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See a sample rate comparisonCPT 65265 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.
Removal Of Foreign Body Intra, Removal Of Foreign Body Intraocular From Posteriorsegment Nonmagnetic Extraction Removal Of Foreign Body Intraocular From Posterior
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 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 65265 |
| Medicaid Fee Schedule | View Medicaid rates for 65265 |
National average reimbursement for CPT 65265 by major payers:
$1,412.67
$1,392.81
$1,492.16
$1,755.23
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CPT 65265
5 of 25 sample ratesHigher to lower in this preview
Sentara Obici Ambulatory Surgery, LLC
$5,447.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd. D/B/A The Outpatient Cent
The Outpatient Center Of Boynton Beach, Ltd.
$2,353.00Published rateFresno Ca Endoscopy Asc, Lp, Central California Endoscopy Center
Fresno Ca Endoscopy Asc Lp
$1,423.00Published rateInnovative Eye Surgery Center, PLLC
Innovative Eye Surgery Center PLLC
$1,131.00Published rateSaint Joseph Health Asc LLC
The Pain Treatment Center, Inc. Dba Stone Road S
$496.00Published rate
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See a sample payer proposalCPT 65265 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65265 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 65265 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 |
|---|---|---|
| 65222-CPT | Low | Removal Of Foreign Body Exte, Removal Of Foreign Body External Eye Corneal With Slitlamp Removal Of Foreign Body External Eye Corneal With Slit |
| 65235-CPT | Moderate | Removal Of Foreign Body Intra, Removal Of Foreign Body Intraocular From Anterior Chamber Or Lens Removal Of Foreign Body Intraocular From Anterior Chamber |
| 65260-CPT | High | Removal Of Foreign Body Intra, Removal Of Foreign Body Intraocular From Posteriorsegment Magnetic Extraction Anterior Or Posterior Route Removal Of Foreign Body Intraocular From Posterior |
| 65265-CPT | High | Removal Of Foreign Body Intra, Removal Of Foreign Body Intraocular From Posteriorsegment Nonmagnetic Extraction Removal Of Foreign Body Intraocular From Posterior |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65265. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65265 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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