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CPT code 65757: Corneal graft preparation, endothelial allograft2026 Medicare rate & RVUs

Preparation of donor corneal endothelial tissue for endothelial keratoplasty, reported as an add-on with the associated transplant procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities796 Medicare services in 2024

Medicare rate · 65757

Corneal graft preparation, endothelial allograft

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
ZZZ

National rate · 2026

—

Not priced in the facility setting.

See every locality for 65757 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 65757 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 65757 covers

Code 65757 covers preparation of donor corneal endothelial tissue for use in endothelial keratoplasty. The work concerns the graft before placement, rather than the transplant on the recipient eye. Ophthalmic surgeons report the preparation with the endothelial transplant procedure; it is not a stand-alone operation. Graft preparation is distinct from placing the graft in the recipient eye.

Medicare assigns physician fee schedule status C (carrier priced): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. This add-on is reported only with a primary procedure, and its payment is within that procedure’s global period. For endothelial keratoplasty, the associated primary procedure is 65756. Documentation should support the graft preparation and associated transplant.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 65757 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

65757 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

65757 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
65757 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 65757 rate is calculated

Each of 65757’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 65757

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 65757

The CMS indicators that decide how 65757 is paid alongside other services.

CMS payment indicators · 65757

Corneal graft preparation, endothelial allograft

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

65757 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 65757

    Corneal graft preparation, endothelial allograft0 wRVU

    Not priced

  • 65756

    Corneal transplant, endothelial keratoplasty16.42 wRVU

    Not priced

  • 65710

    Corneal transplant, lamellar technique14.09 wRVU

    Not priced

  • 65730

    Corneal transplant, penetrating graft15.94 wRVU

    Not priced

How to choose

65756Corneal transplantEndothelial keratoplasty
65756 reports the endothelial transplant on the recipient eye; 65757 reports preparation of the donor endothelial allograft and is an add-on to a primary procedure.
65710Corneal transplantLamellar technique
65710 represents a corneal transplant procedure; 65757 represents preparation of donor endothelial tissue for endothelial keratoplasty.
65730Corneal transplantPenetrating graft
65730 represents a corneal transplant procedure; 65757 is the add-on for preparation of the donor endothelial allograft.

Codes related to 65757

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 65757
CodeHow it relatesNational office range
Add-on codes
65756Corneal transplant, endothelial keratoplastyPrimary endothelial keratoplasty procedure reported with this graft-preparation add-on.No office rate

65757 billing questions

Can 65757 be reported by itself?

No. It is an add-on code and must be reported with a primary procedure.

Which transplant procedure is the primary code?

Report 65757 with 65756 for endothelial keratoplasty when the donor endothelial allograft is prepared.

How is 65757 different from 65756?

65757 represents preparation of the donor endothelial tissue. 65756 represents the endothelial transplant performed on the recipient eye.

How does Medicare price this code?

Its physician fee schedule status is C, carrier priced. CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim, within the primary procedure’s global period.

What should documentation support?

Document the donor graft preparation and the associated endothelial transplant procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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