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See a sample rate comparisonCPT 67316 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 Two Ormore Vertical Muscles (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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67316 |
| Medicaid Fee Schedule | View Medicaid rates for 67316 |
National average reimbursement for CPT 67316 by major payers:
$930.12
$1,019.19
$1,066.64
$1,202.44
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CPT 67316
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Sugar Land LLP
$5,729.00Published rateMountain West Surgery Center, LLC
$3,099.00Published rateNorthern California Advanced Surgery Center Lp
Northern California Advanced Surgery Center, Lp
$1,760.00Published rateRenaissance Surgery Center, LLC
$1,523.50Published rateClearwater Ambulatory Surgical Centers Inc, Clearwater Endoscopy Center
Clearwater Ambulatory Surgical Centers Inc
$400.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 67316 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67316 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 67316 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 67316. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67316 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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