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See a sample rate comparisonCPT 67911 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.
Correction Of Lid Retraction
| 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 E4 - Lower right, eyelid E2 - Lower left, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67911 |
| Medicaid Fee Schedule | View Medicaid rates for 67911 |
National average reimbursement for CPT 67911 by major payers:
$684.95
$709.74
$768.57
$892.99
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CPT 67911
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC
$7,871.00Published rateSummit Ambulatory Surgical Center, LLC
$2,388.00Published rateRye Surgical Center, LLC
Rye Surgical Center LLC
$1,685.00Published rateEndoscopy Center Of Arkansas, LLC
Endoscopy Center Of Arkansas LLC
$965.00Published rateStanley Cobham
Deaconess Hospital Inc
$458.76Published rate
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See a sample payer proposalCPT 67911 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67911 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 67911 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 |
|---|---|---|
| 67908-CPT | Moderate | Rpair Of Blepharoptosis; Conjunctivo-Tarso-Mullers Muscl-Levator, Repair Of Blepharoptosis; Conjunctivo-Tarso-Mullers Muscle-Levator Re |
| 67909-CPT | Moderate | Reduce Ptosis Overcorrection |
| 67911-CPT | Moderate | Correction Of Lid Retraction |
| 67912-CPT | High | Implant Weight In Eyelid, Surgery To Implant A Weight In The Eyelid. The Procedure Corrects Lagophthalmos A Condition That Keeps The Eyelid From Completely Covering The Eye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67911. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67911 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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