Billing code 65280: Eye wound repairMedicare rate & RVUs in Florida
Surgical closure of a perforating corneal or scleral wound, reported for open-globe injuries that require repair of the eye wall.
CMS doesn’t publish an office rate for 65280 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 65280 covers
An ophthalmologist uses this service to close a perforating wound involving the cornea, sclera, or both. A typical case is an open-globe injury from sharp trauma or a penetrating object that requires surgical closure to restore the integrity of the eye wall. The procedure is commonly performed in an operating room in a hospital or ambulatory surgical setting. The operative report should identify the wound site and extent, structures involved, closure method, and any management of uveal tissue.
Report the repair supported by the operative findings; distinguish a perforating injury from a nonperforating corneal laceration. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral repair, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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 65280 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 | $587.90 |
| Miami | Unavailable | $611.65 |
| Rest Of Florida | Unavailable | $566.74 |
How the 65280 rate is calculated
Each of 65280’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 · 65280
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.87Practice expense 7.37Malpractice 0.70
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 65280
65280 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65280
Eye wound repair
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 65280
Eye wound repair
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
65280 without 50 · national facility
$565.81
Eye wound repair
65280-50 · Bilateral: 150%
$848.71
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).
65280 compared with similar codes
Compare codes
65280 vs 65275 vs 65285 vs 65270: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65275Corneal wound repair
- 65275 is for a nonperforating corneal laceration. Use 65280 for a perforating wound involving the cornea, sclera, or both.
- 65285Eye wound repair
- Both codes concern perforating corneal or scleral wounds. Review the documented wound and uveal-tissue management to select the repair code supported by the operative details.
- 65270Eye wound repair
- 65270 repairs a conjunctival laceration. It is not the code for a perforating injury of the cornea or sclera.
65280 billing questions
How is this code distinguished from 65275?
This code is for a perforating wound involving the cornea, sclera, or both. Code 65275 is for a nonperforating corneal laceration.
How does 65285 differ?
Use the operative details to distinguish these perforating wound repairs, including whether uveal tissue was repositioned or resected. The report should make the wound and tissue management clear.
Does the repair include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair paid?
For bilateral repair, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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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