No office rate
Choose 65850 for the external approach to the trabecular meshwork; 65820 describes an internal goniotomy approach.
On this page
CMS RVU26D · Effective 2026-10-01
65850 Trabeculotomy Medicare reimbursement rates in Florida
Reports glaucoma surgery that opens the trabecular drainage pathway through an external approach to improve aqueous outflow from the eye. Compare 65850 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 65850 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
No supported rate
Facility setting
$715.10–$771.91
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 65850 pays more and less in Florida
Glaucoma surgery
About 65850: Ab externo trabeculotomy for glaucoma
Reports glaucoma surgery that opens the trabecular drainage pathway through an external approach to improve aqueous outflow from the eye.
An ophthalmologist performs an ab externo trabeculotomy by approaching the drainage angle from outside the eye and opening the trabecular meshwork to improve aqueous humor outflow. The procedure is used for glaucoma, including congenital or developmental glaucoma, and is performed in a surgical setting. It differs from an internal angle incision because the surgeon reaches the trabecular meshwork through an external approach.
Report 65850 when the operative documentation supports this external approach and the trabecular incision. Record the treated eye and any other procedures performed during the session. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 65850
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.11 · 52%
- Practice expense (office) RVU9.39 · 44%
- Malpractice RVU0.88 · 4%
285
Medicare services in 2024 · #4032 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.
65850 compared with similar codes
Office rates for Florida, from the same CMS release.
$243.02–$262.48
65855 is laser treatment of the trabecular drainage angle. It does not describe the external incision reported with 65850.
No office rate
66170 describes trabeculectomy, which creates a filtration pathway; 65850 opens the trabecular meshwork through an external approach.
Compare 65850 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
Unavailable
Facility
$741.94
Miami →
Office / nonfacility
Unavailable
Facility
$771.91
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$715.10
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65850 billing questions
How is 65850 different from goniotomy 65820?
65850 describes an external approach to the trabecular meshwork. Goniotomy 65820 approaches and incises the angle internally.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care and the day-before preoperative visit.
How should bilateral trabeculotomy be reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
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 the other procedure or procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons are paid only with 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 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.
7,34765810,,Drainage of eye,A,,5.67,5.89,NA,5.89,,0.44,12.00,12.00,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34865815,,Drainage of eye,A,,5.85,12.92,,6.01,,0.46,19.23,12.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34965820,,Goniotomy,A,,8.69,12.29,NA,12.29,,0.68,21.66,21.66,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35065850,,Trabeculotomy ab externo,A,,11.11,9.39,NA,9.39,,0.88,21.38,21.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35165855,,Trabeculoplasty laser surg,A,,2.93,4.20,,1.98,,0.22,7.35,5.13,0,010,0.10,0.80,0.10,2,1,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35265860,,Severing ads ant sgm laser,A,,3.50,5.51,,2.49,,0.27,9.28,6.26,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35365865,,Incise inner eye adhesions,A,,5.63,6.32,NA,6.32,,0.44,12.39,12.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00