No office rate
Both codes address posterior-segment foreign body removal; 65260 is selected for magnetic extraction, while 65265 is for nonmagnetic extraction.
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CMS RVU26D · Effective 2026-10-01
65260 Eye foreign body removal Medicare reimbursement rates in Missouri
Removal of an intraocular foreign body from the eye’s posterior segment using magnetic extraction, typically after penetrating trauma involving a metallic fragment. Compare 65260 office and facility rates across CMS payment localities in Missouri.
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 65260 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$784.18–$820.97
3 of 3 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.
Where 65260 pays more and less in Missouri
Ophthalmic surgery
About 65260: Posterior segment foreign body removal, magnetic
Removal of an intraocular foreign body from the eye’s posterior segment using magnetic extraction, typically after penetrating trauma involving a metallic fragment.
An ophthalmologist reports this service when an intraocular foreign body in the posterior segment is retrieved by magnetic extraction. A typical clinical situation is a metallic fragment that has entered the vitreous cavity or lodged near the retina after a penetrating eye injury. The procedure is generally performed in an operating room, with the operative report documenting the foreign body’s location and the magnetic retrieval method.
Select this code based on posterior-segment location and magnetic extraction, rather than simply on the presence of an eye foreign body. The record should distinguish the object from material in the cornea, conjunctiva, anterior chamber, or lens and describe the removal performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others 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 65260
- 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 RVU12.23 · 49%
- Practice expense (office) RVU11.93 · 47%
- 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.
65260 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
65235 is for an object in the anterior chamber or lens. 65260 is for a posterior-segment object removed magnetically.
$61.51–$64.98
65222 concerns a corneal foreign body removed with slit-lamp magnification, not an intraocular object in the posterior segment.
$26.47–$27.51
65205 is for a superficial conjunctival foreign body; 65260 requires posterior-segment intraocular removal by magnetic extraction.
Compare 65260 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$814.97
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$820.97
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$784.18
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65260 billing questions
How does 65260 differ from 65265?
Both concern a foreign body in the posterior segment. Use 65260 when magnetic extraction is performed; 65265 is the neighboring code for nonmagnetic extraction.
When is 65235 a better fit?
65235 describes removal from the anterior chamber or lens. Use 65260 for posterior-segment removal by magnetic extraction.
Does a metallic foreign body automatically support 65260?
No. The documentation should establish that the object is in the posterior segment and that magnetic extraction was used.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
CMS indicates that an assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
How is bilateral reporting handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule provided 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.
7,30565220,,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
7,31165272,,Repair of eye wound,A,,4.50,10.90,,4.11,,0.36,15.76,8.97,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00