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See a sample rate comparisonCPT 67399 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.
Unlisted Proc Xtraocular Muscl, Unlisted Procedure 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 19 - Off 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 67399 |
| Medicaid Fee Schedule | View Medicaid rates for 67399 |
National average reimbursement for CPT 67399 by major payers:
$863.04
$532.63
$1,909.31
$989.45
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CPT 67399
5 of 25 sample ratesHigher to lower in this preview
Mt Laurel Endoscopy Center L P
$1,708.00Published rateSurgicare Of Miramar LLC
$574.00Published rateWichita Asc Lp, Epic Surgery Center
$300.00Published rateBhatti Gi Surgery Center LLC
$125.00Published rateCascade Endoscopy Center, LLC, Cascade Endoscopy Center
Cascade Endoscopy Center, LLC
$63.00Published rate
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See a sample payer proposalCPT 67399 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67399 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 67399 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 67399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67399 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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