$109.35–$117.47
65430 is for obtaining a corneal smear from the surface. Choose 65410 when the service removes corneal tissue for diagnostic evaluation.
On this page
CMS RVU26D · Effective 2026-10-01
65410 Corneal biopsy Medicare reimbursement rates in Georgia
An ophthalmologist samples corneal tissue for diagnostic evaluation, such as investigating a deep or atypical corneal lesion or infection. Compare 65410 office and facility rates across CMS payment localities in Georgia.
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 65410 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$134.67–$146.32
2 of 2 localities have a supported rate.
Facility setting
$83.43–$87.95
2 of 2 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.
Ophthalmology
About 65410: Corneal tissue biopsy
An ophthalmologist samples corneal tissue for diagnostic evaluation, such as investigating a deep or atypical corneal lesion or infection.
An ophthalmologist, often a cornea specialist, removes a small piece of corneal tissue when examination or less invasive sampling has not resolved a diagnostic question. This may be done in an office or operating-room setting for a deep or atypical corneal infection, a nonhealing ulcer, or a lesion requiring tissue evaluation. The specimen may be sent for histopathology or microbiologic testing, depending on the clinical concern.
Report 65410 when corneal tissue is obtained by biopsy, rather than when the clinician takes a surface smear or treats a corneal lesion. Documentation should identify the eye and biopsy site, the reason tissue sampling was needed, the method used, and the specimen’s disposition. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65410
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.43 · 33%
- Practice expense (office) RVU2.77 · 64%
- Malpractice RVU0.11 · 3%
98
Medicare services in 2024 · #4904 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.
65410 compared with similar codes
Office rates for Georgia, from the same CMS release.
$655.37–$710.12
65400 describes excision of a corneal lesion. Use 65410 when the intent is to obtain tissue for diagnosis rather than excise the lesion as treatment.
$78.43–$84.88
65435 is a corneal epithelial treatment or removal procedure. It is not the code for obtaining a corneal tissue biopsy.
Compare 65410 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$146.32
Facility
$87.95
Rest Of Georgia →
Office / nonfacility
$134.67
Facility
$83.43
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65410 billing questions
When should 65410 be used instead of 65430?
Use 65410 when corneal tissue is removed for biopsy. Code 65430 describes corneal smear sampling, which collects surface material rather than a tissue specimen.
Is removal of a corneal lesion reported as a biopsy?
Not when the service is excision or treatment of the lesion rather than tissue sampling for diagnosis. For example, 65400 describes excision of a corneal lesion.
What documentation supports 65410?
Document the eye and biopsy site, the diagnostic reason for obtaining tissue, the sampling method, and where the specimen was sent.
How is bilateral corneal biopsy reported?
Report the bilateral procedure with modifier 50. CMS pays bilateral procedures at 150% under the stated rule.
Does the biopsy include same-day care?
Yes. Its 0-day global period includes same-day preoperative and postoperative care.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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 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.
7,31665286,,Repair of eye wound,A,,6.46,13.96,,5.61,,0.50,20.92,12.57,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31765290,,Repair of eye socket wound,A,,6.37,5.57,NA,5.57,,0.49,12.43,12.43,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31865400,,Removal of eye lesion,A,,7.31,13.00,,7.76,,0.60,20.91,15.67,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31965410,,Biopsy of cornea,A,,1.43,2.77,,1.05,,0.11,4.31,2.59,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32065420,,Removal of eye lesion,A,,4.25,11.58,,5.42,,0.35,16.18,10.02,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32165426,,Removal of eye lesion,A,,5.90,13.72,,6.01,,0.46,20.08,12.37,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32265430,,Corneal smear,A,,1.43,1.92,,1.02,,0.11,3.46,2.56,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00