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CPT code 65767: Epikeratoplasty, surface donor lenticule2026 Medicare rate & RVUs

Epikeratoplasty places a shaped donor corneal lenticule on the recipient cornea to change its contour in selected refractive or corneal disorders.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 65767

Epikeratoplasty, surface donor lenticule

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 65767 →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 65767 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 65767 covers

Epikeratoplasty is a nonpenetrating corneal operation in which an ophthalmic surgeon shapes donor corneal tissue into a thin lenticule and attaches it to the recipient cornea. The patient's cornea remains beneath the graft, which changes corneal contour or optical power rather than replacing the full thickness of the cornea. The operation has been used for selected refractive problems, including aphakia, and for keratoconus.

Medicare classifies 65767 as not covered (status N). The procedure is distinct from keratomileusis, which reshapes the patient's cornea, and keratophakia, which places donor tissue within the cornea. The operative report should identify the eye and describe the donor-tissue placement so the surface lenticule procedure can be distinguished from corneal reshaping or a 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 65767 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

65767 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

65767 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
65767 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 65767 rate is calculated

Each of 65767’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 · 65767

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 65767

65767 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 · 65767

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

65767 isn’t priced in this setting.

65767 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 65767

    Epikeratoplasty, surface donor lenticule0 wRVU

    Not priced

  • 65765

    Keratophakia, aphakia correction0 wRVU

    Not priced

  • 65760

    Keratomileusis, corneal refractive surgery0 wRVU

    Not priced

  • 65730

    Corneal transplant, penetrating graft15.94 wRVU

    Not priced

How to choose

65765KeratophakiaAphakia correction
Keratophakia places donor corneal tissue within the recipient cornea. Epikeratoplasty attaches a shaped donor lenticule to the corneal surface.
65760KeratomileusisCorneal refractive surgery
Keratomileusis reshapes corneal tissue; epikeratoplasty adds a shaped donor lenticule over the recipient cornea.
65730Corneal transplantPenetrating graft
A corneal transplant replaces corneal tissue with a graft. Epikeratoplasty leaves the recipient cornea beneath the donor lenticule.

Codes related to 65767

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

Codes related to 65767
CodeHow it relatesNational office range
Used instead
65765Keratophakia, aphakia correctionKeratophakia places donor corneal tissue within the cornea rather than on its surface.No office rate
65760Keratomileusis, corneal refractive surgeryKeratomileusis reshapes corneal tissue instead of adding a donor lenticule.No office rate
65730Corneal transplant, penetrating graftA corneal transplant replaces corneal tissue rather than placing a surface lenticule.No office rate

65767 billing questions

How is epikeratoplasty different from keratophakia?

Epikeratoplasty attaches a shaped donor lenticule to the corneal surface. Keratophakia places donor tissue within the cornea.

Is epikeratoplasty a corneal transplant?

It uses donor corneal tissue, but the recipient cornea remains beneath the lenticule. A corneal transplant replaces corneal tissue with a graft.

What documentation distinguishes this procedure?

The operative report should identify the eye and describe placement of the shaped donor lenticule on the recipient cornea.

Does Medicare cover this service?

No. Medicare payment status N identifies this service as not covered.

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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