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See a sample rate comparisonCPT 67922 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.
Repair Entropion;Thermocauterizat'n
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67922 |
| Medicaid Fee Schedule | View Medicaid rates for 67922 |
National average reimbursement for CPT 67922 by major payers:
$380.90
$402.84
$423.59
$505.48
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CPT 67922
5 of 25 sample ratesHigher to lower in this preview
Crown Point Surgical Suites, LLC
Crown Point Surgical Suites LLC
$3,829.00Published rateHoward S Barnebey Md, Specialy Eyecare Centre
Specialty Eye Care Centre
$1,589.00Published rateEndoscopy Center Of Washington Dc Lp, The Endoscopy Center Of Washington, D.C.
Endoscopy Center Of Washington Dc Lp
$1,211.00Published rateSeattle Pain Relief PLLC, Federal Way Ambulatory Surgical Facility
Seattle Pain Relief PLLC
$1,072.50Published rateHarrison Surgery Center, LLC
Harrison Surgery Center LLC
$797.00Published rate
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See a sample payer proposalCPT 67922 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67922 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 67922 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 |
|---|---|---|
| 67921-CPT | Moderate | Rep Entropion W Suture |
| 67922-CPT | Moderate | Repair Entropion;Thermocauterizat'n |
| 67923-CPT | Moderate | Rep Entropion W Blepharoplasty |
| 67924-CPT | Moderate | Rpair Of Entropion; Pextensiv (Eg Tarsal Strip Or Capsulopalpbra, Repair Of Entropion; Extensive (Eg Tarsal Strip Or Capsulopalpebral F |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67922 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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