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See a sample rate comparisonCPT 67912 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| 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 E1 - Upper left, eyelid LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67912 |
| Medicaid Fee Schedule | View Medicaid rates for 67912 |
National average reimbursement for CPT 67912 by major payers:
$1,037.59
$1,167.95
$1,267.58
$814.81
Compare published rates across providers.
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CPT 67912
5 of 25 sample ratesHigher to lower in this preview
Indiana University Health Saxony Surgery Center LLC, Saxony Surgery Center
$8,705.00Published rateTexas Precision Surgery Center
Texas Precision Surgery Center L
$2,353.00Published rateFlagstaff Bone & Joint Surgical Center, LLC, Surgery Center At Flagstaff Bone & Joint
Flagstaff Bone Joint Surgical Center LLC
$1,836.00Published rateCenter Of Morehead City, LLC, The Surgical Center Of Morehead City
Surgical Center Of Morehead
$1,190.00Published rateCentral Florida Eye Institute Pl
$499.50Published rate
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See a sample payer proposalCPT 67912 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67912 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 67912 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 67912. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67912 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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