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See a sample rate comparisonCPT 67924 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.
Rpair Of Entropion; Pextensiv (Eg Tarsal Strip Or Capsulopalpbra, Repair Of Entropion; Extensive (Eg Tarsal Strip Or Capsulopalpebral F
| 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 67924 |
| Medicaid Fee Schedule | View Medicaid rates for 67924 |
National average reimbursement for CPT 67924 by major payers:
$737.41
$804.85
$862.21
$996.94
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CPT 67924
5 of 25 sample ratesHigher to lower in this preview
Ophthalmology Surgery Center Of Dallas, LLC
Ophthalmology Surgery Center Of Dallas
$4,141.00Published rateNorth Scottsdale Ambulatory Surgery Center, LLC
North Scottsdale Ambulatory Surgery Center LLC
$2,007.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Therapeutic Center
$1,102.00Published rateSan Luis Obispo Ca Endoscopy Asc Lp, Endoscopy Center Of The Central Coast
San Luis Obispo Ca Endoscopy Asc Lp
$827.00Published rateHillmont Asc Lp, Springfield Ambulatory Surgery Center
$660.00Published rate
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See a sample payer proposalCPT 67924 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67924 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 67924 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 67924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67924 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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