No office rate
Use 65260 for a foreign body in the posterior segment removed by magnetic extraction. This code is for an object in the anterior chamber.
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CMS RVU26D · Effective 2026-10-01
65235 Intraocular removal Medicare reimbursement rates in Massachusetts
Reports surgical removal of a foreign body located inside the eye’s anterior chamber, rather than a superficial or embedded external-eye object. Compare 65235 office and facility rates across CMS payment localities in Massachusetts.
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 65235 in Massachusetts?
Massachusetts 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
$652.39–$706.85
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 65235: Anterior chamber foreign body removal
Reports surgical removal of a foreign body located inside the eye’s anterior chamber, rather than a superficial or embedded external-eye object.
An ophthalmologist uses this code for surgical extraction of a foreign body from the eye’s anterior chamber. The object is inside the globe, distinguishing this service from removal of material on the conjunctiva or cornea. The procedure is generally performed in an operating-room setting when an intraocular object requires surgical access; the operative report should identify its anterior-chamber location and describe the extraction.
Select the code based on the object’s documented location, not simply the fact that it entered through an eye injury. Record the approach and removal details, along with any related injury and treatment. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 65235
- 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 RVU8.78 · 46%
- Practice expense (office) RVU9.54 · 50%
- Malpractice RVU0.71 · 4%
160
Medicare services in 2024 · #4514 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.
65235 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Use 65265 for nonmagnetic extraction of a posterior-segment foreign body. An anterior-chamber location supports this code instead.
$68.99–$75.16
Code 65222 is for corneal foreign-body removal with slit-lamp assistance. It does not describe extraction of an object from inside the anterior chamber.
$39.11–$42.14
Code 65210 addresses an embedded external-eye foreign body, not an object within the anterior chamber.
Compare 65235 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$706.85
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$652.39
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65235 billing questions
How does this differ from codes for corneal foreign-body removal?
Use this code when the foreign body is inside the anterior chamber. Codes 65220 and 65222 describe corneal foreign bodies, not an object within the globe.
How does this differ from 65260 and 65265?
Those codes are for foreign-body extraction from the posterior segment. This code is for an object in the anterior chamber.
Can this be reported for a foreign body embedded in the conjunctiva?
No. Code 65210 is the relevant option for an embedded conjunctival or other specified external-eye foreign body; this code requires an intraocular anterior-chamber location.
How is bilateral removal reported?
CMS identifies this as a bilateral procedure. When modifier 50 is used, payment is 150% under the stated Medicare rule.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
7,30465210,,Remove foreign body from eye,A,,0.59,0.52,,0.28,,0.03,1.14,0.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30565220,,Remove foreign body from eye,A,,0.69,1.14,,0.35,,0.09,1.92,1.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30665222,,Remove foreign body from eye,A,,0.82,1.14,,0.39,,0.04,2.00,1.25,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30765235,,Remove foreign body from eye,A,,8.78,9.54,NA,9.54,,0.71,19.03,19.03,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30865260,,Remove foreign body from eye,A,,12.23,11.93,NA,11.93,,0.99,25.15,25.15,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30965265,,Remove foreign body from eye,A,,13.98,13.10,NA,13.10,,1.12,28.20,28.20,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,31065270,,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