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See a sample rate comparisonCPT 67930 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.
Suture Of Recent Wound Eyelid, Suture Of Recent Wound Eyelid Involving Lid Margintarsus Andor Palpebral Conjunctiva Direct Closure Partial Thickness
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67930 |
| Medicaid Fee Schedule | View Medicaid rates for 67930 |
National average reimbursement for CPT 67930 by major payers:
$414.26
$478.76
$510.46
$405.79
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CPT 67930
5 of 25 sample ratesHigher to lower in this preview
Greenville Surgery Center, LLC, Texas Health Surgery Center Dallas
Greenville Surgery Center LLC
$4,141.00Published rateDenver Diagnostic Asc, LLC
Denver Diagnostic Asc LLC
$1,675.00Published rateRetinal Ambulatory Surgery Center Of New York, Inc.
Retinal Ambulatory Surgery Center Of Ny, Inc.
$1,445.00Published rateThe Eye Surgicenter Of New Jersey, LLC
$1,030.00Published rateSuncoast Endoscopy Asc Lp, Sun Coast Endoscopy Center
Suncoast Endoscopy Asc Lp
$485.00Published rate
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See a sample payer proposalCPT 67930 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67930 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 67930 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 |
|---|---|---|
| 67930-CPT | Moderate | Suture Of Recent Wound Eyelid, Suture Of Recent Wound Eyelid Involving Lid Margintarsus Andor Palpebral Conjunctiva Direct Closure Partial Thickness |
| 67935-CPT | Moderate | Suture Of Recent Wound Eyelid, Suture Of Recent Wound Eyelid Involving Lid Margintarsus Andor Palpebral Conjunctiva) Direct Closure Full Thickness |
| 67950-CPT | Moderate | Surgery On Corner Of Eyelids, Surgery Involving The Canthus (Corner Of The Eye Where The Upper And Lower Eyelids Meet). |
| 67961-CPT | Moderate | Revision Of Eyelid, Excision And Repair Of Eyelid Involving Lid Margin Tarsus Conjunctiva Canthus Or Full Thickness May Include Preparation For Skin Graft Or Pedicle Flap With Adjacent Tissue Transfer Or Rearrangement Up To One Fourth Of Lid Margin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67930 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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