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See a sample rate comparisonCPT 67515 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.
Medication Injection Into Eye, Injection Of Medication Into The Gelatinous Clear Fluid Of The Eye Or The Tissue At The Back Part Of The Eye.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 67515 |
| Medicaid Fee Schedule | View Medicaid rates for 67515 |
National average reimbursement for CPT 67515 by major payers:
$90.83
$96.01
$94.44
$105.28
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CPT 67515
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S Surgicenter
Saint Lukes Surgicenter
$5,213.00Published rateWatson Clinic Asc, LLC
$705.00Published rateGeorgia Pain Spine Center
$500.00Published rateHendi Ambulatory Surgery Center, PC
Hendi Ambulatory Surgery Center PC
$144.00Published rateSurgeyecare, Inc., Surgeyecare General Partnership
$60.00Published rate
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See a sample payer proposalCPT 67515 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67515 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 67515 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 |
|---|---|---|
| 67500-CPT | Low | Retrobulbar Inject; Medicat (Sepa Proc Does Not Inclu, Retrobulbar Injection; Medication (Separate Procedure Does Not Includ |
| 67505-CPT | Low | Retrobulbar Injection; Alcohol |
| 67515-CPT | Low | Medication Injection Into Eye, Injection Of Medication Into The Gelatinous Clear Fluid Of The Eye Or The Tissue At The Back Part Of The Eye. |
| 67550-CPT | High | Insert Implant Orbital |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67515 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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