No office rate
Both describe penetrating corneal transplantation, but 65750 is for an aphakic eye. Choose the code matching the documented lens status.
On this page
CMS RVU26D · Effective 2026-10-01
65750 Corneal transplant Medicare reimbursement rates in Massachusetts
Reports a full-thickness corneal transplant in an aphakic eye, where the natural lens is absent and corneal disease requires donor tissue replacement. Compare 65750 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 65750 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
$1094.96–$1179.86
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 65750: Penetrating corneal transplant in an aphakic eye
Reports a full-thickness corneal transplant in an aphakic eye, where the natural lens is absent and corneal disease requires donor tissue replacement.
An ophthalmic surgeon uses donor corneal tissue to replace the full thickness of a diseased or damaged cornea in an aphakic eye. Typical clinical problems include corneal scarring or opacity that substantially impairs vision. The defining circumstance is aphakia; the transplant technique is penetrating rather than a partial-thickness or endothelial-only replacement. The procedure is generally performed in an operating-room setting.
Report this code when the operative documentation supports both a penetrating transplant and an aphakic eye. Document the eye treated, the corneal condition, the surgical approach, and the lens status. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 65750
- 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 RVU16.48 · 51%
- Practice expense (office) RVU14.24 · 44%
- Malpractice RVU1.31 · 4%
329
Medicare services in 2024 · #3925 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.
65750 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
This is a sibling penetrating-transplant code for a different lens-status circumstance; 65750 specifically identifies an aphakic eye.
No office rate
65710 is for a lamellar transplant involving partial-thickness corneal replacement. 65750 is for penetrating replacement in an aphakic eye.
No office rate
65756 is an endothelial transplant procedure. 65750 describes a penetrating transplant in an aphakic eye, not an endothelial-only approach.
Compare 65750 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
$1179.86
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1094.96
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65750 billing questions
How is 65750 distinguished from 65730 or 65755?
These codes distinguish penetrating corneal transplants by the eye’s lens status. Use 65750 for an aphakic eye; select the sibling code that matches the documented status for other eyes.
When is 65750 preferable to 65710?
65750 describes a penetrating, full-thickness transplant in an aphakic eye. 65710 is the lamellar transplant option when the procedure replaces only part of the cornea.
What documentation supports reporting 65750?
The operative report should identify the treated eye, the penetrating transplant technique, and aphakia. Include the corneal condition prompting replacement.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The operative record should support treatment of both eyes.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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.
7,32665600,,Revision of cornea,A,,4.10,8.81,,4.55,,0.33,13.24,8.98,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32765710,,Corneal transplant,A,,14.09,14.21,NA,14.21,,1.13,29.43,29.43,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32865730,,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