Rate Benchmarking
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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65767 |
| Medicaid Fee Schedule | View Medicaid rates for 65767 |
National average reimbursement for CPT 65767 by major payers:

$1,773.82

$2,018.18

$2,009.23

$2,636.34
Choose a payer to see a sample of rates for CPT 65767.
Greater Dayton Surgery Center
Linden Surgical Center LLC
Urology Health Surgery Center LLC
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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 65767 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65767 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 65767 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 |
|---|---|---|
| 65710-CPT | High | Keratopl.;Lamellar |
| 65730-CPT | High | Keratoplasty (Corneal Transplnt); Penetrat (Excpt In Aphakia Or P, Keratoplasty (Corneal Transplant); Penetrating (Except In Aphakia Or P |
| 65750-CPT | High | Keratopl;Penetrating (W Aphakia) |
| 65767-CPT | High | Surgery To Change Cornea Shape, Surgery To Change The Shape Of The Clear Tissue That Covers The Eyeball (Cornea) In Order To Improve Vision. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65767. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65767 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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