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See a sample rate comparisonCPT 68340 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.
Repair Of Symblepharon Divisi, Repair Of Symblepharon Division Of Symblepharon With Orwithout Insertion Of Conformer Or Contact Lens
| 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 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68340 |
| Medicaid Fee Schedule | View Medicaid rates for 68340 |
National average reimbursement for CPT 68340 by major payers:
$709.58
$727.16
$810.35
$924.27
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CPT 68340
5 of 25 sample ratesHigher to lower in this preview
San Antonio Surgicenter, LLC, The Center For Special Surgery At Tca
$5,402.00Published rateHarbor Heights Surgery Center, LLC
Harbor Heights Surgery Center LLC
$2,859.00Published rateNew Braunfels Spine & Pain Surgery
New Braunfels Spine Pain Surgery
$2,000.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$1,283.00Published rateAzar Eye Surgery Center LLC
$900.00Published rate
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See a sample payer proposalCPT 68340 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68340 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 68340 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 |
|---|---|---|
| 68340-CPT | Moderate | Repair Of Symblepharon Divisi, Repair Of Symblepharon Division Of Symblepharon With Orwithout Insertion Of Conformer Or Contact Lens |
| 68360-CPT | Moderate | Surgery On Surface Of The Eye, Surgery To Construct A Flap For The Conjunctiva The Protective Membrane Covering The Eye Surface. |
| 68362-CPT | Moderate | Conjunct Flap; Total (Such As Gunderson Thin Flap Or Purse String, Conjunctival Flap; Total (Such As Gunderson Thin Flap Or Purse String |
| 68371-CPT | Moderate | Eye Tissue Donor Surgery, Surgery To Remove Eye Tissue From A Donor. The Tissue Donated Is The Conjunctiva Which Is A Clear Mucous Membrane Protecting The Eye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68340 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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