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CPT 67570 Fee Schedule

Last Verified: November 2025

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.

Optic Nerve Decompression
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Eye and Ocular Adnexa

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh

National average reimbursement for CPT 67570 by major payers:

bcbs

$1,677.42

uhc

$1,575.54

aetna

$1,763.81

cigna

$2,062.99

Preview provider-level rates for...
For billing codeCPT 67570
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 67570

United
67570$7895.001629249172 - NORTH STATE SURGERY CENTERS LP, COURT STREET SURGERY CENTER300197423CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$2000.001003166844 - PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC455218356 - (TX) PSA AMBULATORY SURGERY CENTER OF KILLEEN LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1895.001225188808 - LOS ANGELES ENDOSCOPY CENTER, LOS ANGELES AMBULATORY SURGERY CENTER954775738 - (CA) LOS ANGELES ENDOSCOPY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$7149.001346649480 - HACIENDA OUTPATIENT SURGERY CENTER, LLC, HACIENDA SURGERY CENTER320439356CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1860.001396266441 - EYE SURGERY CENTER OF EAST TEXAS LLC811881035 - (TX) EYE SURGERY CENTER OF EAST TEXAS LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1198.001750696134 - RMA OF PHILADELPHIA SURGICAL CENTER LLC273096545 - (PA) RMA OF PHILADELPHIA SURGICAL CENTER LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$7347.001811101439 - SENTARA OBICI AMBULATORY SURGERY, LLC260144898 - (VA) SENTARA OBICI AMBULATORY SURGERY, LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$3623.001215548524 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$2117.001699054098 - SURGCENTER OF WESTERN MARYLAND, LLC272969860 - (MD) SURGCENTER OF WESTERN MARYLAND, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1300.001023123296 - ASSOCIATES SURGERY CENTERS, LLC510492139 - (PA) ASSOCIATES SURGERY CENTERS LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$2220.001124197165 - MCALLEN SURGICAL SPECIALTY CENTER LTD742952544 - (TX) MCALLEN SURGICAL SPECIALTY CENTERTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$3500.001336246099 - VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC, PLATINUM SURGERY CENTER871904768TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1224.001427017813 - WESTERN WASHINGTON ENDOSCOPY CENTERS LLC, PENINSULA ENDOSCOPY CENTER200289310 - (WA) WESTERN WASHINGTON ENDOSCOPY CENTERS LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1734.001750386322 - NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC, PREMIER SURGERY CENTER731630170COAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1716.001427282771 - UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC, UPSTATE ORTHOPEDICS ASC770711020NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 67570 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes

The CPT 67570 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 67570 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.

CodeComplexityDescription
67550HighInsert Implant Orbital
67560HighOrbital Implant;Removalor Revision
67570HighOptic Nerve Decompression
67700ModerateBlepharotomy Abscess

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 67570 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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