Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 68335 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.
Rpair Of Symblepharon; W/ Free Grft Conjunctiv Or Buccal Mucous, Repair Of Symblepharon; With Free Graft Conjunctiva Or Buccal Mucous M
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68335 |
| Medicaid Fee Schedule | View Medicaid rates for 68335 |
National average reimbursement for CPT 68335 by major payers:
$807.34
$823.97
$889.51
$1,028.65
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 68335.
CPT 68335
5 of 25 sample ratesHigher to lower in this preview
Emory Ambulatory Surgery Center At Dunwoody, LLC
Emory Ambulatory Surgery Center At Dunwoody LLC
$7,323.00Published rateEnt Surgery Center Of Atlanta,LLC
Ent Surgery Center Of Atlantallc
$2,734.00Published rateTattnall Hospital Company, LLC, Optim Surgery Center
$2,000.00Published rateM-S Surgery Center LLC
Ms Surgery Center LLC
$1,484.00Published rateCenter For Endoscopy Inc
$640.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 68335 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68335 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 68335 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. |
| 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. |
| 68335-CPT | Moderate | Rpair Of Symblepharon; W/ Free Grft Conjunctiv Or Buccal Mucous, Repair Of Symblepharon; With Free Graft Conjunctiva Or Buccal Mucous M |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68335 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 68335) and we'll show you how you compare in 15 minutes or less.