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See a sample rate comparisonCPT 65105 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Enucleation Eye W Integrate Implant
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65105 |
| Medicaid Fee Schedule | View Medicaid rates for 65105 |
National average reimbursement for CPT 65105 by major payers:
$1,223.36
$1,129.43
$1,271.99
$1,481.32
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CPT 65105
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$6,734.00Published rateRavine Way Surgery Center, LLC
$3,650.00Published rateFirst Coast Orthopedic Center, LLC, First Coast Surgery Center
First Coast Orthopedic Center LLC
$2,280.00Published rateDhananjay Bhavsar
Deaconess Hospital Inc
$1,527.90Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$588.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 65105 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65105 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. 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 65105 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65105 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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