No office rate
Both are evisceration procedures. Choose 65093 when an implant is placed and 65091 when the procedure is performed without one.
On this page
CMS RVU26D · Effective 2026-10-01
65093 Eye evisceration Medicare reimbursement rates in Tennessee
Reports removal of ocular contents while retaining the scleral shell and placing an implant, commonly for a blind, painful eye. Compare 65093 office and facility rates across CMS payment localities in Tennessee.
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 65093 in Tennessee?
Tennessee 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
$613.66
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 65093: Ocular evisceration with implant
Reports removal of ocular contents while retaining the scleral shell and placing an implant, commonly for a blind, painful eye.
In this operation, the surgeon removes the contents of the eye but leaves the scleral shell in place and places an implant within it. Ophthalmologists typically perform the procedure in a surgical facility for conditions such as a blind, painful eye when evisceration is selected. The implant supports the appearance and volume of the eye socket; a prosthetic eye may be fitted after healing.
Report 65093 when the operative record supports evisceration with implant placement, not removal of the entire globe. Documentation should identify the procedure performed and the implant. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 65093
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.86 · 35%
- Practice expense (office) RVU12.34 · 62%
- Malpractice RVU0.55 · 3%
551
Medicare services in 2024 · #3469 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.
65093 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
65103 is enucleation with an implant, removing the entire globe; 65093 removes ocular contents while preserving the scleral shell.
No office rate
65101 is enucleation without an implant. It differs from 65093 in both the extent of removal and implant placement.
Compare 65093 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$613.66
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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 65093 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,289
- Code
- 65093
- Physician work
- 6.86
- Practice expense
- 12.34
- Malpractice
- 0.55
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.86 | × 1.000 | 6.8600 |
| Practice expense | 12.34 | × 0.909 | 11.2171 |
| Malpractice | 0.55 | × 0.537 | 0.2954 |
| Total RVUs | 18.3724 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$613.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.86 | 1 |
| Practice expense | 12.34 | 0.909 |
| Malpractice | 0.55 | 0.537 |
(6.86 × 1 + 12.34 × 0.909 + 0.55 × 0.537) × $33.4009 = $613.66
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.
65093 billing questions
How does 65093 differ from 65091?
Both describe evisceration, which retains the scleral shell. Use 65093 when an implant is placed; 65091 is the sibling code for evisceration without an implant.
When would 65103 be considered instead?
65103 describes enucleation with an implant, which removes the entire globe. Use 65093 when the surgeon removes the ocular contents but retains the scleral shell.
Is implant placement included in 65093?
Yes. The service represented by 65093 includes evisceration with implant placement; the operative documentation should support both.
What postoperative care is included in the global period?
CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
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 is restricted. Co-surgeons are paid only when supporting documentation is provided, and team surgery is 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.
7,28664913,,Nrv rpr w/nrv algrft ea addl,A,,2.93,0.92,NA,0.92,,0.54,4.39,4.39,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28764999,,Unlisted px nervous system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28865091,,Revise eye,A,,7.08,12.20,NA,12.20,,0.56,19.84,19.84,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28965093,,Revise eye with implant,A,,6.86,12.34,NA,12.34,,0.55,19.75,19.75,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29065101,,Removal of eye,A,,8.09,14.01,NA,14.01,,0.64,22.74,22.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29165103,,Remove eye/insert implant,A,,8.62,14.07,NA,14.07,,0.68,23.37,23.37,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29265105,,Remove eye/attach implant,A,,9.68,14.91,NA,14.91,,0.79,25.38,25.38,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780