$571.21
Use 65272 for a nonperforating corneal laceration. Use 65275 when the corneal wound is perforating.
On this page
CMS RVU26D · Effective 2026-10-01
65275 Corneal wound repair Medicare reimbursement rates in Guam
Reports surgical closure of a full-thickness corneal laceration, including cases requiring repositioning or removal of prolapsed uveal tissue. Compare 65275 office and facility rates across CMS payment localities in Guam.
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 65275 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$634.81
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$405.05
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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 65275: Perforating corneal laceration repair
Reports surgical closure of a full-thickness corneal laceration, including cases requiring repositioning or removal of prolapsed uveal tissue.
An ophthalmologist uses this service to close a perforating laceration of the cornea. The injury may result from sharp trauma or a penetrating object and can allow uveal tissue to prolapse through the wound. Repair may involve suturing the cornea and repositioning or removing affected uveal tissue as needed. These procedures are generally performed in a surgical facility rather than an office.
Select this code when the operative report supports a perforating corneal wound; a nonperforating corneal laceration is a different service. Document the wound location and depth, the repair performed, and any uveal tissue management. 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 the others at 50%. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65275
- 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 RVU6.13 · 35%
- Practice expense (office) RVU11.08 · 63%
- Malpractice RVU0.48 · 3%
49
Medicare services in 2024 · #5367 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.
65275 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
Both codes address perforating eye wounds; 65275 identifies a corneal laceration, while 65280 is the related code for corneal and/or scleral wounds.
$309.03
65270 addresses a conjunctival laceration. A perforating laceration of the cornea is reported with 65275.
Compare 65275 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$634.81
Facility
$405.05
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 65275 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,313
- Code
- 65275
- Physician work
- 6.13
- Practice expense
- 11.08
- Malpractice
- 0.48
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.13 | × 1.000 | 6.1300 |
| Practice expense | 11.08 | × 1.137 | 12.5980 |
| Malpractice | 0.48 | × 0.579 | 0.2779 |
| Total RVUs | 19.0059 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$634.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 11.08 | 1.137 |
| Malpractice | 0.48 | 0.579 |
(6.13 × 1 + 11.08 × 1.137 + 0.48 × 0.579) × $33.4009 = $634.81
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 5.03 | 1.137 |
| Malpractice | 0.48 | 0.579 |
(6.13 × 1 + 5.03 × 1.137 + 0.48 × 0.579) × $33.4009 = $405.05
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
65275 billing questions
How does this differ from 65272?
65275 is for a perforating corneal laceration. Code 65272 is used for a nonperforating corneal laceration.
What documentation supports 65275?
The operative note should establish that the corneal wound was perforating and describe its location and the repair, including any repositioning or removal of uveal tissue.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is bilateral repair reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available 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.
7,31065270,,Repair of eye wound,A,,1.90,6.39,,1.50,,0.15,8.44,3.55,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31165272,,Repair of eye wound,A,,4.50,10.90,,4.11,,0.36,15.76,8.97,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31265273,,Repair of eye wound,A,,5.03,4.18,NA,4.18,,0.40,9.61,9.61,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31365275,,Repair of eye wound,A,,6.13,11.08,,5.03,,0.48,17.69,11.64,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31465280,,Repair of eye wound,A,,8.87,7.37,NA,7.37,,0.70,16.94,16.94,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31565285,,Repair of eye wound,A,,14.98,11.63,NA,11.63,,1.21,27.82,27.82,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31665286,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014