65426 Removal of eye lesion
Also known as: conjunctival lesion excision small, minor conjunctival lesion removal
Excision of conjunctival lesion; under 1 quadrant.
In Plain Language
removing small lesion from eye surface; surgical removal of small conjunctival growth
Clinical Context
Excision of small conjunctival lesions or nevi confined to limited area. Simpler procedure than larger lesion excision.
RVU Breakdown
| Work RVU | 5.90 |
| Total RVU | 5.90 |
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 5.90, this code ranks in the 40th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65426?
CPT 65426 (Removal of eye lesion) is a Surgery code. Excision of conjunctival lesion; under 1 quadrant.
What is the wRVU value for CPT 65426?
The work RVU for CPT 65426 is 5.90. This code is primarily used by ophthalmology. It has a 90-day global period.
When is CPT 65426 used?
Excision of small conjunctival lesions or nevi confined to limited area. Simpler procedure than larger lesion excision.
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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.