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See a sample rate comparisonCPT 67229 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.
Tr Retinal Les Preterm Inf, Treatment Of Extensive Or Progressive Retinopathy 1 Or More Sessions Preterm Infant Less Than 37 Weeks Gestation At Birth Performed From Birth Up To 1 Year Of Age Eg Retinopathy Of Prematurity Photocoagulation Or Cryotherapy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67229 |
| Medicaid Fee Schedule | View Medicaid rates for 67229 |
National average reimbursement for CPT 67229 by major payers:
$1,524.68
$1,460.31
$1,597.15
$1,849.70
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CPT 67229
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
$4,482.00Published rateMercy Hospitals East Communities, Mercy Outpatientsurgery Center Washington
Mercy Hospitals East Communities
$876.00Published rateValley Plastic Surgery LLC, Valley Plastic Surgery
Valley Plastic Surgery LLC
$400.00Published rateOrthoarkansas Spine Institute Procedure Center LLC
$350.00Published rateRed Lion Surgicenter, LLC
Red Lion Surgicenter LLC
$200.00Published rate
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See a sample payer proposalCPT 67229 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67229 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 67229 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 |
|---|---|---|
| 67225-CPT | Low | Eye Photodynamic Ther Add On, Destruction Of Localized Lesion Of Choroid Eg Choroidal Neovascularization Photodynamic Therapy Second Eye At Single Session List Separately In Addition To Code For Primary Eye Treatment |
| 67227-CPT | Moderate | Treat Blood Vessels In The Eye, Laser Or Other Treatment To Destroy Abnormal Growths Of Blood Vessels On The Retina (Layer Of Tissue At The Back Of The Eye). |
| 67228-CPT | Moderate | Treat Blood Vessels In The Eye, Laser Or Other Treatment To Destroy Abnormal Growths Of Blood Vessels On The Retina (Layer Of Tissue At The Back Of The Eye). |
| 67229-CPT | High | Tr Retinal Les Preterm Inf, Treatment Of Extensive Or Progressive Retinopathy 1 Or More Sessions Preterm Infant Less Than 37 Weeks Gestation At Birth Performed From Birth Up To 1 Year Of Age Eg Retinopathy Of Prematurity Photocoagulation Or Cryotherapy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67229 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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