operating room for an anophthalmic socket, such as after enucleation or evisceration. Situations may include implant exposure or inadequate tissue coverage that requires grafting as part of the revision. This is an orbital socket implant, not an intraocular lens.
Report 65150 when the surgeon revises the existing implant and uses a graft; the operative note should identify the implant, the revision performed, the graft, and the reason for surgery. The service has 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 others at 50%. For bilateral surgery, 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 65150
- 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 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 RVU6.27 · 33%
- Practice expense (office) RVU12.11 · 64%
- Malpractice RVU0.48 · 3%
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.
65150 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Choose 65155 for reinsertion of an existing implant. Choose 65150 when the work is graft-assisted revision of the implant.
No office rate
65175 describes removal of an ocular implant. It does not represent graft-assisted revision of an implant left in place.
No office rate
65130 describes insertion of an ocular implant; 65150 revises an implant that is already present.
Compare 65150 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.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$654.83
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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 65150 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,300
- Code
- 65150
- Physician work
- 6.27
- Practice expense
- 12.11
- Malpractice
- 0.48
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.27 | × 1.012 | 6.3452 |
| Practice expense | 12.11 | × 1.064 | 12.8850 |
| Malpractice | 0.48 | × 0.781 | 0.3749 |
| Total RVUs | 19.6052 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$654.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.27 | 1.012 |
| Practice expense | 12.11 | 1.064 |
| Malpractice | 0.48 | 0.781 |
(6.27 × 1.012 + 12.11 × 1.064 + 0.48 × 0.781) × $33.4009 = $654.83
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.
65150 billing questions
How does 65150 differ from 65125?
65150 is the graft-based revision. Use 65125 for revision without a graft.
Does 65150 describe placing a new orbital implant?
No. It describes graft-assisted revision of an existing implant. A new implant placement is a different service.
What should the operative note document?
Document the existing implant, the specific revision, the graft used, and the clinical problem, such as implant exposure or inadequate tissue coverage.
How is bilateral 65150 reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant-at-surgery be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
7,29765130,,Insert ocular implant,A,,8.21,13.94,NA,13.94,,0.65,22.80,22.80,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29865135,,Insert ocular implant,A,,8.39,14.01,NA,14.01,,0.66,23.06,23.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29965140,,Attach ocular implant,A,,9.22,14.74,NA,14.74,,0.73,24.69,24.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30065150,,Revise ocular implant,A,,6.27,12.11,NA,12.11,,0.48,18.86,18.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30165155,,Reinsert ocular implant,A,,9.85,14.96,NA,14.96,,0.79,25.60,25.60,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30265175,,Removal of ocular implant,A,,7.22,13.15,NA,13.15,,0.57,20.94,20.94,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30365205,,Remove foreign body from eye,A,,0.48,0.34,,0.23,,0.02,0.84,0.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899