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See a sample rate comparisonCPT 65930 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.
Remove Blood Clot From The Eye, Surgery To Remove A Blood Clot From The Anterior Segment Of The Eye (Space Between The Iris And The Cornea).
| 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 65930 |
| Medicaid Fee Schedule | View Medicaid rates for 65930 |
National average reimbursement for CPT 65930 by major payers:
$784.68
$820.68
$857.26
$1,028.70
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CPT 65930
5 of 25 sample ratesHigher to lower in this preview
Brownsville Surgicenter, LLC
Brownsville Surgicenter LLC
$2,948.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$2,044.00Published rateCenter For Pain Medicine Surgery Center LLC
$1,561.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Terapeutic Center
$1,102.00Published rateGreat Lakes Ambulatory Surgery Center
$663.00Published rate
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See a sample payer proposalCPT 65930 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 65930 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 65930 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 |
|---|---|---|
| 65900-CPT | High | Remove Tissue From Eye, Surgery To Remove Improperly Healing Tissue Related To Surgery Or Another Injury To The Cornea (Membrane That Covers The Eye). |
| 65920-CPT | High | Removal Of Implanted Material, Removal Of Implanted Material Anterior Segment Eyeremoval Of Implanted Material Anterior Segment Eye |
| 65930-CPT | Moderate | Remove Blood Clot From The Eye, Surgery To Remove A Blood Clot From The Anterior Segment Of The Eye (Space Between The Iris And The Cornea). |
| 66020-CPT | Moderate | Injection Into Front Of Eye, Injection (Air Liquid Or Medication) Into The Front Portion Of The Eye (Space Between The Iris And The Cornea). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 65930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 65930 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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