$696.90
65400 is specific to excision of a corneal lesion. Use 65900 when the removed lesion involves the anterior segment and is not being reported under a more specific structure-based code.
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CMS RVU26D · Effective 2026-10-01
65900 Eye lesion removal Medicare reimbursement rates in Minnesota
Report 65900 for operative removal of a lesion involving the eye’s anterior segment, with the operative documentation identifying the site and work performed. Compare 65900 office and facility rates across CMS payment localities in Minnesota.
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 65900 in Minnesota?
Minnesota 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
$838.31
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Ophthalmic surgery
About 65900: Anterior segment eye lesion removal
Report 65900 for operative removal of a lesion involving the eye’s anterior segment, with the operative documentation identifying the site and work performed.
Code 65900 represents operative removal of a lesion involving the anterior segment of the eye. An ophthalmologist typically performs the procedure as surgical treatment, rather than as an examination or observation alone. The operative report should identify the involved structure and describe the removal performed. Select the code based on the lesion’s location and the procedure actually carried out; a lesion of a specifically coded structure, such as the cornea or conjunctiva, may call for that structure’s excision code instead.
Document the lesion site, laterality, and operative work. CMS classifies 65900 as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with 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 65900
- 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 RVU12.20 · 48%
- Practice expense (office) RVU12.25 · 48%
- Malpractice RVU0.99 · 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.
65900 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$239.23
68110 describes excision of a conjunctival lesion up to the size specified by that code. Choose by the lesion’s actual site and the procedure performed.
No office rate
65920 is for removal of an eye implant, not removal of a lesion.
No office rate
65930 is for removal of a blood clot from the eye; 65900 is for removal of a lesion.
Compare 65900 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$838.31
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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 65900 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
7,357
- Code
- 65900
- Physician work
- 12.20
- Practice expense
- 12.25
- Malpractice
- 0.99
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.20 | × 1.000 | 12.2000 |
| Practice expense | 12.25 | × 1.029 | 12.6052 |
| Malpractice | 0.99 | × 0.296 | 0.2930 |
| Total RVUs | 25.0983 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$838.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.2 | 1 |
| Practice expense | 12.25 | 1.029 |
| Malpractice | 0.99 | 0.296 |
(12.2 × 1 + 12.25 × 1.029 + 0.99 × 0.296) × $33.4009 = $838.31
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.
65900 billing questions
How is 65900 different from corneal lesion excision?
Use 65900 for a lesion involving the anterior segment when a more specific structure-based code does not describe the procedure. For a lesion excised from the cornea, consider 65400.
When should a conjunctival lesion code be used instead?
When the lesion being excised is on the conjunctiva, use the applicable conjunctival excision code, such as 68110 or 68115, based on the service and lesion size.
How does 65900 differ from 65920 and 65930?
65900 is for lesion removal. 65920 describes removal of an eye implant, while 65930 describes removal of a blood clot from the eye.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 65900 reported?
Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.
What should the operative report support?
Document the lesion’s exact site, laterality, and the removal performed so the record supports choosing 65900 over a structure-specific 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.
7,35465870,,Incise inner eye adhesions,A,,7.21,7.58,NA,7.58,,0.57,15.36,15.36,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35565875,,Incise inner eye adhesions,A,,7.61,8.20,NA,8.20,,0.60,16.41,16.41,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35665880,,Incise inner eye adhesions,A,,8.15,8.38,NA,8.38,,0.64,17.17,17.17,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35765900,,Remove eye lesion,A,,12.20,12.25,NA,12.25,,0.99,25.44,25.44,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35865920,,Remove implant of eye,A,,9.74,9.86,NA,9.86,,0.79,20.39,20.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35965930,,Remove blood clot from eye,A,,8.18,7.58,NA,7.58,,0.64,16.40,16.40,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36066020,,Injection treatment of eye,A,,1.60,4.16,,1.68,,0.13,5.89,3.41,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002