CPT 67108 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 67108 by major payers:
$1,520.91
$1,721.05
$1,805.40
$2,108.85
| 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 67108 | ||||||
United | 67108 | $1630.80 | 1164954400 - C EDWARD YEE MDPC, LAS VEGAS OPHTHALMOLOGY | 1164954400 - (NV) C EDWARD YEE MDPC | NV | Ophthalmology Physician (207W00000X) |
United | 67108 | $1083.82 | 1730393398 - ELIZABETH DU | 205944918 - RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $1049.95 | 1215979844 - CSE MEDICAL GROUP INC., CONEJO SIMI EYE MEDICAL GROUP | 201088973 - (CA) CSE MEDICAL GROUP, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $1016.09 | 1366578049 - TAE KIM | 330963888 - (CA) CERRITOS EYE MEDICAL CENTER, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $1430.59 | 1811901887 - JON DIETLEIN | 742985984 - (TX) JON F. DIETLEIN, M.D., P.A. | TX | Ophthalmology Physician (207W00000X) |
United | 67108 | $1379.90 | 1982666871 - STEVEN FOGG | 942179577 - (CA) EYE MEDICAL CLINIC OF FRESNO, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $916.76 | 1770912503 - OUTLOOK EYE AND LASER CENTER | 463314962 - (TX) OUTLOOK EYE AND LASER CENTER | TX | Ophthalmology Physician (207W00000X) |
United | 67108 | $1049.95 | 1609867506 - LAWRENCE AUGUST | 954781290 - (CA) AARCHAN JOSHI, M.D., INC. | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $880.61 | 1467982819 - FRANK C. LEE, M.D., INC. | 821437725 - (TX) FRANK C LEE MD INC | TX | Ophthalmology Physician (207W00000X) |
United | 67108 | $2758.31 | 1851378558 - DOUGLAS VAN PUTTEN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $4657.43 | 1750544755 - MATTHEW WADE | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Cornea and External Diseases Specialist Physician (207WX0120X) |
United | 67108 | $1740.75 | 1174565303 - DANIEL FOREMAN | 815234100 | CA | Ophthalmology Physician (207W00000X) |
United | 67108 | $2307.00 | 1609915230 - PACIFIC SURGERY CENTER | 330113109 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 67108 | $977.88 | 1669087391 - TANYA T. KHAN, MD PLLC | 834553372 - (TX) TANYA T KHAN MD PLLC | TX | Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X) |
United | 67108 | $2201.44 | 1619225976 - JAMES CHONG | 811148670 - (TX) CHONG EYE CENTER PLLC | TX | Ophthalmology Physician (207W00000X) |
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 67108 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67108 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 67108 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 67108. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67108 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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