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See a sample rate comparisonCPT 68115 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.
Remove Growth From The Eye, Surgery To Remove A Growth Of Abnormal Tissue From The Clear Covering Of The Eye (Conjunctiva).
| 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 RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68115 |
| Medicaid Fee Schedule | View Medicaid rates for 68115 |
National average reimbursement for CPT 68115 by major payers:
$400.65
$411.42
$435.50
$515.43
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CPT 68115
5 of 25 sample ratesHigher to lower in this preview
Inova Loudoun Ambulatory Surgery
$4,453.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$2,353.00Published rateInfirmary Asc
$1,274.00Published rateLow Country Endoscopy Center, LLC
Low Country Endoscopy Center LLC
$1,082.00Published rateMichael Sellers
Deaconess Hospital Inc
$258.33Published rate
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See a sample payer proposalCPT 68115 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68115 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 68115 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 |
|---|---|---|
| 68020-CPT | Low | Surgery To Drain An Eye Cyst, Surgery To Drain A Cyst (Fluid-Filled Sac) On The Conjunctiva The Clear Mucous Membrane That Covers The Eye. |
| 68100-CPT | Moderate | Biopsy Of Eye Membrane, Surgery On The Eye Membrane (Conjunctiva) To Remove A Sample Of Tissue For Testing (Biopsy). The Conjunctiva Is A Clear Membrane That Covers The Eye. |
| 68110-CPT | Moderate | Remove Growth From The Eye, Surgery To Remove A Growth Of Abnormal Tissue From The Clear Covering Of The Eye (Conjunctiva). |
| 68115-CPT | Moderate | Remove Growth From The Eye, Surgery To Remove A Growth Of Abnormal Tissue From The Clear Covering Of The Eye (Conjunctiva). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68115. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68115 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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