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See a sample rate comparisonCPT 67999 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Unlisted Procedure Eyelids
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None GA - Required ABN issued and on file 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 67999 |
| Medicaid Fee Schedule | View Medicaid rates for 67999 |
National average reimbursement for CPT 67999 by major payers:
$1,179.97
$98.75
$48.76
$1,065.98
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CPT 67999
5 of 25 sample ratesHigher to lower in this preview
Foundation Surgery Affiliate Of Fort Wayne, LLC, Parkview Southwest Surgery Center
Foundation Surgery Affiliates Of Fw Inverness Surgery Center
$1,520.00Published rateDesert Ridge Outpatient Surgery LLC
$566.00Published rateSurgery Center Of Weston LLC
$325.00Published rateBellingham Ear Nose Throat And Facial Surgery Inc, Whatcom Surgery Center
Bellingham Ear, Nose, Throat & Facial Plastic Surgery, Inc. P.S.
$126.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$55.00Published rate
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See a sample payer proposalCPT 67999 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 67999 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 67999 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 |
| 67966-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 Over One Fourth Of Lid Margin |
| 67999-CPT | High | Unlisted Procedure Eyelids |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 67999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 67999 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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