No office rate
65110 is evisceration without an implant. 65112 includes implant placement while retaining the scleral shell.
On this page
CMS RVU26D · Effective 2026-10-01
65112 Eye evisceration Medicare reimbursement rates in Tennessee
Reports evisceration of the eye with placement of an orbital implant when the scleral shell is retained rather than removing the entire globe. Compare 65112 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 65112 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
$1224.71
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 65112: Evisceration with orbital implant
Reports evisceration of the eye with placement of an orbital implant when the scleral shell is retained rather than removing the entire globe.
This operation removes the eye’s internal contents while preserving the scleral shell and placing an orbital implant. An ophthalmologist, typically an oculoplastic or other ophthalmic surgeon, may perform it in a hospital or ambulatory surgery setting for a severely damaged or painful eye. Evisceration is distinct from enucleation, which removes the globe itself. The implant and the muscle-attachment details help distinguish this service from nearby procedures.
Report 65112 when the operative record supports evisceration with implant placement, rather than evisceration without an implant or enucleation. Documentation should identify the procedure performed, the implant placement, and relevant operative findings. The CMS global period is 90 days and includes the day-before preoperative visit and 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 the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 65112
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.05 · 46%
- Practice expense (office) RVU19.63 · 50%
- Malpractice RVU1.44 · 4%
26
Medicare services in 2024 · #5771 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.
65112 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Both include evisceration and an implant; 65114 is the muscle-attachment variant. Use the operative details to distinguish them.
No office rate
65101 removes the entire globe without an implant. 65112 removes the internal contents, retains the scleral shell, and includes an implant.
No office rate
65103 is enucleation with an implant, so the globe is removed. 65112 is evisceration with the scleral shell retained.
Compare 65112 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
$1224.71
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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 65112 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,294
- Code
- 65112
- Physician work
- 18.05
- Practice expense
- 19.63
- Malpractice
- 1.44
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.05 | × 1.000 | 18.0500 |
| Practice expense | 19.63 | × 0.909 | 17.8437 |
| Malpractice | 1.44 | × 0.537 | 0.7733 |
| Total RVUs | 36.6669 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1224.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.05 | 1 |
| Practice expense | 19.63 | 0.909 |
| Malpractice | 1.44 | 0.537 |
(18.05 × 1 + 19.63 × 0.909 + 1.44 × 0.537) × $33.4009 = $1224.71
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.
65112 billing questions
How does 65112 differ from 65110?
Both describe evisceration, but 65112 includes placement of an orbital implant; 65110 is the version without an implant.
When is 65114 a better fit?
Use 65114 when the evisceration includes an implant with the specified muscle-attachment feature. The operative report should support that distinction.
Can the implant placement be billed separately?
The implant is part of the service represented by 65112. Do not separately report an implant-insertion service for the same implant placement.
What documentation supports 65112 instead of an enucleation code?
Document that the eye contents were removed while the scleral shell was retained, and record implant placement. Enucleation removes the globe.
How does Medicare handle bilateral 65112?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. The applicable 90-day global period includes related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, 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.
7,29165103,,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
7,29365110,,Removal of eye,A,,15.31,17.77,NA,17.77,,1.23,34.31,34.31,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29465112,,Remove eye/revise socket,A,,18.05,19.63,NA,19.63,,1.44,39.12,39.12,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29565114,,Remove eye/revise socket,A,,19.16,20.02,NA,20.02,,1.51,40.69,40.69,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29665125,,Revise ocular implant,A,,3.19,10.20,,4.37,,0.25,13.64,7.81,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29765130,,Insert ocular implant,A,,8.21,13.94,NA,13.94,,0.65,22.80,22.80,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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