No office rate
Use 65800 for anterior chamber paracentesis with aqueous removal. Consider 65810 when medication injection is also performed or the documented service fits its broader description.
On this page
CMS RVU26D · Effective 2026-10-01
65800 Eye paracentesis Medicare reimbursement rates in Missouri
Anterior chamber paracentesis removes aqueous humor, commonly to reduce elevated eye pressure or obtain a sample for diagnostic testing. Compare 65800 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 65800 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
$111.25–$117.38
3 of 3 localities have a supported rate.
Facility setting
$68.64–$70.32
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 65800 pays more and less in Missouri
3 payment localities
$111.25 to $117.38
Ophthalmology procedure
About 65800: Anterior chamber paracentesis with aqueous removal
Anterior chamber paracentesis removes aqueous humor, commonly to reduce elevated eye pressure or obtain a sample for diagnostic testing.
Code 65800 describes entry into the eye’s anterior chamber to withdraw aqueous humor. Ophthalmologists may perform it to lower elevated pressure, including in an acute pressure crisis, or to collect aqueous for diagnostic analysis. The procedure may be done in an office or facility setting and is distinct from removing vitreous or performing a more extensive glaucoma operation.
Report the code when the documented service is anterior chamber paracentesis with aqueous removal. Record the treated eye, clinical reason, procedure performed, and whether a specimen was collected. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. For bilateral services, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 65800
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.49 · 41%
- Practice expense (office) RVU2.00 · 55%
- Malpractice RVU0.12 · 3%
12.8K
Medicare services in 2024 · #1346 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.
65800 compared with similar codes
Office rates for Missouri, from the same CMS release.
$582.35–$621.62
65815 involves vitreous removal through an anterior approach; 65800 is for aqueous removal from the anterior chamber.
No office rate
65820 is a goniotomy, an incision-based glaucoma procedure involving the drainage angle. It is not anterior chamber fluid removal.
Compare 65800 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
$116.41
Facility
$69.99
Metropolitan St. Louis →
Office / nonfacility
$117.38
Facility
$70.32
Rest Of Missouri →
Office / nonfacility
$111.25
Facility
$68.64
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65800 billing questions
How is 65800 distinguished from 65810?
65800 is for anterior chamber paracentesis with aqueous removal. Compare the documented work with 65810 when medication injection is also performed or the service otherwise fits that code’s expanded description.
Can 65800 be reported with another eye procedure on the same date?
The code identifies a separate procedure, so report it when the paracentesis is a distinct service rather than an integral part of a more extensive procedure. Apply the multiple procedure reduction when separate procedures are performed in the same session.
What documentation supports 65800?
Document anterior chamber entry and aqueous removal, the eye treated, and the indication, such as elevated pressure or diagnostic sampling. If fluid is collected, note the specimen and its disposition.
How is bilateral 65800 reported?
For procedures on both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported for this procedure?
CMS does not pay an assistant at surgery for 65800. 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.
7,34365781,,Ocular reconst transplant,A,,17.69,14.52,NA,14.52,,1.41,33.62,33.62,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34465782,,Ocular reconst transplant,A,,15.04,12.90,NA,12.90,,1.21,29.15,29.15,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34565785,,Impltj ntrstrml crnl rng seg,A,,5.26,57.15,,5.88,,0.42,62.83,11.56,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34665800,,Drainage of eye,A,,1.49,2.00,,0.52,,0.12,3.61,2.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34765810,,Drainage of eye,A,,5.67,5.89,NA,5.89,,0.44,12.00,12.00,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34865815,,Drainage of eye,A,,5.85,12.92,,6.01,,0.46,19.23,12.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34965820,,Goniotomy,A,,8.69,12.29,NA,12.29,,0.68,21.66,21.66,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00