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See a sample rate comparisonCPT 67445 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.
Surgery On The Eye Socket, Surgery On The Eye Socket To Remove One Or More Of The Four Walls Of The Eye Socket And Replace It With New Bone Or A Synthetic Equal.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67445 |
| Medicaid Fee Schedule | View Medicaid rates for 67445 |
National average reimbursement for CPT 67445 by major payers:
$1,948.38
$1,843.40
$2,054.38
$2,379.00
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CPT 67445
5 of 25 sample ratesHigher to lower in this preview
Plaza Surgery Center, L.P., Plaza Surgery Center
Plaza Surgery Center Lp
$6,898.00Published rateBanner Phoenix Surgery Center LLC
$2,855.00Published rateMidlantic Urology Surgery Center, LLC
Midlantic Urology Surgery Center LLC
$1,845.00Published rateAssociates Surgery Centers, LLC
Associates Surgery Centers LLC
$1,300.00Published rateGastroenterology Associates Of Fairfield PC, Endoscopy Center Of Fairfield
Gastroenterology Associates Of Fairfield, P.C.
$953.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 67445 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67445 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 67445 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 |
|---|---|---|
| 67420-CPT | High | Surgery On The Eye Socket, Surgery On The Eye Socket To Remove A Portion Of Bone. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy) Or Removing Abnormal Tissue. |
| 67440-CPT | High | Surgery On The Eye Socket, Surgery On The Eye Socket To Remove A Portion Of Bone. The Procedure Includes Removing Fluid From The Eye And Replacing The Bone. |
| 67445-CPT | High | Surgery On The Eye Socket, Surgery On The Eye Socket To Remove One Or More Of The Four Walls Of The Eye Socket And Replace It With New Bone Or A Synthetic Equal. |
| 67450-CPT | High | Surgery On The Eye Socket, Surgery On The Eye Socket To Remove One Or More Of The Four Walls Of The Eye Socket To Examine And Remove Tissue. The Bone Is Replaced When Closing The Incision. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67445 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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