CPT 67107 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 67107 by major payers:
$1,345.94
$1,478.80
$1,560.99
$1,869.37
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 67107 | ||||||
United | 67107 | $1415.00 | 1710985445 - HERSHEY ENDOSCOPY CENTER, LLC | 562336622 - (PA) HERSHEY ENDOSCOPY CENTER, LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $400.00 | 1417949280 - CLEARWATER AMBULATORY SURGICAL CENTERS INC, CLEARWATER ENDOSCOPY CENTER | 593044282 - (FL) CLEARWATER AMBULATORY SURGICAL CENTERS INC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1174.00 | 1891784955 - PLATTSBURGH ASC LLC, CATARACT CETNER FOR THE ADIRONDACKS | 141801168 - (NY) PLATTSBURGH ASC LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $3100.00 | 1417286428 - ALLIANCE SURGICAL CENTER LLC | 271367127 - (FL) ALLIANCE SURGICAL CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $4137.00 | 1972874907 - CAPITAL CITY SURGERY CENTER, LLC | 260804803 - (NC) CAPITAL CITY SURGERY CENTER LLC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1559.00 | 1639224827 - OAK SURGICAL INSTITUTE | 364337136 - (IL) OAK SURGICAL INSTITUTE | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $3300.00 | 1447788120 - NORCAL ORTHOPEDIC SURGERY CENTER, LLC | 821046949 - (CA) NORCAL ORTHOPEDIC SURGERY CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $4002.00 | 1962568725 - BRECKENRIDGE SURGERY CENTER LP | 201177785 - (TX) BRECKENRIDGE SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $2400.00 | 1437120953 - MONTGOMERY SURGERY CENTER LIMITED PARTNERSHIP | 521401868 - (MD) MONTGOMERY SURGERY CENTER LIMITED PARTNERSHIP | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1600.00 | 1033734728 - ORANGE COUNTY SURGICAL CENTER | 851774434 - (CA) ORANGE COUNTY SURGICAL CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $2500.00 | 1003842626 - AMBULATORY CENTER FOR ENDOSCOPY, LLC | 200064962 | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1870.00 | 1801983556 - TRESANTI SURGICAL CENTER LLC, TRESANTI MEDICAL CORPORATION | 710905694 - (CA) TRESANTI SURGICAL CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $2190.00 | 1316533474 - SANDHILLS ENDOSCOPY CENTER | 851392224 - (SC) SANDHILLS ENDOSCOPY CENTER | SC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1600.00 | 1932258415 - GLENDALE ENDOSCOPY CENTER, LLC | 202837412 - (CA) GLENDALE ENDOSCOPY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67107 | $1579.00 | 1376518357 - ORLANDO FL ENDOSCOPY ASC LLC, CITRUS AMBULATORY SURGERY CENTER | 202873015 - ORLANDO FL ENDOSCOPY ASC LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 67107 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67107 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 67107 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 |
|---|---|---|
| 67101-CPT | Moderate | Repair Of Retinal Detachment Including Drainage Of Subretinal Fluid When Performed; Cryotherapy (Desc Revised 1/1/2017) |
| 67105-CPT | Moderate | Repair Of Retinal Detachment Including Drainage Of Subretinal Fluid When Performed. (Desc Revised 1/1/2017) |
| 67107-CPT | High | Repair Of Retinal Detachment; Scleral Buckling (Such As Lamellar Scleral Dissection Imbrication Or Encircling Procedure) Including When Performed Implant Cryotherapy Photocoagulation And Drainage Of Subretinal Fluid Revised 01/01/2016 |
| 67108-CPT | High | Repair Of Retinal Detachment; With Vitrectomy Any Method Including When Performed Air Or Gas Tamponade Focal Endolaser Photocoagulaton Cryotherapy Drainage Of Subretinal Fluid Scleralbuckling And/Or Removal Of Lens By Same Techniquerevised 01/01/2016 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67107. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67107 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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