No office rate
Use 65710 for a lamellar graft involving a different corneal layer. Use 65756 when the transplanted tissue is an endothelial graft.
On this page
CMS RVU26D · Effective 2026-10-01
65756 Corneal transplant Medicare reimbursement rates in Guam
Reports transplantation of donor corneal endothelial tissue to treat endothelial dysfunction while retaining the recipient cornea’s anterior layers. Compare 65756 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 65756 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
No supported rate
Facility setting
$1027.98
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.
Corneal surgery
About 65756: Endothelial corneal transplant
Reports transplantation of donor corneal endothelial tissue to treat endothelial dysfunction while retaining the recipient cornea’s anterior layers.
An ophthalmic surgeon uses this code for endothelial keratoplasty, replacing the diseased inner corneal layer with donor tissue. Common clinical settings include endothelial failure associated with Fuchs dystrophy or pseudophakic bullous keratopathy. Techniques such as DSAEK and DMEK are examples of endothelial graft procedures. The service is generally performed in an operating room or ambulatory surgery center, with related postoperative care managed by the surgeon.
The operative report should establish that the transplanted tissue is an endothelial graft and identify the treated eye and surgical technique. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 65756
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.42 · 55%
- Practice expense (office) RVU11.96 · 40%
- Malpractice RVU1.31 · 4%
22.3K
Medicare services in 2024 · #1100 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.
65756 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
Use 65730 for a penetrating, full-thickness transplant. This code describes endothelial keratoplasty rather than replacement of the full corneal thickness.
65757
No office ratePrep corneal endo allograft
65757 represents preparation of donor endothelial tissue before transplantation; 65756 represents the transplant procedure itself.
Compare 65756 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
Unavailable
Facility
$1027.98
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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 65756 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,331
- Code
- 65756
- Physician work
- 16.42
- Practice expense
- 11.96
- Malpractice
- 1.31
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.42 | × 1.000 | 16.4200 |
| Practice expense | 11.96 | × 1.137 | 13.5985 |
| Malpractice | 1.31 | × 0.579 | 0.7585 |
| Total RVUs | 30.7770 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1027.98
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.42 | 1 |
| Practice expense | 11.96 | 1.137 |
| Malpractice | 1.31 | 0.579 |
(16.42 × 1 + 11.96 × 1.137 + 1.31 × 0.579) × $33.4009 = $1027.98
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.
65756 billing questions
How is this different from a penetrating corneal transplant?
This code is for replacing the endothelial layer with donor tissue. A penetrating transplant replaces the full thickness of the cornea.
Can donor tissue preparation be reported separately?
CPT 65757 describes preparation of donor endothelial tissue before transplantation. Report it when that preparation service is performed and documented with the graft procedure.
Does the global period include routine postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral transplant reported under the CMS rule?
For bilateral surgery, CMS specifies modifier 50 and payment at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the multiple procedure reduction are paid at 50%.
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.
7,32865730,,Corneal transplant,A,,15.94,14.75,NA,14.75,,1.28,31.97,31.97,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32965750,,Corneal transplant,A,,16.48,14.24,NA,14.24,,1.31,32.03,32.03,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33065755,,Corneal transplant,A,,16.37,14.20,NA,14.20,,1.31,31.88,31.88,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33165756,,Corneal trnspl endothelial,A,,16.42,11.96,NA,11.96,,1.31,29.69,29.69,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33265757,,Prep corneal endo allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33365760,,Keratomileusis,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33465765,,Keratophakia,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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