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See a sample rate comparisonCPT 67975 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.
Reconstruction Of Eyelid Full, Reconstruction Of Eyelid Full Thickness By Transfer Oftarsoconjunctival Flap From Opposing Eyelid Second Stage
| 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 LT - Left side of body 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 67975 |
| Medicaid Fee Schedule | View Medicaid rates for 67975 |
National average reimbursement for CPT 67975 by major payers:
$887.26
$880.96
$911.28
$1,093.60
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CPT 67975
5 of 25 sample ratesHigher to lower in this preview
Lowcountry Ambulatory Center, LLC
Lowcountry Ambulatory Center LLC
$2,621.00Published rateParkway Surgery Center, LLC, Parkway Surgery Center At Horizon Ridge
$2,174.00Published ratePacific Cataract And Laser Institute Inc PC
Pacific Cataract And Laser Institute, Inc., PC
$1,514.00Published rateKarla Kitch
Deaconess Hospital Inc
$1,217.17Published rateSurgery By Vold Vision
$674.00Published rate
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See a sample payer proposalCPT 67975 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67975 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 67975 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 |
|---|---|---|
| 67971-CPT | Moderate | Reconstruction Of Eyelid Full, Reconstruction Of Eyelid Full Thickness By Transfer Oftarsoconjunctival Flap From Opposing Eyelid Up To Two-Thirds Of Eyelid One Stage Or First Stage |
| 67973-CPT | High | Reconstruction Of Eyelid Full, Reconstruction Of Eyelid Full Thickness By Transfer Oftarsoconjunctival Flap From Opposing Eyelid Total Eyelid Lower One Stage Or First Stage |
| 67974-CPT | High | Reconstruction Of Eyelid Full, Reconstruction Of Eyelid Full Thickness By Transfer Oftarsoconjunctival Flap From Opposing Eyelid Total Eyelid Upper One Stage Or First Stage |
| 67975-CPT | Moderate | Reconstruction Of Eyelid Full, Reconstruction Of Eyelid Full Thickness By Transfer Oftarsoconjunctival Flap From Opposing Eyelid Second Stage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67975 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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