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See a sample rate comparisonCPT 65785 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 To Put Implants In Eye, Small Ring-Shaped Devices Are Implanted In The Cornea Of The Eye To Correct Vision.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 65785 |
| Medicaid Fee Schedule | View Medicaid rates for 65785 |
National average reimbursement for CPT 65785 by major payers:
$2,396.76
$2,980.38
$3,071.56
$3,496.54
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CPT 65785
5 of 25 sample ratesHigher to lower in this preview
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
$11,291.00Published rateOverlake Ambulatory Surgery Center, LLC, Overlake Surgery Center LLC
Overlake Ambulatory Surgery Center,
$4,200.00Published rateCarroll County Ambulatory Surgical Center
$2,958.00Published rateEmpire Surgery Center
$1,648.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$853.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 65785 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65785 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 65785 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. |
| 65785-CPT | High | Surgery To Put Implants In Eye, Small Ring-Shaped Devices Are Implanted In The Cornea Of The Eye To Correct Vision. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65785. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65785 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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