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See a sample rate comparisonCPT 67030 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery To Clear Eye Fluid, Surgery To Clear Strands In The Vitreous Humor (Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye).
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67030 |
| Medicaid Fee Schedule | View Medicaid rates for 67030 |
National average reimbursement for CPT 67030 by major payers:
$710.02
$678.71
$752.16
$873.05
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CPT 67030
5 of 25 sample ratesHigher to lower in this preview
Sentara Obici Ambulatory Surgery, LLC
$5,447.00Published rateSouthern Ob Gyn Ambulatory Surgery Center, Inc
Southern Ob Gyn Ambulatory Surgery Center Inc
$2,005.00Published rateUpper Valley Dialysis Access Center, LLC
Upper Valley Dialysis Access Center LLC
$1,490.00Published ratePinnacle Orthopaedics Surgery Center Woodstock, LLC, Pinnacle Orthopaedics Surgery Center Woodstock, LLC
Pinnacle Orthopaedics Surgery Center Woodstock LLC
$1,295.00Published rateTennessee Pain Surgery Center, LLC
Tennessee Pain Surgery Center LLC
$586.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 67030 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67030 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 67030 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 |
|---|---|---|
| 67030-CPT | Moderate | Surgery To Clear Eye Fluid, Surgery To Clear Strands In The Vitreous Humor (Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye). |
| 67031-CPT | Moderate | Surgery To Clear Eye Fluid, Surgery To Clear Scar Tissue Or Strands From The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye (Vitreous Humor). |
| 67036-CPT | High | 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. |
| 67039-CPT | High | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67030 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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