Billing code 65110: Eye removalMedicare rate & RVUs in Ohio
Reports surgical removal of the eye globe, such as for an intraocular tumor or a blind, painful eye, with technique documented in the operative report.
CMS doesn’t publish an office rate for 65110 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 65110 covers
An ophthalmologist performs enucleation by removing the eye globe from the orbit. Common clinical circumstances include an intraocular malignancy, a severely injured eye, or an eye that is blind and persistently painful. The operation takes place in a surgical setting, and the operative report should identify the indication, the eye treated, and the removal and socket-management steps performed. Enucleation removes the globe; evisceration instead removes intraocular contents while retaining the scleral shell.
Select this code based on the documented operation and distinguish it from neighboring enucleation codes by the implant and socket technique actually performed. The operative report should support those details rather than relying on the diagnosis alone. CMS assigns a 90-day major-surgery 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 are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
65110 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,094.68 |
How the 65110 rate is calculated
Each of 65110’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 65110
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.31Practice expense 17.77Malpractice 1.23
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 65110
65110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 65110
Eye removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 65110
Eye removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
65110 without 50 · national facility
$1,145.98
Eye removal
65110-50 · Bilateral: 150%
$1,718.97
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
65110 compared with similar codes
Compare codes
65110 vs 65101 vs 65103 vs 65091 vs 65093: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65101Eye removal
- Both describe enucleation, but the operative technique determines which sibling code applies. Review the documented implant and socket work rather than treating the codes as interchangeable.
- 65103Eye removal
- This is a neighboring enucleation variant. Select between it and 65110 from the specific implant and muscle-attachment technique recorded in the operative report.
- 65091Eye evisceration
- Code 65091 describes evisceration without an implant: the surgeon removes intraocular contents but retains the scleral shell. Enucleation removes the globe.
- 65093Eye evisceration
- Code 65093 describes evisceration with an implant and retention of the scleral shell; 65110 is for removal of the globe.
65110 billing questions
How is enucleation different from evisceration?
Enucleation removes the globe. Evisceration removes the intraocular contents while leaving the scleral shell; codes 65091 and 65093 describe evisceration variants.
How do I choose among the nearby enucleation codes?
Use the operative report to identify the exact implant, muscle-attachment, and socket technique. Do not select a neighboring code from the diagnosis or the phrase “eye removal” alone.
Does this code include related postoperative visits?
CMS assigns a 90-day major-surgery global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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