No office rate
65130 describes implant insertion; 65140 is for secondary attachment after prior eye removal.
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CMS RVU26D · Effective 2026-10-01
65140 Ocular implant Medicare reimbursement rates in Tennessee
Reports secondary attachment of an ocular implant in an anophthalmic socket, rather than implant placement performed during removal of the eye. Compare 65140 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 65140 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
$768.58
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 65140: Secondary ocular implant attachment
Reports secondary attachment of an ocular implant in an anophthalmic socket, rather than implant placement performed during removal of the eye.
CPT 65140 describes secondary attachment of an ocular implant in a socket after the eye has previously been removed. An ophthalmic surgeon performs the procedure in an operating-room setting to place or secure an implant in the anophthalmic socket. It is distinct from implant placement performed as part of the original enucleation or evisceration, and from later revision, reinsertion, or removal of an existing implant.
Report 65140 when the operative record supports secondary implant attachment and identifies the treated side, the socket, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 identifies bilateral surgery and CMS pays the bilateral procedure at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 65140
- 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 RVU9.22 · 37%
- Practice expense (office) RVU14.74 · 60%
- Malpractice RVU0.73 · 3%
15
Medicare services in 2024 · #6083 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.
65140 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
65135 describes implant insertion using a different muscle-attachment approach. Use 65140 for secondary attachment, not the initial insertion service.
No office rate
65103 includes enucleation with implant placement in the same operation. 65140 describes secondary implant attachment in a previously created socket.
$420.72
65125 is for revising an existing implant. 65140 is for secondary attachment, not revision of an implant already in place.
Compare 65140 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
$768.58
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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 65140 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,299
- Code
- 65140
- Physician work
- 9.22
- Practice expense
- 14.74
- Malpractice
- 0.73
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.22 | × 1.000 | 9.2200 |
| Practice expense | 14.74 | × 0.909 | 13.3987 |
| Malpractice | 0.73 | × 0.537 | 0.3920 |
| Total RVUs | 23.0107 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$768.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.22 | 1 |
| Practice expense | 14.74 | 0.909 |
| Malpractice | 0.73 | 0.537 |
(9.22 × 1 + 14.74 × 0.909 + 0.73 × 0.537) × $33.4009 = $768.58
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.
65140 billing questions
How is 65140 different from implant placement during eye removal?
65140 is for secondary attachment in a socket after the eye was previously removed. When implant placement is part of the current enucleation or evisceration, use the applicable combined procedure code instead.
What documentation supports 65140?
The operative report should establish that the procedure is secondary, identify the anophthalmic socket and side, and describe the implant attachment performed.
Can 65140 be reported with a revision or removal code?
Choose the code that matches the work on the implant. Revision, reinsertion, and removal describe different services; do not report them as separate procedures for the same work.
How does Medicare handle bilateral reporting?
CMS lists 65140 as a bilateral procedure. Modifier 50 is paid at 150% under the supplied fee schedule rule.
Are assistant or co-surgeon claims payable?
CMS lists a statutory restriction on assistant-at-surgery payment for 65140 and does not permit co-surgeons or team surgery.
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.
7,29665125,,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
7,29865135,,Insert ocular implant,A,,8.39,14.01,NA,14.01,,0.66,23.06,23.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,29965140,,Attach ocular implant,A,,9.22,14.74,NA,14.74,,0.73,24.69,24.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30065150,,Revise ocular implant,A,,6.27,12.11,NA,12.11,,0.48,18.86,18.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30165155,,Reinsert ocular implant,A,,9.85,14.96,NA,14.96,,0.79,25.60,25.60,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,30265175,,Removal of ocular implant,A,,7.22,13.15,NA,13.15,,0.57,20.94,20.94,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,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