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See a sample rate comparisonCPT 67210 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 On The Retina, Surgery (One Or More Sessions) To Remove Or Destroy Abnormal Tissue On The Retina. Techniques May Use Cold Heat Or Radiation Therapy.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67210 |
| Medicaid Fee Schedule | View Medicaid rates for 67210 |
National average reimbursement for CPT 67210 by major payers:
$623.33
$715.33
$755.34
$859.44
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CPT 67210
5 of 25 sample ratesHigher to lower in this preview
Michele Bloomer
$3,558.92Published rateHoney Herce
Texas Childrens Physician Group
$1,043.70Published rateBrandon Wood
Rgb Eye Associates PA
$730.59Published rateMaryam Ghiassi
Vitreo-Retinal Medical Group, Inc.
$497.19Published rateTimothy Sipos
Berkeley Eye Institute, PA Dba Berkeley Eye Center
$392.88Published rate
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See a sample payer proposalCPT 67210 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67210 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 67210 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 |
|---|---|---|
| 67208-CPT | Moderate | Surgery On The Retina, Surgery (One Or More Sessions) To Remove Or Destroy Abnormal Tissue On The Retina. Techniques May Use Cold Heat Or Radiation Therapy. |
| 67210-CPT | Moderate | Surgery On The Retina, Surgery (One Or More Sessions) To Remove Or Destroy Abnormal Tissue On The Retina. Techniques May Use Cold Heat Or Radiation Therapy. |
| 67218-CPT | High | Destruction Of Localized Lesio, Destruction Of Localized Lesion Of Retina (Eg Macularedema Tumors) One Or More Sessions Radiation By Implantation Of Source (Includes Removal Of Source) |
| 67220-CPT | Moderate | Treat Abnormal Eye Tissue, Treatment In One Or More Sessions In One Or Both Eyes Of Abnormal Tissue Beneath The Retina. The Procedure May Include Stopping Or Stabilizing Leaking Fluid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67210 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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