CPT 65130
Insert ocular implant
CPT 65130 at a glance
- Code
- 65130
- Code type
- CPT/HCPCS
- Short descriptor
- Insert ocular implant
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $1,735.74 national · 2026Q2
What is CPT code 65130?
CPT 65130 is a CPT/HCPCS procedure code. Its official short descriptor is "Insert ocular implant". In the ASC context it is grouped under ASC Surgical.
Is CPT 65130 eligible in an ambulatory surgery center (ASC)?
CPT 65130 can be performed in a certified ambulatory surgery center.
Where is CPT 65130 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 65130?
The national Medicare ASC payment rate for CPT 65130 is $1,735.74 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 65130?
CPT 65130 is most associated with Ophthalmology.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.