No office rate
Both address astigmatism through corneal surgery. Select 65772 for relaxing incisions; select 65775 when the surgeon excises a corneal wedge.
On this page
CMS RVU26D · Effective 2026-10-01
65772 Astigmatism correction Medicare reimbursement rates in Connecticut
Report this procedure when an ophthalmic surgeon makes corneal relaxing incisions to reduce astigmatism caused by prior eye surgery. Compare 65772 office and facility rates across CMS payment localities in Connecticut.
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 65772 in Connecticut?
Connecticut 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
$488.04
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$370.41
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 65772: Corneal relaxing incision for postsurgical astigmatism
Report this procedure when an ophthalmic surgeon makes corneal relaxing incisions to reduce astigmatism caused by prior eye surgery.
An ophthalmic surgeon makes one or more planned corneal incisions to reduce astigmatism that developed after an earlier eye operation. The incisions relax the steep part of the cornea rather than remove a wedge of tissue. A patient with troublesome astigmatism after a corneal transplant is a typical example. The procedure may be performed in an office or surgical facility.
Report 65772 for the relaxing-incision technique when the record identifies the earlier surgery, the affected eye, the astigmatism, and the incision plan. A corneal wedge resection is reported differently. CMS treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 65772
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.96 · 36%
- Practice expense (office) RVU8.42 · 61%
- Malpractice RVU0.40 · 3%
1.2K
Medicare services in 2024 · #2849 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.
65772 compared with similar codes
Office rates for Connecticut, from the same CMS release.
65771
No office rateRadial keratotomy
65771 describes radial keratotomy for refractive correction. Select 65772 when the documented procedure is a corneal relaxing incision for astigmatism caused by earlier surgery.
Compare 65772 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
Connecticut →
Office / nonfacility
$488.04
Facility
$370.41
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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 65772 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,338
- Code
- 65772
- Physician work
- 4.96
- Practice expense
- 8.42
- Malpractice
- 0.40
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.96 | × 1.020 | 5.0592 |
| Practice expense | 8.42 | × 1.077 | 9.0683 |
| Malpractice | 0.40 | × 1.210 | 0.4840 |
| Total RVUs | 14.6115 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$488.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.96 | 1.02 |
| Practice expense | 8.42 | 1.077 |
| Malpractice | 0.4 | 1.21 |
(4.96 × 1.02 + 8.42 × 1.077 + 0.4 × 1.21) × $33.4009 = $488.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.96 | 1.02 |
| Practice expense | 5.15 | 1.077 |
| Malpractice | 0.4 | 1.21 |
(4.96 × 1.02 + 5.15 × 1.077 + 0.4 × 1.21) × $33.4009 = $370.41
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.
65772 billing questions
How is 65772 different from 65775?
Use 65772 when the surgeon relaxes the cornea with incisions. Use 65775 when the surgeon removes a wedge of corneal tissue to correct the astigmatism.
What should the operative note establish?
It should identify the affected eye, the prior surgery associated with the astigmatism, and the location and technique of the relaxing incisions.
How is the procedure reported when both eyes are treated?
CMS pays bilateral 65772 reported with modifier 50 at 150%.
Is a postoperative visit separately payable during the global period?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant surgeon be paid for 65772?
No. CMS restricts assistant-at-surgery payment for this procedure and does not permit co-surgeons or team surgery.
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.
7,33565767,,Epikeratoplasty,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33665770,,Keratoprosthesis,A,,19.25,14.62,NA,14.62,,1.53,35.40,35.40,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33765771,,Radial keratotomy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33865772,,Correction of astigmatism,A,,4.96,8.42,,5.15,,0.40,13.78,10.51,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33965775,,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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808