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CPT 65765 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Keratophakia (Deny Inv Unless Benefit Summary Allows Keratoplasty {Lasik})
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Eye and Ocular Adnexa

Common Place of Service
Common Modifiers
Complexity LevelHigh

National average reimbursement for CPT 65765 by major payers:

bcbs

$2,182.39

uhc

$2,170.39

aetna

$2,173.99

cigna

$2,765.64

Preview provider-level rates for...
For billing codeCPT 65765
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 65765

United
65765$1615.001710038534 - OUTPATIENT SURGICAL SPECIALTIES CENTER, LLC205596163 - (NE) OUTPATIENT SURGICAL SPECIALTIES CENTER LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$2353.001295163715 - BLUFFTON OKATIE SURGERY CENTER, L.L.C.364730753SCAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$1282.001235363987 - CORONADO SURGERY CENTER, LLC274700340NVAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$300.001730355595 - FORT MYERS ENDOSCOPY CENTER LLC800149158FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$2025.001730401571 - CHILDRENS SURGERY CENTER LLC, ADVENTHEALTH SURGERY CENTER MAITLAND262389638 - (FL) CHILDRENS SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$2307.001548241623 - GASTROENTEROLOGY ASSOCIATES, LLC, GASTROENTEROLOGY ASSOCIATES ENDOSCOPY CENTER912104493 - (WA) GASTROENTEROLOGY ASSOCIATES PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$900.001992735286 - CASTLEMAN SURGERY CENTER, LLC, SOUTHGATE SURGERY CENTER383029505 - (MI) CASTLEMAN SURGERY CENTER LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$4623.001417922915 - FRANCONIA-SPRINGFIELD SURGERY CENTER, LLC, INOVA SURGERY CENTER @ FRANCONIA-SPRINGFIELD542018390 - (VA) INOVA AMBULATORY SURGICAL CENTERSVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$1682.001902472715 - CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC, CARTI SURGERY CENTER710437657 - (AR) CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$1306.001427282771 - UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC, UPSTATE ORTHOPEDICS ASC770711020NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$2353.001396919783 - SURGCENTER OF SOUTHERN MARYLAND, LLC261572885 - (MD) SURGCENTER OF SOUTHERN MARYLANDMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$3877.001619218096 - SAN MARCOS ASC LLC800899088TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$600.001871841544 - SPALDING ENDOSCOPY CENTER, LLC453051061 - (GA) SPALDING ENDOSCOPY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$1354.001689216152 - BAPTIST HEALTH SURGERY CENTER LLC843280181 - (KY) BAPTIST HEALTH SURGERY CENTER, LKYAmbulatory Surgical Clinic/Center (261QA1903X)
United
65765$1285.001316919574 - CHEVY CHASE ASC LLC, CHEVY CHASE ENDOSCOPY CENTER621666144MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 65765 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 65765 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 65765 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.

CodeComplexityDescription
65710HighKeratopl.;Lamellar
65730HighKeratoplasty Penetrat Exc Aphakia
65750HighKeratopl;Penetrating (W Aphakia)
65765HighKeratophakia (Deny Inv Unless Benefit Summary Allows Keratoplasty {Lasik})

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65765. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 65765 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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