Billing code 65810: Eye drainageMedicare rate & RVUs in Florida
Reports an anterior chamber procedure that removes vitreous, such as vitreous prolapse obstructing the pupil or contacting the cornea.
CMS doesn’t publish an office rate for 65810 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 65810 covers
This procedure removes vitreous from the eye’s anterior chamber through an anterior approach. It may be needed when vitreous prolapses forward after cataract surgery and threatens to obstruct the pupil or contact the cornea. Ophthalmologists typically perform it in an operating room or other surgical setting, using an approach suited to the location and extent of vitreous in the anterior chamber.
Choose 65810 when vitreous is removed, rather than aqueous fluid or blood; the operative note should identify the material, its location, the approach, and the clinical reason for removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting with modifier 50, payment is at 150%. Medicare does not pay assistant-at-surgery services for this procedure, and co-surgeon and team-surgery billing 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 65810 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 | $415.24 |
| Miami | Unavailable | $431.35 |
| Rest Of Florida | Unavailable | $399.55 |
How the 65810 rate is calculated
Each of 65810’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 · 65810
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.67Practice expense 5.89Malpractice 0.44
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 65810
65810 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65810
Eye drainage
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 65810
Eye drainage
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
65810 without 50 · national facility
$400.81
Eye drainage
65810-50 · Bilateral: 150%
$601.22
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).
65810 compared with similar codes
Compare codes
65810 vs 65800 vs 65815 vs 67010: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65800Eye paracentesis
- Use 65800 when aqueous fluid is removed from the anterior chamber. Use 65810 when the material removed is vitreous.
- 65815Eye drainage
- Use 65815 for anterior chamber blood removal, with or without irrigation and air injection; 65810 is for vitreous removal.
- 67010Anterior vitrectomy
- 65810 describes anterior chamber vitreous removal. 67010 is used for subtotal anterior vitrectomy with mechanical removal.
65810 billing questions
How does 65810 differ from 65800?
65810 is for removing vitreous from the anterior chamber. Use 65800 when the material removed is aqueous fluid.
How does 65810 differ from 65815?
65810 addresses vitreous removal; 65815 is for removing blood from the anterior chamber, with or without irrigation and air injection.
What should the operative note document?
Document vitreous in the anterior chamber, the clinical problem prompting removal, the anterior approach, and the work performed.
Can 65810 be reported for both eyes?
For a bilateral procedure, report modifier 50. CMS pays the bilateral procedure at 150%.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 65810. 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 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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