Billing code 65112: Eye eviscerationMedicare rate & RVUs in Florida
Reports evisceration of the eye with placement of an orbital implant when the scleral shell is retained rather than removing the entire globe.
CMS doesn’t publish an office rate for 65112 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 65112 covers
This operation removes the eye’s internal contents while preserving the scleral shell and placing an orbital implant. An ophthalmologist, typically an oculoplastic or other ophthalmic surgeon, may perform it in a hospital or ambulatory surgery setting for a severely damaged or painful eye. Evisceration is distinct from enucleation, which removes the globe itself. The implant and the muscle-attachment details help distinguish this service from nearby procedures.
Report 65112 when the operative record supports evisceration with implant placement, rather than evisceration without an implant or enucleation. Documentation should identify the procedure performed, the implant placement, and relevant operative findings. The CMS global period is 90 days and includes the day-before preoperative visit and 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% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation. Team surgery is 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.
Where 65112 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,354.03 |
| Miami | Unavailable | $1,407.07 |
| Rest Of Florida | Unavailable | $1,301.99 |
How the 65112 rate is calculated
Each of 65112’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 · 65112
RVUs × geographic indexes × conversion factor
Work18.05
18.05 RVUs× 1.000 GPCI
Practice expense19.63
19.63 RVUs× 1.000 GPCI
Malpractice1.44
1.44 RVUs× 1.000 GPCI
Adjusted RVUs
39.1200
Conversion factor
$33.4009
Medicare rate
$1,306.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 65112
65112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65112
Eye evisceration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 65112
Eye evisceration
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
65112 without 50 · national facility
$1,306.64
Eye evisceration
65112-50 · Bilateral: 150%
$1,959.96
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).
65112 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 65110Eye removal
- 65110 is evisceration without an implant. 65112 includes implant placement while retaining the scleral shell.
- 65114Eye removal
- Both include evisceration and an implant; 65114 is the muscle-attachment variant. Use the operative details to distinguish them.
- 65101Eye removal
- 65101 removes the entire globe without an implant. 65112 removes the internal contents, retains the scleral shell, and includes an implant.
- 65103Eye removal
- 65103 is enucleation with an implant, so the globe is removed. 65112 is evisceration with the scleral shell retained.
65112 billing questions
How does 65112 differ from 65110?
Both describe evisceration, but 65112 includes placement of an orbital implant; 65110 is the version without an implant.
When is 65114 a better fit?
Use 65114 when the evisceration includes an implant with the specified muscle-attachment feature. The operative report should support that distinction.
Can the implant placement be billed separately?
The implant is part of the service represented by 65112. Do not separately report an implant-insertion service for the same implant placement.
What documentation supports 65112 instead of an enucleation code?
Document that the eye contents were removed while the scleral shell was retained, and record implant placement. Enucleation removes the globe.
How does Medicare handle bilateral 65112?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. The applicable 90-day global period includes related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, and 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 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
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