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See a sample rate comparisonCPT 65114 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65114 |
| Medicaid Fee Schedule | View Medicaid rates for 65114 |
National average reimbursement for CPT 65114 by major payers:
$2,011.11
$1,943.07
$2,158.44
$2,481.23
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CPT 65114
5 of 25 sample ratesHigher to lower in this preview
Advanced Surgery Center Of Bethesda, LLC
Asc Bethesda
$3,623.00Published rateCrosstown Surgery Center LLC
$2,968.00Published rateBurnsville Surgery Center, P.A.
Burnsville Surgery Center PA
$2,100.00Published rateEye Surgicenter LLC
$959.00Published rateEndoscopy Center Of Ocean County, LLC
Endoscopy Center Of Ocean County, PC
$654.00Published rate
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See a sample payer proposalCPT 65114 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65114 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 65114 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 |
|---|---|---|
| 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. |
| 65112-CPT | High | Remove Eye Socket Contents, Surgery To Remove The Orbital Contents (Includes Eyeball Muscles Nerves And Blood Vessels). May Include Removal Of Bone. |
| 65114-CPT | High | Remove Eye Socket Contents, Surgery To Remove The Orbital Contents (Includes Eyeball Muscles Nerves And Blood Vessels). May Include Removal Of Bone. |
| 65125-CPT | Moderate | Modification Of Ocular Implant, Modification Of Ocular Implant With Placement Or Replacementof Pegs (Eg Drilling Receptacle For Prosthesis Appendage) (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65114 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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