# CPT 65860: Severing adhesions of anterior segment, laser

Medicare CPT 65860 pays $309.96 in a non-facility setting and $209.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $279.64 in Arkansas to $376.33 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/65860-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $309.96 |
| National facility | $209.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $376.33 | $268.90 |
| District of Columbia | $350.05 | $231.23 |
| California | $343.75 | $224.39 |
| New York | $340.02 | $227.49 |
| New Jersey | $339.91 | $226.33 |
| Washington | $337.51 | $222.51 |
| Massachusetts | $334.61 | $221.29 |
| Hawaii | $331.38 | $216.69 |
| Connecticut | $328.36 | $219.73 |
| Colorado | $321.17 | $213.84 |
| Maryland | $320.00 | $214.85 |
| Florida | $319.11 | $217.91 |
| Oregon | $318.25 | $211.98 |
| Rhode Island | $317.28 | $213.08 |
| New Hampshire | $316.38 | $211.37 |
| Illinois | $312.38 | $214.91 |
| Puerto Rico | $311.85 | $209.87 |
| Virgin Islands | $311.85 | $209.87 |
| Montana | $309.94 | $209.07 |
| Minnesota | $308.95 | $205.15 |
| Nevada | $308.64 | $207.67 |
| Pennsylvania | $307.86 | $209.06 |
| Wyoming | $307.62 | $206.74 |
| Delaware | $307.43 | $207.77 |
| Texas | $307.11 | $207.80 |
| North Dakota | $304.60 | $203.73 |
| Virginia | $304.18 | $205.02 |
| South Dakota | $303.97 | $203.10 |
| Vermont | $303.66 | $203.80 |
| Georgia | $303.45 | $207.21 |
| Arizona | $302.96 | $205.21 |
| Michigan | $302.41 | $207.70 |
| Maine | $298.40 | $202.02 |
| Utah | $298.00 | $203.18 |
| New Mexico | $296.50 | $204.00 |
| Wisconsin | $295.99 | $199.36 |
| Missouri | $294.67 | $202.10 |
| South Carolina | $294.62 | $201.42 |
| Louisiana | $294.38 | $202.28 |
| North Carolina | $294.37 | $200.26 |
| Ohio | $294.02 | $201.93 |
| Indiana | $291.89 | $198.38 |
| Idaho | $290.48 | $197.68 |
| Nebraska | $290.18 | $197.08 |
| West Virginia | $289.74 | $202.08 |
| Tennessee | $289.04 | $197.35 |
| Iowa | $288.88 | $196.58 |
| Kentucky | $288.77 | $199.09 |
| Oklahoma | $288.26 | $198.18 |
| Kansas | $287.82 | $196.63 |
| Alabama | $283.04 | $194.78 |
| Mississippi | $282.03 | $195.18 |
| Arkansas | $279.64 | $192.99 |

## Related codes

- 65091: Evisceration of ocular contents — https://www.med-reveal.com/rates/65091-cpt-fee-schedule
- 65205: Removal of foreign body, external eye, conjunctival superficial — https://www.med-reveal.com/rates/65205-cpt-fee-schedule
- 65222: Removal of foreign body, external eye, corneal with slit lamp — https://www.med-reveal.com/rates/65222-cpt-fee-schedule
- 65400: Excision/transposition of pterygium — https://www.med-reveal.com/rates/65400-cpt-fee-schedule
- 65426: Excision/transposition of pterygium with graft — https://www.med-reveal.com/rates/65426-cpt-fee-schedule
- 65710: Keratoplasty (corneal transplant), anterior lamellar — https://www.med-reveal.com/rates/65710-cpt-fee-schedule
- 65730: Keratoplasty, penetrating, in aphakia — https://www.med-reveal.com/rates/65730-cpt-fee-schedule
- 65750: Keratoplasty, penetrating, in pseudophakia — https://www.med-reveal.com/rates/65750-cpt-fee-schedule

Commercial negotiated rates for 65860 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules