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See a sample rate comparisonCPT 67923 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.
Rep Entropion W Blepharoplasty
| 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 E4 - Lower right, eyelid E2 - Lower left, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67923 |
| Medicaid Fee Schedule | View Medicaid rates for 67923 |
National average reimbursement for CPT 67923 by major payers:
$716.41
$767.74
$825.77
$950.78
Compare published rates across providers.
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CPT 67923
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$4,707.00Published rateAdvanced Surgical Care Of Boerne, LLC
Advanced Surgical Care Of Boerne LLC
$2,307.00Published rateArdmore Regional Surgery Center, LLC
Ardmore Regional Surgery Center
$1,404.00Published rateGsi Asc, LLC
Gsi Asc LLC
$1,011.00Published rateGastro-Intestinal Center Inc
Gastrointestinal Center Inc
$675.00Published rate
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See a sample payer proposalCPT 67923 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67923 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 67923 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 67923. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67923 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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