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See a sample rate comparisonCPT 67318 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 To Correct Eye Muscle, Surgery To Correct Crooked Eyes (Strabismus) By Adjusting The Tension On The Outside Eye Muscles.
| 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 67318 |
| Medicaid Fee Schedule | View Medicaid rates for 67318 |
National average reimbursement for CPT 67318 by major payers:
$866.23
$891.33
$976.19
$1,105.49
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CPT 67318
5 of 25 sample ratesHigher to lower in this preview
Irvine Surgical Partners LLC
$3,599.00Published rateAdvanced Surgical Care Of Clearwater LLC
$2,206.00Published rateTexas Partners Center LLC
$1,523.50Published rateDigestive Disease Center-Green Valley
$991.00Published rateMid-Michigan Endoscopy Center, PLLC, Charter Endoscopy Center
Mid Michigan Endoscopy Center
$490.00Published rate
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See a sample payer proposalCPT 67318 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67318 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 67318 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 |
| 67316-CPT | Moderate | Strabismus Surgery Recession, Strabismus Surgery Recession Or Resection Procedure Two Ormore Vertical Muscles (Excluding Superior Oblique) |
| 67318-CPT | Moderate | Surgery To Correct Eye Muscle, Surgery To Correct Crooked Eyes (Strabismus) By Adjusting The Tension On The Outside Eye Muscles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67318. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67318 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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