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CPT code 65765: Keratophakia, aphakia correction2026 Medicare rate & RVUs

Keratophakia places donor corneal tissue within the cornea to alter its focusing power, historically for surgical correction of aphakia.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 65765

Keratophakia, aphakia correction

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 65765 →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 65765 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 65765 covers

Keratophakia is a refractive corneal operation in which an ophthalmic surgeon places a shaped donor corneal tissue lenticule within the recipient cornea. The added tissue changes corneal focusing power; the procedure has been used to correct aphakia, the absence of the eye’s natural lens. The implanted tissue lies within the cornea, unlike epikeratoplasty, which places donor tissue on the corneal surface, or keratomileusis, which reshapes corneal tissue. It is distinct from replacing corneal tissue to treat corneal disease. The procedure’s optical purpose is to address refractive error associated with aphakia in the treated eye.

Medicare lists 65765 as not covered, with physician fee schedule status N. Medicare does not cover claims for this procedure.

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 65765 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

65765 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

65765 rates by state

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

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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
65765 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 65765 rate is calculated

Each of 65765’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 · 65765

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 65765

65765 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 65765

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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65765 isn’t priced in this setting.

65765 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 65765

    Keratophakia, aphakia correction0 wRVU

    Not priced

  • 65760

    Keratomileusis, corneal refractive surgery0 wRVU

    Not priced

  • 65767

    Epikeratoplasty, surface donor lenticule0 wRVU

    Not priced

  • 65770

    Keratoprosthesis, artificial corneal implant19.25 wRVU

    Not priced

How to choose

65760KeratomileusisCorneal refractive surgery
Choose 65765 for placement of a donor tissue lenticule within the cornea. Code 65760 describes corneal reshaping rather than implantation of that lenticule.
65767EpikeratoplastySurface donor lenticule
Code 65765 places donor tissue within the cornea; 65767 places donor tissue on the corneal surface.
65770KeratoprosthesisArtificial corneal implant
Code 65770 describes implantation of a keratoprosthesis. It is not the donor-tissue lenticule procedure described by 65765.

Codes related to 65765

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

Codes related to 65765
CodeHow it relatesNational office range
Used instead
65767Epikeratoplasty, surface donor lenticuleEpikeratoplasty places donor tissue on the corneal surface rather than within the cornea.No office rate
65760Keratomileusis, corneal refractive surgeryKeratomileusis reshapes corneal tissue instead of adding a donor lenticule.No office rate
65771Radial keratotomyRadial keratotomy is another corneal refractive procedure, using incisions rather than donor tissue.No office rate

65765 billing questions

What procedure does keratophakia describe?

It describes placing a shaped donor corneal tissue lenticule within the cornea to change its focusing power. It has been used to correct aphakia.

How is keratophakia different from keratomileusis, 65760?

Keratophakia places donor tissue within the cornea. Keratomileusis reshapes corneal tissue rather than adding a stromal lenticule.

How is keratophakia different from epikeratoplasty, 65767?

Keratophakia places the tissue within the cornea, while epikeratoplasty places donor tissue on the corneal surface.

Does Medicare cover 65765?

No. Medicare lists the code as not covered, with physician fee schedule status N.

Is 65765 a corneal transplant?

It involves donor corneal tissue, but places a lenticule within the cornea to change focusing power rather than replacing corneal tissue to treat corneal disease.

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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