$275.03–$298.31
Choose 65270 when the laceration involves the conjunctiva, with or without nonperforating scleral involvement. Choose 65272 when the cornea has a nonperforating laceration requiring direct closure.
On this page
CMS RVU26D · Effective 2026-10-01
65272 Corneal wound repair Medicare reimbursement rates in Florida
Reports direct closure of a nonperforating corneal laceration, with or without conjunctival involvement, by an ophthalmic surgeon. Compare 65272 office and facility rates across CMS payment localities in Florida.
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 65272 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$516.43–$559.71
3 of 3 localities have a supported rate.
Facility setting
$299.61–$323.62
3 of 3 localities have a supported rate.
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 65272 pays more and less in Florida
3 payment localities
$516.43 to $559.71
Ophthalmic surgery
About 65272: Nonperforating corneal laceration repair
Reports direct closure of a nonperforating corneal laceration, with or without conjunctival involvement, by an ophthalmic surgeon.
An ophthalmologist uses this code to close a laceration that involves the cornea but does not pass through its full thickness. The wound may also involve the conjunctiva. Direct closure, commonly with sutures, distinguishes this service from treatment using tissue adhesive. It is typically performed as urgent ophthalmic surgery when an eye injury requires repair, rather than as routine treatment of a superficial foreign body.
Select the code based on the operative findings: the corneal wound is nonperforating and is closed directly. The operative report should identify the injured tissue, confirm that the wound is nonperforating, and describe the closure performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 65272
- 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 RVU4.50 · 29%
- Practice expense (office) RVU10.90 · 69%
- Malpractice RVU0.36 · 2%
19
Medicare services in 2024 · #5956 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.
65272 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Both address nonperforating corneal lacerations. The closure method distinguishes them: 65272 is for direct closure, while 65273 is for tissue adhesive.
$582.64–$630.55
Use 65275 for a perforating corneal or scleral laceration. This code is for a nonperforating corneal wound.
Compare 65272 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$540.85
Facility
$311.11
Miami →
Office / nonfacility
$559.71
Facility
$323.62
Rest Of Florida →
Office / nonfacility
$516.43
Facility
$299.61
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
65272 billing questions
How is this code distinguished from 65270?
This code is for a nonperforating corneal laceration closed directly. Code 65270 applies to a conjunctival laceration, with or without a nonperforating scleral laceration.
When is 65273 used instead?
Code 65273 is the related option when a nonperforating corneal laceration is treated with tissue adhesive. This code describes direct closure.
Does the code include postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral repair reported?
CMS treats the procedure as bilateral; reporting modifier 50 results in payment at 150% under the supplied fee schedule rule.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeon or team-surgery payment.
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.
7,30865260,,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
7,31365275,,Repair of eye wound,A,,6.13,11.08,,5.03,,0.48,17.69,11.64,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31465280,,Repair of eye wound,A,,8.87,7.37,NA,7.37,,0.70,16.94,16.94,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00