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See a sample rate comparisonCPT 67820 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.
Rep Trichiasis W Forceps Epilation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None E2 - Lower left, eyelid E4 - Lower right, eyelid |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 67820 |
| Medicaid Fee Schedule | View Medicaid rates for 67820 |
National average reimbursement for CPT 67820 by major payers:
$38.75
$50.02
$44.66
$54.68
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CPT 67820
5 of 25 sample ratesHigher to lower in this preview
Glastonbury Surgery Center, LLC
$1,543.00Published rateScottsdale Eye Institute, Plc, Scottsdale Eye Institute, Plc
Scottsdale Eye Institute Plc
$248.00Published rateAbingdon Surgical Center PC
$100.00Published rateMatthew Uyemura
$55.04Published ratePaige Ruddick
Deaconess Hospital Inc
$26.64Published rate
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See a sample payer proposalCPT 67820 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67820 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 67820 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 |
|---|---|---|
| 67800-CPT | Low | Remove Lumps From Eyelid, Remove One Or More Lumps (Chalazion) From One Or Both Eyelids. Occasionally The Procedure Is Performed Under General Anesthesia. |
| 67801-CPT | Moderate | Remove Lumps From Eyelid, Remove One Or More Lumps (Chalazion) From One Or Both Eyelids. Occasionally The Procedure Is Performed Under General Anesthesia. |
| 67805-CPT | Moderate | Remove Lumps From Eyelid, Remove One Or More Lumps (Chalazion) From One Or Both Eyelids. Occasionally The Procedure Is Performed Under General Anesthesia. |
| 67820-CPT | Low | Rep Trichiasis W Forceps Epilation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67820 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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