$652.51
65600 represents revision of corneal tissue, such as scar removal; 65400 is used for excision of a corneal lesion.
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CMS RVU26D · Effective 2026-10-01
65600 Corneal revision Medicare reimbursement rates in Nebraska
Corneal revision covers surgery to address corneal scar tissue, such as when an ophthalmologist removes scar tissue affecting the cornea. Compare 65600 office and facility rates across CMS payment localities in Nebraska.
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 65600 in Nebraska?
Nebraska 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
$412.71
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$281.38
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Ophthalmology surgery
About 65600: Corneal scar revision
Corneal revision covers surgery to address corneal scar tissue, such as when an ophthalmologist removes scar tissue affecting the cornea.
An ophthalmologist, often a cornea specialist, performs this surgery to revise corneal tissue, including removal of scar tissue. The clinical situation may involve a scar that affects the cornea’s surface or clarity. The service is performed in an ophthalmic surgical setting or another setting equipped for the procedure; the operative report should identify the affected eye, the scar or other tissue being revised, and the work performed.
Report 65600 when the service is a corneal revision, not simply removal of a discrete corneal lesion or removal of the corneal epithelium. Documentation should support the reason for revision and describe the operative work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 65600
- 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
- 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 RVU4.10 · 31%
- Practice expense (office) RVU8.81 · 67%
- Malpractice RVU0.33 · 2%
419
Medicare services in 2024 · #3698 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.
65600 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$78.11
65435 is for removal of corneal epithelium. Choose 65600 when the operative work is revision of corneal tissue rather than epithelial removal alone.
No office rate
65710 describes penetrating corneal transplantation. 65600 is for corneal revision without the transplant service.
Compare 65600 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
Nebraska →
Office / nonfacility
$412.71
Facility
$281.38
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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 65600 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,326
- Code
- 65600
- Physician work
- 4.10
- Practice expense
- 8.81
- Malpractice
- 0.33
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.10 | × 1.000 | 4.1000 |
| Practice expense | 8.81 | × 0.923 | 8.1316 |
| Malpractice | 0.33 | × 0.378 | 0.1247 |
| Total RVUs | 12.3564 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$412.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.1 | 1 |
| Practice expense | 8.81 | 0.923 |
| Malpractice | 0.33 | 0.378 |
(4.1 × 1 + 8.81 × 0.923 + 0.33 × 0.378) × $33.4009 = $412.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.1 | 1 |
| Practice expense | 4.55 | 0.923 |
| Malpractice | 0.33 | 0.378 |
(4.1 × 1 + 4.55 × 0.923 + 0.33 × 0.378) × $33.4009 = $281.38
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.
65600 billing questions
When should 65600 be chosen instead of 65400?
Use 65600 for revision of corneal tissue, such as removal of scar tissue. Use 65400 when the procedure is excision of a corneal lesion.
What should the operative note document?
Document the clinical reason for revision, the affected eye, the corneal tissue or scar addressed, and the work performed.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral performance, modifier 50 is paid at 150% under the CMS facts for this code.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be paid for this surgery?
Assistant-at-surgery services are not paid for this code. 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.
7,32365435,,Curette/treat cornea,A,,0.90,1.53,,0.84,,0.07,2.50,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32465436,,Curette/treat cornea,A,,4.70,6.66,,4.44,,0.38,11.74,9.52,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32565450,,Treatment of corneal lesion,A,,3.38,6.38,,5.01,,0.26,10.02,8.65,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32665600,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068