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See a sample rate comparisonCPT 67414 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Orbitotomy Without Bone Flap (, Orbitotomy Without Bone Flap (Frontal Or Transconjunctivalapproach) With Removal Of Bone For Decompression
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 67414 |
| Medicaid Fee Schedule | View Medicaid rates for 67414 |
National average reimbursement for CPT 67414 by major payers:
$1,692.74
$1,719.85
$1,943.25
$2,235.87
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CPT 67414
5 of 25 sample ratesHigher to lower in this preview
Castle Hills Surgicare, LLC
Castle Hills Surgicare LLC
$6,342.00Published rateFlatirons Surgery Center, LLC, Peak Gastroenterology
Flatirons Surgery Center, LLC
$3,623.00Published rateMercy Hospitals East Communities, Mercy Outpatientsurgery Center Washington
Mercy Hospitals East Communities
$2,156.00Published rateHeritage Eye Center Lc, Heritage Surgery Center Lc
Heritage Eye Center Lc
$1,661.00Published rateCoffee County Center For Digestive Diseases LLC
$734.00Published rate
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See a sample payer proposalCPT 67414 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67414 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 67414 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 |
|---|---|---|
| 67400-CPT | High | Orbitotomy Without Bone Flap (, Orbitotomy Without Bone Flap (Frontal Or Transconjunctivalapproach) For Exploration With Or Without Biopsy |
| 67405-CPT | High | Orbitotomy W/O Bone Flap (Frntal Or Transconjunctival Approa);, Orbitotomy Without Bone Flap (Frontal Or Transconjunctival Approach); |
| 67412-CPT | High | Orbitotomy W/O Bone Flap (Frntal Or Transconjunctival Approa);, Orbitotomy Without Bone Flap (Frontal Or Transconjunctival Approach); |
| 67414-CPT | High | Orbitotomy Without Bone Flap (, Orbitotomy Without Bone Flap (Frontal Or Transconjunctivalapproach) With Removal Of Bone For Decompression |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67414. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67414 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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