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See a sample rate comparisonCPT 67938 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.
Removal Fb Eyelid Embedded
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67938 |
| Medicaid Fee Schedule | View Medicaid rates for 67938 |
National average reimbursement for CPT 67938 by major payers:
$303.09
$328.04
$357.87
$423.36
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CPT 67938
5 of 25 sample ratesHigher to lower in this preview
North Campus Surgery Center LLC
$3,922.00Published rateManatee Surgicare Ltd
$541.00Published rateAshley Thomas
Deaconess Hospital Inc
$204.35Published ratePiedmont Surgery Center
$116.00Published rateSystem Optics LLC
System Optics, Inc.
$75.00Published rate
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See a sample payer proposalCPT 67938 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67938 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 67938 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 |
| 67938-CPT | Moderate | Removal Fb Eyelid Embedded |
| 67950-CPT | Moderate | Surgery On Corner Of Eyelids, Surgery Involving The Canthus (Corner Of The Eye Where The Upper And Lower Eyelids Meet). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67938. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67938 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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