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CMS RVU26D · Effective 2026-10-01

65785 Corneal ring implant Medicare reimbursement rates in Georgia

Reports placement of intrastromal corneal ring segments to alter corneal shape, commonly for keratoconus or corneal ectasia. Compare 65785 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 65785 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

$1895.11–$2132.47

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $237.36 per service.

Facility setting

$367.60–$392.60

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $25.00 per service.

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.

Find 65785 in your payment locality →

Ophthalmic surgery

About 65785: Intrastromal corneal ring segment implantation

Reports placement of intrastromal corneal ring segments to alter corneal shape, commonly for keratoconus or corneal ectasia.

An ophthalmic surgeon creates a channel within the corneal stroma and places one or more ring segments to change corneal shape. The procedure is used for conditions such as keratoconus or corneal ectasia, where irregular corneal curvature can impair vision or make contact lens wear difficult. It is generally performed in an operating-room setting; report the service when the segments are implanted, not for assessment alone.

The operative report should identify the treated eye, the indication, and the implantation performed. CMS assigns a 90-day global period, which 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 65785

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 RVU5.26 · 8%
  • Practice expense (office) RVU57.15 · 91%
  • Malpractice RVU0.42 · 1%

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.

65785 compared with similar codes

Office rates for Georgia, from the same CMS release.

65710

Corneal transplant

Lamellar technique

No office rate

65710 reports lamellar corneal grafting, which replaces a layer of corneal tissue. 65785 reports placement of ring segments within the cornea without graft replacement.

65730

Corneal transplant

Penetrating graft

No office rate

65730 reports penetrating corneal transplantation in a phakic eye. Choose 65785 when the service is intrastromal ring implantation rather than a full-thickness graft.

65756

Corneal transplant

Endothelial keratoplasty

No office rate

65756 reports endothelial corneal transplantation. 65785 concerns intrastromal ring placement to change corneal shape, not replacement of endothelium.

Compare 65785 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

Office and facility base rates · shared scale starting at $0

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65785 billing questions

When should this code be selected instead of a corneal transplant code?

Use this code when intrastromal ring segments are implanted to alter corneal shape. A corneal transplant code describes replacement of corneal tissue with a graft.

Does the 90-day global period include postoperative visits?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral implantation reported?

For bilateral procedures reported with modifier 50, CMS pays at 150%.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%.

What documentation supports reporting this service?

Document the indication, treated eye, and operative placement of the intrastromal segments. The operative record should show that implantation occurred rather than only evaluation or planning.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services are not paid. Co-surgeons are paid only when supporting documentation is provided; 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.

RVUs for 65785PPRRVU2026_Oct_nonQPP.csv, line 7,345 (RVU26D)