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See a sample rate comparisonCPT 67346 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.
Biopsy Of Extraocular Muscle
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67346 |
| Medicaid Fee Schedule | View Medicaid rates for 67346 |
National average reimbursement for CPT 67346 by major payers:
$269.22
$251.58
$263.26
$323.71
Compare published rates across providers.
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CPT 67346
5 of 25 sample ratesHigher to lower in this preview
Novant Health Clemmons Outpatient Surgery, LLC
Novant Health Clemmons Outpatient Surgery LLC
$5,651.00Published rateWest Chester Surgical Suites, LLC
West Chester Surgical Suites LLC
$3,500.00Published rateCascade Surgicenter, LLC
Cascade Surgicenter LLC
$2,534.00Published rateExecutive Endoscopy, Inc., Endoscopy Center Of San Jose
Executive Endoscopy Inc
$1,397.00Published rateGastro-Intestinal Center Inc
Gastrointestinal Center Inc
$675.00Published rate
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See a sample payer proposalCPT 67346 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67346 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 67346 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 |
|---|---|---|
| 67343-CPT | Moderate | Rlease Of Pextensiv Scar Tissue W/O Detaching Xtraocular Muscl, Release Of Extensive Scar Tissue Without Detaching Extraocular Muscle |
| 67345-CPT | Moderate | Treatment To Relax Eye Muscle, An Injection Of Botulinum Toxin Into The Muscle Outside The Eye. The Drug Relaxes The Muscle By Temporarily Paralyzing Or Weakening It. |
| 67346-CPT | Moderate | Biopsy Of Extraocular Muscle |
| 67399-CPT | Moderate | Unlisted Proc Xtraocular Muscl, Unlisted Procedure Extraocular Muscle |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67346 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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