65400 Removal of eye lesion
Also known as: conjunctival biopsy, episcleral biopsy
Biopsy of conjunctiva or episcleral tissue.
In Plain Language
tissue sample from eye surface; taking sample from covering of white of eye
Clinical Context
Diagnostic procedure for suspected conjunctival malignancy, chronic inflammation, or rare conditions like amyloidosis. Pathology evaluation guides further management.
RVU Breakdown
| Work RVU | 7.31 |
| Total RVU | 7.31 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.31, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65400?
CPT 65400 (Removal of eye lesion) is a Surgery code. Biopsy of conjunctiva or episcleral tissue.
What is the wRVU value for CPT 65400?
The work RVU for CPT 65400 is 7.31. This code is primarily used by ophthalmology, oculopathology. It has a 90-day global period.
When is CPT 65400 used?
Diagnostic procedure for suspected conjunctival malignancy, chronic inflammation, or rare conditions like amyloidosis. Pathology evaluation guides further management.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.