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See a sample rate comparisonCPT 65150 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.
Replacement Of Eye Implant, Surgery To Reinsert An Artificial Eye. The Procedure May Include Grafts Or Reinforcing Material.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65150 |
| Medicaid Fee Schedule | View Medicaid rates for 65150 |
National average reimbursement for CPT 65150 by major payers:
$850.20
$790.73
$922.24
$1,067.43
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CPT 65150
5 of 25 sample ratesHigher to lower in this preview
Prime Healthcare Services-Suburban Hospital LLC
$6,028.60Published rateMountain Empire Surgery Center Lp
$3,570.00Published rateLimestone Medical Center, LLC, Limestone Ambulatory Surgery Center
Limestone Medical Center, Inc.
$3,350.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Terapeutic Center
$1,546.00Published rateZion Ambulatory Center LLC
$565.00Published rate
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See a sample payer proposalCPT 65150 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65150 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 65150 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 |
|---|---|---|
| 65140-CPT | High | Surgery For Eye Implant, Surgery To Implant A Prosthetic Eye After A Surgery To Remove The Injured Eye. The Procedure May Involve Attaching The Eye Muscles To The Implant. |
| 65150-CPT | Moderate | Replacement Of Eye Implant, Surgery To Reinsert An Artificial Eye. The Procedure May Include Grafts Or Reinforcing Material. |
| 65155-CPT | High | Reinsertion Of Ocular Implant, Reinsertion Of Ocular Implant With Use Of Foreignmaterial For Reinforcement Andor Attachment Of M Uscles To Implant |
| 65175-CPT | Moderate | Rem Implant Ocular |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65150 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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