65756

Corneal trnspl endothelial

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary65756Corneal trnspl endothelial
1
$991.67
$991.67
Add-on65757Prep corneal endo allograft
0
$0.00/ unit
$0.00/ unit
Whole procedure · 16.42 wRVU credited
$991.67
$991.67
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
16.42
16.42
Practice expense
11.96
11.96
Malpractice
1.31
1.31
Total RVU
29.69
29.69

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,487.50 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 70% to the procedure itself, and 20% to post-operative visits.