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See a sample rate comparisonCPT 67314 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.
Strabismus Surgery Recession, Strabismus Surgery Recession Or Resection Procedure Onevertical Muscle (Excluding Superior Oblique)
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67314 |
| Medicaid Fee Schedule | View Medicaid rates for 67314 |
National average reimbursement for CPT 67314 by major payers:
$692.04
$841.43
$841.87
$895.44
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CPT 67314
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$5,048.00Published rateMedical City Surgery Center North Texas, LLC
$1,863.00Published ratePeacehealth, St Joseph Medical Center
Peacehealth St Joseph Medical Center
$1,139.08Published rateCleveland Eye And Laser Surgery Center LLC
Cleveland Eye & Laser Surgery Center
$750.00Published rateFour Corners Ambulatory Surgical Center LLC
$475.00Published rate
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See a sample payer proposalCPT 67314 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67314 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 67314 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 |
|---|---|---|
| 67311-CPT | Moderate | Strabismus Surg Recession Or Resct Proc; 1 Horizontal Mus, Strabismus Surgery Recession Or Resection Procedure; 1 Horizontal Mus |
| 67312-CPT | Moderate | Strabismus Surg Recession Or Resct Proc; 2 Horizontal Mus, Strabismus Surgery Recession Or Resection Procedure; 2 Horizontal Mus |
| 67314-CPT | Moderate | Strabismus Surgery Recession, Strabismus Surgery Recession Or Resection Procedure Onevertical Muscle (Excluding Superior Oblique) |
| 67316-CPT | Moderate | Strabismus Surgery Recession, Strabismus Surgery Recession Or Resection Procedure Two Ormore Vertical Muscles (Excluding Superior Oblique) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67314 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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