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See a sample rate comparisonCPT 65436 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.
Remval Of Corneal Epithelium; W/ Applica Of Chelating Agnt (Eg, Removal Of Corneal Epithelium; With Application Of Chelating Agent (Eg
| 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 65436 |
| Medicaid Fee Schedule | View Medicaid rates for 65436 |
National average reimbursement for CPT 65436 by major payers:
$490.55
$493.50
$524.91
$610.32
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CPT 65436
5 of 25 sample ratesHigher to lower in this preview
Performance Health Surgicenter, LLC
Performance Health Surgicenter LLC
$6,651.00Published rateMinimally Invasive Surgicenter LLC
Minimally Invasive Surgicenter L
$2,206.00Published rateEast Metro Asc LLC, High Pointe Surgery Center
High Pointe Surgery Center
$1,300.00Published rateBayside Endoscopy Center LLC, East Greenwich Endoscopy Center
Bayside Endoscopy Center LLC
$856.00Published rateThree Rivers Endoscopy Center, Inc.
Three Rivers Endoscopy Center Inc
$541.00Published rate
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See a sample payer proposalCPT 65436 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65436 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 65436 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 |
|---|---|---|
| 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). |
| 65426-CPT | Moderate | Repair/Remove Cornea Tissue, Surgery To Remove The Pterygium (Fleshy Tissue That Grows Over The Cornea) And Transplant With Tissue From The Upper Eyelid. |
| 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). |
| 65436-CPT | Moderate | Remval Of Corneal Epithelium; W/ Applica Of Chelating Agnt (Eg, Removal Of Corneal Epithelium; With Application Of Chelating Agent (Eg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65436 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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