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See a sample rate comparisonCPT 67039 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67039 |
| Medicaid Fee Schedule | View Medicaid rates for 67039 |
National average reimbursement for CPT 67039 by major payers:
$1,334.60
$1,347.31
$1,413.18
$1,627.52
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CPT 67039
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
$11,102.00Published rateFullerton Surgery Center Ltd, Fullerton Surgery Center Inc
Fullerton Surgery Center Ltd
$3,000.00Published rateCentennial Surgunit, LLC, Centennial Surgery Center
Centennial Surgunit LLC
$2,364.00Published rateKaleem Khan
Deaconess Hospital Inc
$1,717.41Published rateWarren Gastro Endoscopy Ctr Inc
$926.00Published rate
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See a sample payer proposalCPT 67039 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67039 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 67039 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 |
|---|---|---|
| 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. |
| 67040-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. |
| 67042-CPT | High | Vit For Macular Hole, Vitrectomy Mechanical Pars Plana Approach With Removal Of Internal Limiting Membrane Of Retina Eg For Repair Of Macular Hole Diabetic Macular Edema Includes If Performed Intraocular Tamponade Ie Air Gas Or Silicone Oil |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67039. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67039 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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