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CPT 67599 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.

Unlisted Procedure Orbit
Key FactDetail
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 LevelHigh

National average reimbursement for CPT 67599 by major payers:

bcbs

$1,364.77

uhc

$186.42

aetna

$1,907.01

cigna

$757.99

Preview provider-level rates for...
For billing codeCPT 67599
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 67599

United
67599$200.001205889110 - SOUTH COAST SURGERY CENTER, LLC931201612 - (OR) SOUTH COAST SURGERY CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$1543.001588681373 - CONSTITUTION SURGERY CENTER EAST LLC61574704 - (CT) CONSTITUTION EYE SURGERY CENTER EAST, LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$55.001447442876 - MAPLE SPRINGS PODIATRIC SURGICAL CENTER, INC521883407 - (MD) MAPLE SPRINGS PODIATRIC SURGICAL CENTER INCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$112.001720514359 - JOHNS HOPKINS SURGERY CENTERS SERIES, KNOLL NORTH SURGERY CENTER208707724 - (MD) JOHNS HOPKINS SURGERY CENTER SERIESMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$133.001093449225 - NARROWS SURGERY CENTER PS43700768 - (WA) EYE M.D.S OF PUGET SOUND, PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$566.001548203888 - NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC, THE ORTHOPEDIC SURGERY CENTER OF ARIZONA202684773 - (AZ) NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$555.001477700516 - SUMMIT AMBULATORY SURGICAL CENTER LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$111.001447220082 - WESTERN PA SURGERY CENTER, WEXFORD BRANCH, LLC, WESTERN PA SURGERY CENTER251826912 - (PA) WESTERN PA SURGERY CENTERPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$968.001780604694 - CLEARVIEW SURGERY CENTER INC202828714TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$165.001437102241 - SURGERY CENTER OF FREMONT, LLC203639614 - (NE) SURGERY CENTER OF FREMONT LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$906.001336437482 - HEALTHONE RIDGE VIEW ENDOSCOPY CENTER, LLC, RIDGE VIEW ENDOSCOPY CENTER800688043COAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$725.001992788384 - ASPEN SURGERY VENTURE LLC, ASPEN SURGERY CENTER263913327 - (CA) ASPEN SURGERY VENTURE LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$968.001144673526 - MURRIETA VALLEY SURGERY CENTER, INC.A PROFESSIONAL CORPORATION813020819 - (CA) MURRIETA VALLEY SURGERY CENTER INCA PROFESSIONAL CORPORATIONCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$968.001760518609 - NORTH POINT SURGERY CENTER, INC770557917 - (CA) NORTH POINT SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
67599$300.001518133321 - GREENBRAE SURGERY CENTER LLC204871562 - (CA) GREENBRAE SURGERY CENTER LLCCAAmbulatory 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 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.

CodeComplexityDescription
67550HighInsert Implant Orbital
67560HighOrbital Implant;Removalor Revision
67599HighUnlisted Procedure Orbit
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 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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