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See a sample rate comparisonCPT 65272 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.
Rpair Of Lacerat; Conjunctiv By Mobilizati & Rearrange, Repair Of Laceration; Conjunctiva By Mobilization And Rearrangement
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65272 |
| Medicaid Fee Schedule | View Medicaid rates for 65272 |
National average reimbursement for CPT 65272 by major payers:
$629.69
$643.39
$707.77
$810.10
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CPT 65272
5 of 25 sample ratesHigher to lower in this preview
Metrocrest Surgery Center Lp, Baylor Surgicare At Carrollton
Metrocrest Surgery Center Lp
$3,150.00Published rateNorth Shore Surgical Suites, LLC, North Shore Surgical Suites
North Shore Surgical Suites, LLC
$2,307.00Published rateNorthern N.J. Endoscopy Center, L.L.C.
Northern Nj Endoscopy Center LLC
$1,850.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$1,059.00Published rateTiftarea Endoscopy Center, Inc.
Tiftarea Endoscopy Center Inc
$594.00Published rate
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See a sample payer proposalCPT 65272 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65272 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 65272 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 |
|---|---|---|
| 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 |
| 65270-CPT | Moderate | Rpair Of Lacerat; Conjunctiv W//W/O Nonperforating Lace, Repair Of Laceration; Conjunctiva With Or Without Nonperforating Lace |
| 65272-CPT | Moderate | Rpair Of Lacerat; Conjunctiv By Mobilizati & Rearrange, Repair Of Laceration; Conjunctiva By Mobilization And Rearrangement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65272 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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