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See a sample rate comparisonCPT 65110 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.
Remove Eye Socket Contents, Surgery To Remove The Orbital Contents (Includes Eyeball Muscles Nerves And Blood Vessels). May Include Removal Of Bone.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65110 |
| Medicaid Fee Schedule | View Medicaid rates for 65110 |
National average reimbursement for CPT 65110 by major payers:
$1,690.15
$1,604.39
$1,779.37
$2,065.90
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CPT 65110
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$12,605.26Published rateSurgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$3,623.00Published rateNorthern New Jersey Center For Advanced Endoscopy LLC
$2,493.00Published rateMaryland Surgery Center For Women
Maryland Surgery Center For Women, LLC
$1,854.00Published rateRiverside Surgery Center Inc
$615.00Published rate
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See a sample payer proposalCPT 65110 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65110 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 65110 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 |
|---|---|---|
| 65091-CPT | Moderate | Evisceration Ocular Wo Implant |
| 65093-CPT | Moderate | Evisceration Ocular Contents; With Impla |
| 65101-CPT | High | Enucleation Eye Wo Implant |
| 65110-CPT | High | Remove Eye Socket Contents, Surgery To Remove The Orbital Contents (Includes Eyeball Muscles Nerves And Blood Vessels). May Include Removal Of Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65110 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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