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See a sample rate comparisonCPT 65781 Fee Schedule
Last Verified: October 2026
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.
Surgery On Surface Of The Eye, Surgery To Reconstruct The Surface Of The Eye With Transplanted Tissue. The Procedure May Involve More Than One Layer Of The Eye Surface.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65781 |
| Medicaid Fee Schedule | View Medicaid rates for 65781 |
National average reimbursement for CPT 65781 by major payers:
$1,712.17
$1,698.35
$1,824.72
$2,225.70
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CPT 65781
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$16,929.00Published rateSouth Austin Surgery Center Ltd
$5,611.00Published rateCentennial Asc, LLC, Baylor Surgicare At Centennial
Centennial Asc LLC
$4,704.00Published rateFirst Surgery Center, Inc.
First Surgery Center Inc
$2,645.00Published rateEye Institute Surgery Center, LLC
Eye Institute Surgery Center LLC
$702.00Published rate
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See a sample payer proposalCPT 65781 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65781 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 65781 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 |
|---|---|---|
| 65778-CPT | High | Amniotic Membrane Graft On Eye, Graft Of Amniotic Tissue To The Eye Surface. The Procedure Helps Certain Types Of Wounds Such As Chemical Burns To Heal Well. This Type Of Graft Is Also Used For Glaucoma-Related Fluid Leaks. |
| 65779-CPT | High | Amniotic Membrane Graft On Eye, Graft Of Amniotic Tissue To The Eye Surface. The Procedure Helps Certain Types Of Wounds Such As Chemical Burns To Heal Well. This Type Of Graft Is Also Used For Glaucoma-Related Fluid Leaks. |
| 65780-CPT | Moderate | Surgery On Surface Of The Eye, Surgery To Reconstruct The Surface Of The Eye With Transplanted Tissue. The Procedure May Involve More Than One Layer Of The Eye Surface. |
| 65781-CPT | High | Surgery On Surface Of The Eye, Surgery To Reconstruct The Surface Of The Eye With Transplanted Tissue. The Procedure May Involve More Than One Layer Of The Eye Surface. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65781. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65781 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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