CPT code 65765: Keratophakia, aphakia correction2026 Medicare rate & RVUs in Missouri
Keratophakia places donor corneal tissue within the cornea to alter its focusing power, historically for surgical correction of aphakia.
CMS doesn’t publish an office rate for 65765 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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On this page 9 sections
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 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 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
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
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.
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
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