Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 67875 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.
Temp. Closure/Eyelids By Sut
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67875 |
| Medicaid Fee Schedule | View Medicaid rates for 67875 |
National average reimbursement for CPT 67875 by major payers:
$216.68
$234.24
$255.05
$171.68
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 67875.
CPT 67875
5 of 25 sample ratesHigher to lower in this preview
Geneva Surgical Suites, LLC
$3,097.00Published rateMerced Ambulatory Surgery Center, LLC, University Surgery Center
$1,160.00Published rateAustin Kidney Associates, P. A.
Austin Kidney Associates, P.A.
$675.00Published rateChapin Orthopedic Surgery Center
$531.00Published rateJennifer Lampert
Deaconess Hospital Inc
$141.16Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 67875 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67875 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 67875 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 |
|---|---|---|
| 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 |
| 67875-CPT | Moderate | Temp. Closure/Eyelids By Sut |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67875. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67875 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 67875) and we'll show you how you compare in 15 minutes or less.