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See a sample rate comparisonCPT 67599 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.
Unlisted Procedure Orbit
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67599 |
| Medicaid Fee Schedule | View Medicaid rates for 67599 |
National average reimbursement for CPT 67599 by major payers:
$1,364.77
$186.42
$1,907.01
$757.99
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CPT 67599
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc.
Deaconess Hospital Inc
$3,077.00Published rateHealthone Ridge View Endoscopy Center, LLC, Ridge View Endoscopy Center
$906.00Published rateUniversity Of Minnesota Health Clinics And Surgery Center, Inc., M Health Clinics And Surgery Center
University Of Minnesota Health Clinics And Surgery Center Inc
$430.00Published rateNuvision Same Day Procedure Center LLC
$175.00Published rateAmbulatory Foot And Ankle Center, Inc.
Ambulatory Foot And Ankle Center Inc
$51.00Published rate
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See a sample payer proposalCPT 67599 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67599 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 67599 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67599. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67599 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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