$693.20
Choose 65400 when the lesion is cut out. Choose 65450 when the documented treatment destroys the lesion in place.
On this page
CMS RVU26D · Effective 2026-10-01
65450 Corneal treatment Medicare reimbursement rates in Wyoming
An ophthalmologist destroys a focal corneal lesion with a selected treatment method rather than excising it or taking tissue for diagnosis. Compare 65450 office and facility rates across CMS payment localities in Wyoming.
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 65450 in Wyoming?
Wyoming 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
$332.42
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$286.66
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Ophthalmology
About 65450: Corneal lesion destruction treatment
An ophthalmologist destroys a focal corneal lesion with a selected treatment method rather than excising it or taking tissue for diagnosis.
This ophthalmic procedure treats a focal lesion on the cornea by destroying the target with a selected method, such as freezing, light-based coagulation, or heat cautery. It is generally performed by an ophthalmologist, often a cornea specialist, in an office procedure room or ambulatory surgical setting. It differs from cutting out corneal tissue, sampling it for diagnosis, or removing a broader area of surface epithelium.
Report the service for the treated eye and document the lesion’s location, the treatment method, and the work performed. 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 the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 65450
- 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 RVU3.38 · 34%
- Practice expense (office) RVU6.38 · 64%
- Malpractice RVU0.26 · 3%
549
Medicare services in 2024 · #3471 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.
65450 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$143.00
65410 is for obtaining a corneal tissue sample for diagnosis; 65450 treats a lesion rather than sampling it.
$82.89
65435 involves removal of corneal epithelium. 65450 targets a focal lesion for destruction.
$388.83
65436 is used for corneal surface treatment with a chelating agent. 65450 describes focal lesion destruction by another treatment method.
Compare 65450 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
Wyoming** →
Office / nonfacility
$332.42
Facility
$286.66
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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 65450 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,325
- Code
- 65450
- Physician work
- 3.38
- Practice expense
- 6.38
- Malpractice
- 0.26
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.38 | × 1.000 | 3.3800 |
| Practice expense | 6.38 | × 1.000 | 6.3800 |
| Malpractice | 0.26 | × 0.740 | 0.1924 |
| Total RVUs | 9.9524 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$332.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.38 | 1 |
| Practice expense | 6.38 | 1 |
| Malpractice | 0.26 | 0.74 |
(3.38 × 1 + 6.38 × 1 + 0.26 × 0.74) × $33.4009 = $332.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.38 | 1 |
| Practice expense | 5.01 | 1 |
| Malpractice | 0.26 | 0.74 |
(3.38 × 1 + 5.01 × 1 + 0.26 × 0.74) × $33.4009 = $286.66
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.
65450 billing questions
How is 65450 different from corneal lesion excision?
65450 is for destroying the lesion in place. Use 65400 when the corneal lesion is removed by excision.
Can a corneal biopsy be reported as 65450?
No. A biopsy obtains tissue for diagnostic examination; 65450 treats a lesion by destruction.
How does 65450 differ from corneal epithelial removal?
65435 describes removal of corneal epithelium, with or without chemical cautery. Use 65450 when the documented service is focal lesion destruction.
How is bilateral treatment reported?
Report modifier 50 when both eyes are treated. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,32265430,,Corneal smear,A,,1.43,1.92,,1.02,,0.11,3.46,2.56,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32365435,,Curette/treat cornea,A,,0.90,1.53,,0.84,,0.07,2.50,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32465436,,Curette/treat cornea,A,,4.70,6.66,,4.44,,0.38,11.74,9.52,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32565450,,Treatment of corneal lesion,A,,3.38,6.38,,5.01,,0.26,10.02,8.65,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32665600,,Revision of cornea,A,,4.10,8.81,,4.55,,0.33,13.24,8.98,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32765710,,Corneal transplant,A,,14.09,14.21,NA,14.21,,1.13,29.43,29.43,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,32865730,,Corneal transplant,A,,15.94,14.75,NA,14.75,,1.28,31.97,31.97,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,