$119.54
Use 65800 when aqueous fluid is removed from the anterior chamber. Use 65810 when the material removed is vitreous.
On this page
CMS RVU26D · Effective 2026-10-01
65810 Eye drainage Medicare reimbursement rates in Wyoming
Reports an anterior chamber procedure that removes vitreous, such as vitreous prolapse obstructing the pupil or contacting the cornea. Compare 65810 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 65810 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
No supported rate
Facility setting
$396.99
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 surgery
About 65810: Anterior chamber vitreous removal
Reports an anterior chamber procedure that removes vitreous, such as vitreous prolapse obstructing the pupil or contacting the cornea.
This procedure removes vitreous from the eye’s anterior chamber through an anterior approach. It may be needed when vitreous prolapses forward after cataract surgery and threatens to obstruct the pupil or contact the cornea. Ophthalmologists typically perform it in an operating room or other surgical setting, using an approach suited to the location and extent of vitreous in the anterior chamber.
Choose 65810 when vitreous is removed, rather than aqueous fluid or blood; the operative note should identify the material, its location, the approach, and the clinical reason for removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting with modifier 50, payment is at 150%. Medicare does not pay assistant-at-surgery services for this procedure, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 65810
- 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 RVU5.67 · 47%
- Practice expense (office) RVU5.89 · 49%
- Malpractice RVU0.44 · 4%
309
Medicare services in 2024 · #3972 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.
65810 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$638.30
Use 65815 for anterior chamber blood removal, with or without irrigation and air injection; 65810 is for vitreous removal.
No office rate
65810 describes anterior chamber vitreous removal. 67010 is used for subtotal anterior vitrectomy with mechanical removal.
Compare 65810 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
Unavailable
Facility
$396.99
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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 65810 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,347
- Code
- 65810
- Physician work
- 5.67
- Practice expense
- 5.89
- Malpractice
- 0.44
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.67 | × 1.000 | 5.6700 |
| Practice expense | 5.89 | × 1.000 | 5.8900 |
| Malpractice | 0.44 | × 0.740 | 0.3256 |
| Total RVUs | 11.8856 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$396.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.67 | 1 |
| Practice expense | 5.89 | 1 |
| Malpractice | 0.44 | 0.74 |
(5.67 × 1 + 5.89 × 1 + 0.44 × 0.74) × $33.4009 = $396.99
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.
65810 billing questions
How does 65810 differ from 65800?
65810 is for removing vitreous from the anterior chamber. Use 65800 when the material removed is aqueous fluid.
How does 65810 differ from 65815?
65810 addresses vitreous removal; 65815 is for removing blood from the anterior chamber, with or without irrigation and air injection.
What should the operative note document?
Document vitreous in the anterior chamber, the clinical problem prompting removal, the anterior approach, and the work performed.
Can 65810 be reported for both eyes?
For a bilateral procedure, report modifier 50. CMS pays the bilateral procedure at 150%.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 65810. Co-surgeons and team surgery are 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.
7,34465782,,Ocular reconst transplant,A,,15.04,12.90,NA,12.90,,1.21,29.15,29.15,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,34565785,,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
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.,,,,,,