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See a sample rate comparisonCPT 67850 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.
Destruct Les Lid Margin 1 Cm
| 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 59 - Distinct Procedural Service E1 - Upper left, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67850 |
| Medicaid Fee Schedule | View Medicaid rates for 67850 |
National average reimbursement for CPT 67850 by major payers:
$262.32
$280.73
$295.03
$237.02
Compare published rates across providers.
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CPT 67850
5 of 25 sample ratesHigher to lower in this preview
Lake Spivey Ambulatory Surgery Care, LLC, Spivey Station Surgery Center
Emory University
$3,188.00Published rateMile High Surgery Center, LLC
$957.00Published rateSpringhill Surgery Center, Dauphin West Surgery Center
Springhill Surgery Center
$670.00Published rateOrlando Fl Endoscopy Asc LLC, Central Florida Surgical Center
Orlando Fl Endoscopy Asc LLC
$390.00Published rateKrystal Amoroso
Deaconess Hospital Inc
$173.91Published rate
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See a sample payer proposalCPT 67850 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67850 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 67850 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 |
| 67850-CPT | Moderate | Destruct Les Lid Margin 1 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67850 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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