Choose 65775 for wedge-shaped corneal tissue excision; choose 65772 for astigmatism correction by relaxing incisions.
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CMS RVU26D · Effective 2026-10-01
65775 Corneal surgery Medicare reimbursement rates in Maine
A corneal surgeon removes a wedge-shaped section of corneal tissue to change its curvature and reduce astigmatism when this technique is selected. Compare 65775 office and facility rates across CMS payment localities in Maine.
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 65775 in Maine?
Maine 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
$471.82–$490.17
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 65775: Corneal wedge resection for astigmatism
A corneal surgeon removes a wedge-shaped section of corneal tissue to change its curvature and reduce astigmatism when this technique is selected.
This procedure uses a wedge-shaped excision of corneal tissue to alter corneal curvature and reduce astigmatism. An ophthalmologist performs it as a surgical treatment when correction by tissue removal is selected, rather than relying on relaxing incisions. The operative report should identify the treated eye and describe the astigmatism and the corneal work performed.
Report 65775 for the wedge-resection technique, not for corneal relaxing incisions reported with 65772. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 65775
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.74 · 45%
- Practice expense (office) RVU7.67 · 51%
- Malpractice RVU0.53 · 4%
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.
65775 compared with similar codes
Office rates for Maine, from the same CMS release.
Radial keratotomy
65771 describes radial keratotomy, a different incision pattern used for refractive correction. It is not the wedge-resection procedure reported with 65775.
Keratomileusis
65760 describes keratomileusis, a distinct corneal reshaping technique. Report 65775 when the operative technique is wedge-shaped tissue excision.
Compare 65775 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$471.82
Southern Maine →
Office / nonfacility
Unavailable
Facility
$490.17
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65775 billing questions
How is 65775 different from 65772?
65775 describes correction using wedge-shaped corneal tissue excision. Use 65772 when the surgeon corrects astigmatism with corneal relaxing incisions.
What should the operative note include?
Document the treated eye, the astigmatism being addressed, and the wedge-resection work performed. The note should make clear that tissue excision, rather than relaxing incisions, was the technique.
Can 65775 be reported for both eyes?
When the procedure is bilateral, CMS payment is based on reporting modifier 50 and is 150%. Document which eye or eyes were treated.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant, co-surgeon, or surgical team be paid?
CMS does not pay an assistant at surgery for this code. 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.
