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See a sample rate comparisonCPT 65920 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.
Removal Of Implanted Material, Removal Of Implanted Material Anterior Segment Eyeremoval Of Implanted Material Anterior Segment Eye
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 65920 |
| Medicaid Fee Schedule | View Medicaid rates for 65920 |
National average reimbursement for CPT 65920 by major payers:
$1,004.76
$1,001.41
$1,054.36
$1,259.88
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CPT 65920
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$7,169.00Published rateRed Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$2,206.00Published rateAhmed Taha
Deaconess Hospital Inc
$1,401.13Published rateCandescent Eye Surgicenter LLC
$1,140.00Published rateJessica Hoesli
Deaconess Hospital Inc
$643.76Published rate
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See a sample payer proposalCPT 65920 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65920 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 65920 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 |
|---|---|---|
| 65800-CPT | Low | Remove Fluid Or Blood From Eye, Surgery To Aspirate (Remove Using A Needle) Blood Or Fluid From The Anterior Chamber Of The Eye (Space Between The Iris And Cornea). |
| 65810-CPT | Moderate | Paracentesis Of Anterior Chamb, Paracentesis Of Anterior Chamber Of Eye (Separateprocedure) With Removal Of Vitreous Andor Discission Of Anterior Hyaloid Membrane With Or Withoutair Injection |
| 65815-CPT | Moderate | Remove Fluid Or Blood From Eye, Surgery To Aspirate (Remove Using A Needle) Blood Or Fluid From The Anterior Chamber Of The Eye (Space Between The Iris And Cornea). |
| 65920-CPT | High | Removal Of Implanted Material, Removal Of Implanted Material Anterior Segment Eyeremoval Of Implanted Material Anterior Segment Eye |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65920 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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