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See a sample rate comparisonCPT 67025 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection Of Vitreous Substitu, Injection Of Vitreous Substitute Pars Plana Or Limbalapproach (Fluid-Gas Exchange) With Or Without Aspiration (Separate Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67025 |
| Medicaid Fee Schedule | View Medicaid rates for 67025 |
National average reimbursement for CPT 67025 by major payers:
$1,010.06
$940.87
$989.33
$1,167.94
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CPT 67025
5 of 25 sample ratesHigher to lower in this preview
Hhc Southington Surgery Center, LLC, Cheshire Surgery Center
Hhc Southington Surgery Center, LLC
$4,617.00Published rateSurgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$2,353.00Published rateGeorgia Surgical Center On Peachtree, LLC
Georgia Surgical Center On Peachtree LLC
$1,339.00Published rateMercer County Surgery Center LLC, Mercer County Surgery Center
Mercer County Surgery Center, LLC
$861.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$513.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 67025 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67025 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 67025 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 67005-CPT | Moderate | Remove Fluid From The Eye, Surgery To Remove Some Or All Of The Vitreous Humor The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye. The Procedure May Include Replacing The Fluid With A Synthetic Vitreous. |
| 67010-CPT | Moderate | Remove Fluid From The Eye, Surgery To Remove Some Or All Of The Vitreous Humor The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye. The Procedure May Include Replacing The Fluid With A Synthetic Vitreous. |
| 67015-CPT | Moderate | Remove Fluid From The Eye, Surgery To Remove Some Or All Of The Vitreous Humor The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye. The Procedure May Include Replacing The Fluid With A Synthetic Vitreous. |
| 67025-CPT | High | Injection Of Vitreous Substitu, Injection Of Vitreous Substitute Pars Plana Or Limbalapproach (Fluid-Gas Exchange) With Or Without Aspiration (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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