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See a sample rate comparisonCPT 65865 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Severing Adhesions Of Anterior, Severing Adhesions Of Anterior Segment Of Eye Incisionaltechnique (With Or Without Injection Of Airor Liquid) (Separate Procedure) Goniosynechiae
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 65865 |
| Medicaid Fee Schedule | View Medicaid rates for 65865 |
National average reimbursement for CPT 65865 by major payers:
$652.31
$608.56
$645.88
$767.01
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CPT 65865
5 of 25 sample ratesHigher to lower in this preview
Bayonet Point Surgery Center Ltd
$6,651.00Published rateOptum Care Washington PLLC, Optum - Helen Holm Pumphrey Surgery Center
The Everett Clinic, PLLC
$2,008.00Published rateOverlake Reproductive Health Inc Ps., Overlake Reproductive Health Inc.- Ambulatory Surgical Facility
Overlake Reproductive Health, Inc., P.S.
$1,500.00Published rateOrtho Central
$1,011.00Published ratePodiatry Group Of Annapolis Ambulatory Surgical Center, Podiatry Group Of Annapolis Ambulatory Surgical Center LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center
$554.00Published rate
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See a sample payer proposalCPT 65865 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65865 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 65865 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 |
|---|---|---|
| 65860-CPT | Moderate | Remove Scar Tissue From Eye, Surgery To Release Adhesions (Scar Tissue) Within The Eye To Relieve Visual Interference Or Pressure Within The Eye. |
| 65865-CPT | Moderate | Severing Adhesions Of Anterior, Severing Adhesions Of Anterior Segment Of Eye Incisionaltechnique (With Or Without Injection Of Airor Liquid) (Separate Procedure) Goniosynechiae |
| 65870-CPT | Moderate | Incise Inner Eye Adhesions, Severing Adhesions Of Anterior Segment Of Eye Incisional Technique With Or Without Injection Of Air Or Liquid Separate Procedure Anterior Synechiae Except Goniosynechiae |
| 65875-CPT | Moderate | Severing Adhesions Of Anterior, Severing Adhesions Of Anterior Segment Of Eye Incisionaltechnique (With Or Without Injection Of Airor Liquid) (Separate Procedure) Posterior Synec Hiae |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65865. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65865 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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