CPT 65210
Global 000 ActiveRemove foreign body from eye
CPT 65210 Billing & Documentation Guide
CPT code 65210 (Remove foreign body from eye) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.59, a non-facility practice expense RVU of 0.52, and a malpractice RVU of 0.03, a total non-facility RVU of 1.14 and facility RVU of 0.9. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $39.09, though rates vary from $35.14 to $48.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 65210, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 65210 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 65210 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 65210
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.59 | 0.59 |
| Practice Expense RVU | 0.52 | 0.28 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.14 | 0.9 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 65210
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $41.51 | $32.02 | $39.61 - $47.46 | 29 |
| Florida | $39.08 | $31.04 | $37.82 - $40.32 | 3 |
| Georgia | $37.5 | $29.85 | $36.39 - $38.62 | 2 |
| Illinois | $38.47 | $30.73 | $37.13 - $39.6 | 4 |
| Michigan | $37.43 | $29.9 | $36.7 - $38.16 | 2 |
| North Carolina | $36.55 | $29.07 | $36.55 - $36.55 | 1 |
| New York | $41.38 | $32.44 | $36.91 - $43.48 | 5 |
| Ohio | $36.57 | $29.26 | $36.57 - $36.57 | 1 |
| Pennsylvania | $37.97 | $30.12 | $36.6 - $39.34 | 2 |
| Texas | $37.84 | $29.95 | $36.44 - $39.01 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 65210
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 65210 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 65210
What does CPT code 65210 mean? +
CPT code 65210 represents: Remove foreign body from eye. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 65210? +
The 2026 Medicare national average non-facility payment for CPT 65210 is $39.09. Rates range from $35.14 to $48.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 65210? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 65210? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
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