CPT code 65767: Epikeratoplasty, surface donor lenticule2026 Medicare rate & RVUs in Michigan
Epikeratoplasty places a shaped donor corneal lenticule on the recipient cornea to change its contour in selected refractive or corneal disorders.
CMS doesn’t publish an office rate for 65767 in Michigan.
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 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 in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
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
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
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65767 isn’t priced in this setting.
65767 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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