Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65600 |
| Medicaid Fee Schedule | View Medicaid rates for 65600 |
National average reimbursement for CPT 65600 by major payers:

$536.15

$513.04

$567.71

$661.32
Choose a payer to see a sample of rates for CPT 65600.
Virginia Mason Medical Center
Maple Lawn Surgery Center, LLC
Boise Center For Foot Surgery PLLC
The Cataract And Laser Center, I
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 65600 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65600 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 65600 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). |
| 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 |
| 65600-CPT | Moderate | Stimulate Growth Of Eye Tissue, Surgery To Stimulate Growth Of New Epithelial (Outer Most Layer) Of Cornea (Clear Tissue That Covers Eyeball) By Using A Needle To Create Tiny Holes In Surface Of Cornea (Corneal Tattoo). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65600 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.
Bring your top codes (like CPT 65600) and we'll show you how you compare in 15 minutes or less.