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See a sample rate comparisonCPT 65400 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.
Remove Lesion From Cornea, Surgery To Remove Abnormal Tissue (Lesion) On Cornea (Clear Tissue That Covers The Front Of The Eyeball).
| 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 65400 |
| Medicaid Fee Schedule | View Medicaid rates for 65400 |
National average reimbursement for CPT 65400 by major payers:
$853.33
$863.45
$924.60
$1,074.40
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CPT 65400
5 of 25 sample ratesHigher to lower in this preview
Texas Digestive Disease Center, Ltd
$1,955.00Published rateWestgreen Surgical Center LLC, Houston Orthopedic & Spine Surgery Center
$1,230.00Published rateClearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
$644.00Published rateMontgomery Surgery Center Limited Partnership
$500.00Published rateBay Area Endoscopy Center Limited Partnership
$343.00Published rate
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See a sample payer proposalCPT 65400 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65400 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 65400 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 |
|---|---|---|
| 65400-CPT | Moderate | Remove Lesion From Cornea, Surgery To Remove Abnormal Tissue (Lesion) On Cornea (Clear Tissue That Covers The Front Of The Eyeball). |
| 65410-CPT | Low | Surgery For Cornea Biopsy, Surgery On The Middle Portion Of The Eye Membrane (Cornea). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 65430-CPT | Low | Surgery For Cornea Biopsy, Surgery On The Middle Portion Of The Eye Membrane (Cornea). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 65435-CPT | Low | Remval Of Corneal Epithelium; W//W/O Chemocauterization (Abr, Removal Of Corneal Epithelium; With Or Without Chemocauterization (Abr |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65400 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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