$116.16
Choose 65800 for diagnostic aspiration or medication injection without the drainage-and-replacement service. 65815 includes drainage followed by chamber replacement.
On this page
CMS RVU26D · Effective 2026-10-01
65815 Eye drainage Medicare reimbursement rates in Utah
Ophthalmologists report this procedure when they drain aqueous from the eye’s anterior chamber and refill it with air, gas, or liquid. Compare 65815 office and facility rates across CMS payment localities in Utah.
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 65815 in Utah?
Utah 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
$614.84
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$397.89
1 of 1 localities have a supported rate.
Payment area: Utah
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 65815: Anterior chamber drainage with replacement
Ophthalmologists report this procedure when they drain aqueous from the eye’s anterior chamber and refill it with air, gas, or liquid.
This procedure is an anterior chamber paracentesis that removes aqueous and replaces it with air, another gas, or fluid. An ophthalmologist may perform it as an anterior chamber washout, including for a significant hyphema requiring evacuation and chamber replacement. It is a surgical service, commonly furnished in an operating room or other procedural setting; the operative note should identify the chamber drainage and the replacement material.
Select this code when both drainage and replacement are performed. A diagnostic aspiration or medication injection alone, or drainage without replacement, points to a different code in the family. Documentation should describe the reason for the procedure, the fluid or material removed, and what was used to refill the chamber. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 65815
- 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 RVU5.85 · 30%
- Practice expense (office) RVU12.92 · 67%
- Malpractice RVU0.46 · 2%
840
Medicare services in 2024 · #3104 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.
65815 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
65810 describes anterior chamber drainage without replacement. Report 65815 when the chamber is refilled with air, gas, or liquid after drainage.
No office rate
65820 is a goniotomy, an angle procedure used to address glaucoma. It is not an anterior chamber drainage-and-replacement service.
Compare 65815 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
Utah →
Office / nonfacility
$614.84
Facility
$397.89
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 65815 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,348
- Code
- 65815
- Physician work
- 5.85
- Practice expense
- 12.92
- Malpractice
- 0.46
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.85 | × 1.000 | 5.8500 |
| Practice expense | 12.92 | × 0.940 | 12.1448 |
| Malpractice | 0.46 | × 0.898 | 0.4131 |
| Total RVUs | 18.4079 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$614.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.85 | 1 |
| Practice expense | 12.92 | 0.94 |
| Malpractice | 0.46 | 0.898 |
(5.85 × 1 + 12.92 × 0.94 + 0.46 × 0.898) × $33.4009 = $614.84
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.85 | 1 |
| Practice expense | 6.01 | 0.94 |
| Malpractice | 0.46 | 0.898 |
(5.85 × 1 + 6.01 × 0.94 + 0.46 × 0.898) × $33.4009 = $397.89
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.
65815 billing questions
How does this differ from 65810?
Use 65815 when aqueous is drained and the chamber is replaced with air, gas, or liquid. Code 65810 describes drainage without that replacement.
Can 65815 be used for a diagnostic tap or medication injection?
No. A diagnostic aspiration or medication injection without the drainage-and-replacement service belongs to the distinct service described by 65800.
What documentation supports 65815?
The operative note should establish anterior chamber drainage and identify the replacement material. Include the clinical reason, such as a hyphema requiring chamber washout, when applicable.
Does the code have a global period?
Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
7,34565785,,Impltj ntrstrml crnl rng seg,A,,5.26,57.15,,5.88,,0.42,62.83,11.56,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34665800,,Drainage of eye,A,,1.49,2.00,,0.52,,0.12,3.61,2.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34765810,,Drainage of eye,A,,5.67,5.89,NA,5.89,,0.44,12.00,12.00,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34865815,,Drainage of eye,A,,5.85,12.92,,6.01,,0.46,19.23,12.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34965820,,Goniotomy,A,,8.69,12.29,NA,12.29,,0.68,21.66,21.66,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35065850,,Trabeculotomy ab externo,A,,11.11,9.39,NA,9.39,,0.88,21.38,21.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35165855,,Trabeculoplasty laser surg,A,,2.93,4.20,,1.98,,0.22,7.35,5.13,0,010,0.10,0.80,0.10,2,1,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985