CPT code 65757: Corneal graft preparation, endothelial allograft2026 Medicare rate & RVUs in Missouri
Preparation of donor corneal endothelial tissue for endothelial keratoplasty, reported as an add-on with the associated transplant procedure.
CMS doesn’t publish an office rate for 65757 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
65757 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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