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See a sample rate comparisonCPT 65450 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65450 |
| Medicaid Fee Schedule | View Medicaid rates for 65450 |
National average reimbursement for CPT 65450 by major payers:
$403.87
$418.56
$449.51
$523.95
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CPT 65450
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$1,665.00Published rateSummit Ambulatory Surgical Center, LLC
$555.00Published rateSouthwestern Eye Center Ltd, Southwestern Eye Center
Southwestern Eye Center, Ltd.
$344.00Published rateAmerican Access Care Of Towson Asc LLC
$150.00Published rateEdgeworth Commons Group LLC, Surgery Center At Edgworth Commons
Edgeworth Commons Group LLC
$50.00Published rate
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See a sample payer proposalCPT 65450 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65450 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 65450 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). |
| 65420-CPT | Moderate | Exc/Transpose Pterygium |
| 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. |
| 65450-CPT | Moderate | Remove Lesion From Cornea, Surgery To Remove Abnormal Tissue (Lesion) On Cornea (Clear Tissue That Covers The Front Of The Eyeball). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65450 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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