No office rate
Use 65880 for synechiae. Code 65865 addresses anterior segment adhesions other than synechiae.
On this page
CMS RVU26D · Effective 2026-10-01
65880 Adhesion lysis Medicare reimbursement rates in Wyoming
An ophthalmologist surgically releases synechiae in the eye’s anterior segment, with or without iridectomy, when adhesions require operative treatment. Compare 65880 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 65880 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
$567.94
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 65880: Surgical lysis of anterior synechiae
An ophthalmologist surgically releases synechiae in the eye’s anterior segment, with or without iridectomy, when adhesions require operative treatment.
An ophthalmologist uses an intraocular surgical technique to release synechiae, abnormal adhesions involving structures in the eye’s anterior segment. These adhesions may follow inflammation, trauma, or prior surgery and can interfere with normal anatomy or function. The procedure is generally performed in an operating room or other surgical facility; an iridectomy may be performed as part of the service.
Choose this code for surgical lysis of anterior segment synechiae, rather than adhesions classified as other than synechiae or adhesions treated by laser. The operative report should identify the adhesions and their location, document the surgical release, and note any iridectomy and laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 65880
- 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 RVU8.15 · 47%
- Practice expense (office) RVU8.38 · 49%
- Malpractice RVU0.64 · 4%
42
Medicare services in 2024 · #5472 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.
65880 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 65875 is for extensive lysis of anterior segment adhesions other than synechiae; 65880 is for synechiae.
$307.62
Code 65860 describes laser severing of anterior segment adhesions. Code 65880 is the surgical lysis code for synechiae.
Compare 65880 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
$567.94
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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 65880 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,356
- Code
- 65880
- Physician work
- 8.15
- Practice expense
- 8.38
- Malpractice
- 0.64
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.15 | × 1.000 | 8.1500 |
| Practice expense | 8.38 | × 1.000 | 8.3800 |
| Malpractice | 0.64 | × 0.740 | 0.4736 |
| Total RVUs | 17.0036 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$567.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.15 | 1 |
| Practice expense | 8.38 | 1 |
| Malpractice | 0.64 | 0.74 |
(8.15 × 1 + 8.38 × 1 + 0.64 × 0.74) × $33.4009 = $567.94
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.
65880 billing questions
How does 65880 differ from 65875?
65880 is for surgical release of anterior segment synechiae. Codes 65865, 65870, and 65875 address anterior segment adhesions other than synechiae, with distinctions within that group.
Can an iridectomy be part of the service?
Yes. The service includes lysis with or without iridectomy; document the iridectomy when performed.
How should bilateral treatment be reported?
CMS identifies this as a bilateral procedure payable with modifier 50 at 150%. Document treatment of both eyes.
What documentation supports the code?
Document the synechiae, their anterior segment location, the surgical release performed, laterality, and any iridectomy.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
Is assistant-at-surgery payment available?
CMS applies a statutory restriction, so an assistant at surgery is not paid for this code. 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.
7,35365865,,Incise inner eye adhesions,A,,5.63,6.32,NA,6.32,,0.44,12.39,12.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35465870,,Incise inner eye adhesions,A,,7.21,7.58,NA,7.58,,0.57,15.36,15.36,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35565875,,Incise inner eye adhesions,A,,7.61,8.20,NA,8.20,,0.60,16.41,16.41,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35665880,,Incise inner eye adhesions,A,,8.15,8.38,NA,8.38,,0.64,17.17,17.17,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35765900,,Remove eye lesion,A,,12.20,12.25,NA,12.25,,0.99,25.44,25.44,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35865920,,Remove implant of eye,A,,9.74,9.86,NA,9.86,,0.79,20.39,20.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35965930,,Remove blood clot from eye,A,,8.18,7.58,NA,7.58,,0.64,16.40,16.40,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,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.,,,,,,