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CPT 67570 Fee Schedule

Last Verified: January 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.

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$617.001548274061 - EYE INSTITUTE SURGERY CENTER, LLC200314591 - (FL) EYE INSTITUTE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1550.001053388223 - THE OCULAR SURGERY CENTER, LLC742462970 - (TX) THE OCULAR SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$7149.001346649480 - HACIENDA OUTPATIENT SURGERY CENTER, LLC, HACIENDA SURGERY CENTER320439356CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$2010.001174005235 - IDAHO FALLS ASC823089090 - (ID) IDAHO FALLS ASCIDAmbulatory 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$2117.001699054098 - SURGCENTER OF WESTERN MARYLAND, LLC272969860 - (MD) SURGCENTER OF WESTERN MARYLAND, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$3623.001508942665 - THE ENDOSCOPY CENTER AT GATEWAY LLC272800486PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1065.001588879266 - BAYSIDE ENDOSCOPY CENTER LLC, EAST GREENWICH ENDOSCOPY CENTER200207545 - (RI) BAYSIDE ENDOSCOPY CENTER LLCRIAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$2500.001194437624 - WATAUGA SURGICAL PARTNERS PLLC862624496 - (TN) WATAUGA SURGICAL PARTNERS PLLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$742.001821166521 - PHYSICIANS SURGERY CENTER LLC860936521 - (AZ) PHYSICIANS SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1661.001174258107 - FW SPECIALTY SURGICARE, LLC854261198 - (TX) FW SPECIALTY SURGICARE LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1513.001427787142 - CAPITAL SURGERY CENTER LLC861660213 - (LA) CAPITAL SURGERY CENTER LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$765.001306134838 - ASC DEVELOPMENT COMPANY LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$1600.001568583896 - EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC205350007 - (NY) EASTERN ORANGE ASC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
67570$3456.001760875983 - BAPTIST MEDICAL PARK SURGERY CENTER, LLC593535262 - (FL) BAPTIST MEDICAL PARK SURGERY CENTER LLCFLAmbulatory 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
67550-CPTHighInsert Implant Orbital
67560-CPTHighOrbital Implant;Removalor Revision
67570-CPTHighOptic Nerve Decompression
67700-CPTModerateBlepharotomy 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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