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See a sample rate comparisonCPT 68325 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 To Free Eyelid, Surgery Using Grafts To Reconstruct Or Repair The Eyelid Lining And Membrane Covering The Eye. This Frees The Eyelid To Move Without Restriction.
| 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 68325 |
| Medicaid Fee Schedule | View Medicaid rates for 68325 |
National average reimbursement for CPT 68325 by major payers:
$876.63
$838.85
$905.81
$1,049.18
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CPT 68325
5 of 25 sample ratesHigher to lower in this preview
Scott And White Hospital, Baylor Scott & White Medical Center - Taylor
Scott & White Hospital-Taylor
$4,376.00Published ratePrinceton Orthopaedic Associates II PA
Princeton Orthopaedic Associates II, P.A.
$3,100.00Published rateTowson Surgical Center LLC, Towson Surgical Center
Towson Surgical Center LLC
$1,980.00Published rateSurgical Center Of Central Florida, LLC
Surgical Center Of Central Florida LLC
$1,295.00Published rateValley Outpatient Surgical Center Inc
$691.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 68325 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68325 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 68325 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 |
|---|---|---|
| 68320-CPT | Moderate | Surgery To Free Eyelid, Surgery Using Grafts To Reconstruct Or Repair The Eyelid Lining And Membrane Covering The Eye. This Frees The Eyelid To Move Without Restriction. |
| 68325-CPT | Moderate | Surgery To Free Eyelid, Surgery Using Grafts To Reconstruct Or Repair The Eyelid Lining And Membrane Covering The Eye. This Frees The Eyelid To Move Without Restriction. |
| 68326-CPT | Moderate | Surgery To Free Eyelid, Surgery Using Grafts To Reconstruct Or Repair The Eyelid Lining And Membrane Covering The Eye. This Frees The Eyelid To Move Without Restriction. |
| 68328-CPT | Moderate | Surgery To Free Eyelid, Surgery Using Grafts To Reconstruct Or Repair The Eyelid Lining And Membrane Covering The Eye. This Frees The Eyelid To Move Without Restriction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68325 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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