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CMS RVU26D · Effective 2026-10-01

65770 Keratoprosthesis Medicare reimbursement rates in Indiana

Reports surgical placement of an artificial corneal device, often for severe corneal disease when donor-tissue transplantation is unsuitable or has failed. Compare 65770 office and facility rates across CMS payment localities in Indiana.

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 65770 in Indiana?

Indiana 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

$1120.48

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 65770 in your payment locality →

Corneal surgery

About 65770: Artificial corneal prosthesis implantation

Reports surgical placement of an artificial corneal device, often for severe corneal disease when donor-tissue transplantation is unsuitable or has failed.

An ophthalmic surgeon places an artificial optical device in the cornea to restore a usable visual pathway when severe corneal damage prevents vision. This approach may be considered for patients with advanced corneal disease, including cases in which prior corneal grafts have failed or a conventional donor-tissue graft is not a suitable option. The procedure is generally performed in an operating room rather than an office setting.

Report the service when the operative record supports implantation of a keratoprosthesis, not a donor-cornea transplant or a procedure limited to the ocular surface. The code has a 90-day global period that 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%. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 65770

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU19.25 · 54%
  • Practice expense (office) RVU14.62 · 41%
  • Malpractice RVU1.53 · 4%

162

Medicare services in 2024 · #4502 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.

65770 compared with similar codes

Office rates for Indiana, from the same CMS release.

65710

Corneal transplant

Lamellar technique

No office rate

Use 65770 for an artificial corneal device. Code 65710 represents a donor-tissue corneal transplant; choose based on what the surgeon implanted.

65730

Corneal transplant

Penetrating graft

No office rate

Code 65730 is a corneal transplant using donor tissue. Code 65770 is appropriate when the documented operation implants a keratoprosthesis.

65755

Corneal transplant

Penetrating, pseudophakic eye

No office rate

Both address corneal replacement, but 65755 is a donor-tissue transplant code and 65770 represents an artificial corneal device.

65756

Corneal transplant

Endothelial keratoplasty

No office rate

Code 65756 describes endothelial keratoplasty using donor tissue. Use 65770 when the operative service is implantation of an artificial corneal device.

Compare 65770 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

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

    Office / nonfacility

    Unavailable

    Facility

    $1120.48

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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 65770 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

7,336

Code
65770
Physician work
19.25
Practice expense
14.62
Malpractice
1.53

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 65770 in Indiana
ComponentRVULocality factorAdjusted
Physician work19.25× 1.00019.2500
Practice expense14.62× 0.92713.5527
Malpractice1.53× 0.4860.7436
Total RVUs33.5463
Conversion factor× 33.4009

Facility rate, Indiana$1120.48

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work19.251
Practice expense14.620.927
Malpractice1.530.486

(19.25 × 1 + 14.62 × 0.927 + 1.53 × 0.486) × $33.4009 = $1120.48

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.

65770 billing questions

How is this different from a corneal transplant code?

This code represents implantation of an artificial corneal device. Corneal transplant codes represent procedures using donor corneal tissue, with the applicable code selected according to the transplant technique and clinical details.

Are related postoperative visits separately reported?

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

How is bilateral surgery reported?

Report modifier 50 for bilateral surgery. CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

An assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports reporting this code?

The operative report should identify implantation of an artificial corneal device and document the procedure performed. A record describing only a donor-tissue graft or ocular-surface treatment does not establish this service.

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 65770PPRRVU2026_Oct_nonQPP.csv, line 7,336 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)