No office rate
67550 is for placing an orbital implant. Choose 67560 when the patient already has an implant and the surgeon revises it.
On this page
CMS RVU26D · Effective 2026-10-01
67560 Socket implant revision Medicare reimbursement rates in Georgia
Reports surgical correction of an existing orbital implant, such as for displacement or exposure, in a patient with an anophthalmic socket. Compare 67560 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 67560 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
No supported rate
Facility setting
$923.75–$992.64
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.
Ophthalmic surgery
About 67560: Revision of anophthalmic socket implant
Reports surgical correction of an existing orbital implant, such as for displacement or exposure, in a patient with an anophthalmic socket.
An ophthalmologist, often an oculoplastic surgeon, reports this service when surgically correcting an implant already present in the socket after enucleation or evisceration. Clinical situations may include implant displacement, exposure, or an unsatisfactory socket contour related to the implant. The work is typically performed in an operating room, including a hospital outpatient department or ambulatory surgery center.
The operative report should identify the existing implant, the side, the problem being corrected, and the revision performed. Distinguish correction of an existing implant from initial implant placement or removal without revision. This major surgery has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For bilateral work, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 67560
- 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
- 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 RVU11.88 · 41%
- Practice expense (office) RVU16.27 · 56%
- Malpractice RVU1.06 · 4%
192
Medicare services in 2024 · #4359 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.
67560 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
65175 describes removal of an ocular implant. Use 67560 when the service includes surgical correction of the existing socket implant rather than removal alone.
67599
No office rateUnlisted procedure orbit
67599 is for orbital work without a specific listed code. Use 67560 when the documented service is revision of an existing socket implant.
Compare 67560 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
Unavailable
Facility
$992.64
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$923.75
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67560 billing questions
When should 67560 be chosen instead of 67550?
Use 67560 for surgical correction of an implant already in the socket. Code 67550 describes placing an orbital implant, not revising an existing one.
Does removing an implant alone support 67560?
No. If the service is removal without revision, consider 65175; the operative report should make clear whether the implant was corrected or removed.
What documentation supports the revision?
Document the implant's presence and side, the clinical problem such as displacement or exposure, and the corrective work performed.
How is bilateral revision reported?
For revision on both sides, report modifier 50; CMS pays the bilateral procedure at 150%.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full and other procedures are paid at 50% under the standard multiple-procedure reduction.
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 for this code.
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.
7,48167515,,Inject/treat eye socket,A,,0.73,0.76,,0.36,,0.06,1.55,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48267516,,Sprchoroidal spc njx rx agt,A,,1.49,2.02,,0.78,,0.12,3.63,2.39,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48367550,,Insert eye socket implant,A,,11.48,16.16,NA,16.16,,0.98,28.62,28.62,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48467560,,Revise eye socket implant,A,,11.88,16.27,NA,16.27,,1.06,29.21,29.21,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48567570,,Decompress optic nerve,A,,14.04,18.02,NA,18.02,,1.12,33.18,33.18,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48667599,,Unlisted procedure orbit,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48767700,,Blepharotomy drg absc eyelid,A,,1.37,6.92,,1.59,,0.11,8.40,3.07,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00