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See a sample rate comparisonCPT 67835 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.
Correct Of Trichiasi; Ncision Of Lid Margin W/ Free Mucous Mem, Correction Of Trichiasis; Incision Of Lid Margin With Free Mucous Mem
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None E3 - Upper right, eyelid E4 - Lower right, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67835 |
| Medicaid Fee Schedule | View Medicaid rates for 67835 |
National average reimbursement for CPT 67835 by major payers:
$558.10
$566.12
$607.80
$710.43
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CPT 67835
5 of 25 sample ratesHigher to lower in this preview
New England Baptist Surgery Center LLC
$2,877.00Published rateMidwest Surgery Center, LLC, Midwest Surgery Center - Eagan
Midwest Surgery Center
$1,990.00Published rateMaplewood Ambulatory Surgery Center, Inc.
Maplewood Ambulatory Surgery Center Inc
$1,535.00Published rateExecutive Park Surgery Center Of Fort Smith, Inc
$1,050.00Published rateFour Corners Ambulatory Surgical Center LLC
$475.00Published rate
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See a sample payer proposalCPT 67835 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67835 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 67835 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 |
|---|---|---|
| 67825-CPT | Low | Correct Of Trichiasi; Epilation By Other Than Forcps (Eg By Elec, Correction Of Trichiasis; Epilation By Other Than Forceps (Eg By Elec |
| 67830-CPT | Moderate | Rep Trichiasis W Inc Lid Margin |
| 67835-CPT | Moderate | Correct Of Trichiasi; Ncision Of Lid Margin W/ Free Mucous Mem, Correction Of Trichiasis; Incision Of Lid Margin With Free Mucous Mem |
| 67840-CPT | Moderate | Xcision Of Lesion Of Eyelid (Excpt Chalazion) W/O Closur Or Wit, Excision Of Lesion Of Eyelid (Except Chalazion) Without Closure Or Wit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67835. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67835 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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