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See a sample rate comparisonCPT 1011T Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pbm Therapy Of Oral Cavity, Photobiomodulation (Pbm) Therapy Of Oral Cavity Including Placement Of An Oral Device Monitoring Of Patient Tolerance To Treatment And Removal Of The Oral Device (Use 1011t In Conjunction With 77402 77407 77412 77423 77520 77522 77523 77525 When Radiation Therapy Is Also Performed) (Do Not Report 1011t More Than Once Per Radiation Therapy Session)
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Computerized Ophthalmic Analysis of Monocular Eye Movements |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1011T |
National average reimbursement for CPT 1011T by major payers:
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CPT 1011T
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See a sample payer proposalCPT 1011T vs. Other Computerized Ophthalmic Analysis of Monocular Eye Movements Codes
The CPT 1011T code is part of the Category III Codes services used for Computerized Ophthalmic Analysis of Monocular Eye Movements. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 1011T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 1011T-CPT | Moderate | Pbm Therapy Of Oral Cavity, Photobiomodulation (Pbm) Therapy Of Oral Cavity Including Placement Of An Oral Device Monitoring Of Patient Tolerance To Treatment And Removal Of The Oral Device (Use 1011t In Conjunction With 77402 77407 77412 77423 77520 77522 77523 77525 When Radiation Therapy Is Also Performed) (Do Not Report 1011t More Than Once Per Radiation Therapy Session) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1011T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1011T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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