$1,173.90
Choose 65779 when the single membrane layer is sutured. Choose 65778 when it is placed without sutures as a self-retaining membrane.
On this page
CMS RVU26D · Effective 2026-10-01
65779 Amniotic membrane Medicare reimbursement rates in Idaho
Reports sutured placement of a single amniotic membrane layer on the ocular surface to support healing of a damaged or persistently defective surface. Compare 65779 office and facility rates across CMS payment localities in Idaho.
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 65779 in Idaho?
Idaho 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
$1051.25
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$80.53
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Ophthalmology
About 65779: Sutured single-layer amniotic membrane placement
Reports sutured placement of a single amniotic membrane layer on the ocular surface to support healing of a damaged or persistently defective surface.
An ophthalmologist places one amniotic membrane layer over the ocular surface and secures it with sutures. This approach may be used for a persistent corneal epithelial defect or other ocular-surface damage when coverage is needed to support healing. The operative record should establish the ocular surface treated and that the membrane was placed as a single layer and sutured.
Select this code for sutured single-layer placement, not for a self-retaining membrane application or a multi-layer ocular surface reconstruction. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65779
- 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 RVU1.71 · 5%
- Practice expense (office) RVU32.28 · 95%
- Malpractice RVU0.14 · 0%
591
Medicare services in 2024 · #3408 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.
65779 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
65780 describes multi-layer amniotic membrane reconstruction; 65779 is for a single sutured layer.
No office rate
65781 involves ocular surface reconstruction with a limbal stem cell allograft, not single-layer amniotic membrane placement.
Compare 65779 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
Idaho →
Office / nonfacility
$1051.25
Facility
$80.53
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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 65779 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,341
- Code
- 65779
- Physician work
- 1.71
- Practice expense
- 32.28
- Malpractice
- 0.14
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 32.28 | × 0.920 | 29.6976 |
| Malpractice | 0.14 | × 0.473 | 0.0662 |
| Total RVUs | 31.4738 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$1051.25
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 32.28 | 0.92 |
| Malpractice | 0.14 | 0.473 |
(1.71 × 1 + 32.28 × 0.92 + 0.14 × 0.473) × $33.4009 = $1051.25
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 0.69 | 0.92 |
| Malpractice | 0.14 | 0.473 |
(1.71 × 1 + 0.69 × 0.92 + 0.14 × 0.473) × $33.4009 = $80.53
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.
65779 billing questions
How does 65779 differ from 65778?
65779 is for a single amniotic membrane layer secured with sutures. 65778 is the corresponding placement without sutures, using a self-retaining membrane.
When is 65780 a better fit?
Use 65780 for ocular surface reconstruction involving multiple amniotic membrane layers. A single sutured layer is reported with 65779.
What documentation supports 65779?
Document the ocular surface condition treated, the single-layer membrane placement, and that the membrane was secured with sutures.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both eyes.
Can an assistant surgeon be paid?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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.
7,33865772,,Correction of astigmatism,A,,4.96,8.42,,5.15,,0.40,13.78,10.51,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,33965775,,Correction of astigmatism,A,,6.74,7.67,NA,7.67,,0.53,14.94,14.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34065778,,Cover eye w/membrane,A,,0.82,37.29,,0.21,,0.04,38.15,1.07,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34165779,,Cover eye w/membrane suture,A,,1.71,32.28,,0.69,,0.14,34.13,2.54,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34265780,,Ocular reconst transplant,A,,6.85,8.06,NA,8.06,,0.54,15.45,15.45,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34365781,,Ocular reconst transplant,A,,17.69,14.52,NA,14.52,,1.41,33.62,33.62,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34465782,,Ocular reconst transplant,A,,15.04,12.90,NA,12.90,,1.21,29.15,29.15,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772