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See a sample rate comparisonCPT 65875 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) Posterior Synec Hiae
| 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 65875 |
| Medicaid Fee Schedule | View Medicaid rates for 65875 |
National average reimbursement for CPT 65875 by major payers:
$793.32
$801.32
$852.58
$1,009.57
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CPT 65875
5 of 25 sample ratesHigher to lower in this preview
Sequoia Surgical Center Lp, Sequoia Surgical Pavilion
Sequoia Surgical Center Lp
$2,944.00Published rateAiden Center For Day Surgery LLC
$2,105.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$1,514.00Published rateJcmg Surgery Center, Inc.
Jcmg Surgery Center Inc
$1,072.00Published rateTennessee Pain Surgery Center, LLC
Tennessee Pain Surgery Center LLC
$586.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 65875 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65875 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 65875 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 65875. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65875 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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