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See a sample rate comparisonCPT 67121 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 Implant In Back Of Eye, Removal Of Implant Used To Repair A Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain).
| 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 67121 |
| Medicaid Fee Schedule | View Medicaid rates for 67121 |
National average reimbursement for CPT 67121 by major payers:
$1,230.02
$1,159.07
$1,216.21
$1,448.43
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CPT 67121
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
$7,990.00Published rateBurlington County Endoscopy Center LLC
$3,698.00Published rateGreensboro Specialty Surgery Center Limited Partnership
$3,063.00Published rateYandro Leal
Deaconess Hospital Inc
$1,615.53Published rateLake Country Endoscopy Center, LLC
Lake Country Endoscopy Center LLC
$730.00Published rate
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See a sample payer proposalCPT 67121 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67121 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 67121 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 |
|---|---|---|
| 67115-CPT | Moderate | Surgery To Relax Eye Tissue, Surgery To Relax A Scleral Buckle. The Procedure Relieves Tension On A Previously Repaired Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67120-CPT | Moderate | Remove Implant In Back Of Eye, Removal Of Implant Used To Repair A Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67121-CPT | High | Remove Implant In Back Of Eye, Removal Of Implant Used To Repair A Detached Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain). |
| 67299-CPT | High | Unlisted Procedure Posterior, Unlisted Procedure Posterior Segmentunlisted Proc Edure Posterior Segment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67121 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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