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See a sample rate comparisonCPT 65205 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.
Removal Of Foreign Body Exte, Removal Of Foreign Body External Eye Conjunctivalsuperficial Removal Of Foreign Body External Eye Conjunctival
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 65205 |
| Medicaid Fee Schedule | View Medicaid rates for 65205 |
National average reimbursement for CPT 65205 by major payers:
$50.72
$59.21
$55.64
$64.92
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CPT 65205
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$2,347.00Published rateVascular Labs Of The Rockies Asc, LLC
Vascular Labs Of The Rockies Asc LLC
$380.00Published rateFresenius Vascular Care St Louis Asc LLC, Azura Surgery Center St. Louis
Fresenius Vascular Care St Louis Asc LLC
$250.00Published rateEndoscopy Center Of North Mississippi,LLC
Endoscopy Center Of North Mississippillc
$115.00Published rateAtlantic Sc LLC
$39.00Published rate
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See a sample payer proposalCPT 65205 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65205 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 65205 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 |
|---|---|---|
| 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 |
| 65205-CPT | Low | Removal Of Foreign Body Exte, Removal Of Foreign Body External Eye Conjunctivalsuperficial Removal Of Foreign Body External Eye Conjunctival |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65205 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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