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See a sample rate comparisonCPT 67950 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.
Surgery On Corner Of Eyelids, Surgery Involving The Canthus (Corner Of The Eye Where The Upper And Lower Eyelids Meet).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67950 |
| Medicaid Fee Schedule | View Medicaid rates for 67950 |
National average reimbursement for CPT 67950 by major payers:
$680.98
$745.36
$801.61
$752.52
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CPT 67950
5 of 25 sample ratesHigher to lower in this preview
Walnut Hill Surgery Center, LLC
Walnut Hill Surgery Center LLC
$4,141.00Published rateLebanon Endoscopy Center LLC, Lebanon Endoscopy Center
Lebanon Endoscopy Center LLC
$2,307.00Published rateWest Suburban Eye Surgery Center LLC, Surgisite North
West Suburban Eye Surgery Center, LLC
$1,506.00Published rateSheepshead Bay Surgery Center, Inc., Sheepshead Bay Surgery Center
Sheepshead Bay Surgery Center
$1,120.00Published rateAnna Boone
Deaconess Hospital Inc
$468.17Published rate
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See a sample payer proposalCPT 67950 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67950 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 67950 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 |
|---|---|---|
| 67915-CPT | Moderate | Repair Eyelid Position, Surgery To Correct The Lower Eyelid Position So That It No Longer Turns Outward Or Sags (Ectropion). |
| 67916-CPT | Moderate | Repair Eyelid Position, Surgery To Correct The Lower Eyelid Position So That It No Longer Turns Outward Or Sags (Ectropion). |
| 67917-CPT | Moderate | Repair Of Ectropion Blepharop, Repair Of Ectropion Blepharoplasty Extensive (Egkuhnt-Szymanowski Or Tarsal Strip Operations) |
| 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 67950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67950 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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