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See a sample rate comparisonCPT 65220 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 Corneal Withoutslit Lamp Removal Of Foreign Body External Eye Corneal Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 65220 |
| Medicaid Fee Schedule | View Medicaid rates for 65220 |
National average reimbursement for CPT 65220 by major payers:
$74.32
$79.39
$86.68
$104.33
Compare published rates across providers.
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CPT 65220
5 of 25 sample ratesHigher to lower in this preview
The Outpatient Surgery Center Of Cedar Rapids, LLC, Surgery Center Cedar Rapids
The Outpatient Surgery Center Of Cedar Rapids LLC
$891.85Published rateOro Valley Surgical Suites LLC
Oro Valley Surgical Suites, LLC
$566.00Published ratePacific Gastroenterology Endoscopy Center
$250.00Published rateInsight Surgery & Laser Center, LLC
Insight Surgery Laser Center LLC
$120.00Published rateJeanette Schmidt
Deaconess Hospital Inc
$47.90Published rate
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See a sample payer proposalCPT 65220 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65220 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 65220 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 |
|---|---|---|
| 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 |
| 65210-CPT | Low | Remove Foreign Body From Eye, Removal Of Foreign Body External Eye Conjunctival Embedded Includes Concretions Subconjunctival Or Scleral Nonperforating |
| 65220-CPT | Low | Removal Of Foreign Body Exte, Removal Of Foreign Body External Eye Corneal Withoutslit Lamp Removal Of Foreign Body External Eye Corneal Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65220 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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