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See a sample rate comparisonCPT 67840 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.
Xcision Of Lesion Of Eyelid (Excpt Chalazion) W/O Closur Or Wit, Excision Of Lesion Of Eyelid (Except Chalazion) Without Closure Or Wit
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None E2 - Lower left, eyelid E4 - Lower right, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67840 |
| Medicaid Fee Schedule | View Medicaid rates for 67840 |
National average reimbursement for CPT 67840 by major payers:
$334.89
$360.05
$389.77
$450.26
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CPT 67840
5 of 25 sample ratesHigher to lower in this preview
Voorhees Nj Endoscopy Asc LLC, The Endo Center At Voorhees
The Voorhees Nj Endoscopy Asc LLC
$2,382.00Published rateAdvanced Surgical Care Of Clearwater LLC
$1,179.00Published rateCreekside Surgery Suite
Shahriar Mabourakh, M.D.
$690.00Published rateMd Laser Surgery Center, LLC
Md Laser Surgery Center LLC
$580.00Published rateRichfield Surgery Center, LLC
$300.00Published rate
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See a sample payer proposalCPT 67840 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67840 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 67840 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 67840. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67840 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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