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See a sample rate comparisonCPT 68328 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68328 |
| Medicaid Fee Schedule | View Medicaid rates for 68328 |
National average reimbursement for CPT 68328 by major payers:
$925.63
$908.49
$977.63
$1,130.94
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CPT 68328
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$5,729.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$2,388.00Published rateSerenity Surgical, LLC
$1,500.00Published rateNewark Endoscopy Asc LLC, Endoscopy Center Of Delaware
Newark Endoscopy Asc LLC
$1,085.00Published rateNorth Georgia Endoscopy Center Inc
$715.00Published rate
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See a sample payer proposalCPT 68328 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68328 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 68328 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 68328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68328 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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