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See a sample rate comparisonCPT 68360 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 On Surface Of The Eye, Surgery To Construct A Flap For The Conjunctiva The Protective Membrane Covering The Eye Surface.
| 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 68360 |
| Medicaid Fee Schedule | View Medicaid rates for 68360 |
National average reimbursement for CPT 68360 by major payers:
$655.23
$682.00
$741.62
$659.94
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CPT 68360
5 of 25 sample ratesHigher to lower in this preview
Pinnacle Surgery Center, Inc
Pinnacle Surgery Center Inc
$12,000.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$3,623.00Published rateAdvanced Eye Surgery Center
$2,363.00Published ratePanama City Surgery Center,LLC
Panama City Surgery Center, LLC
$1,429.00Published rateTorrance Ca Multispecialty Asc LLC, Surgery Center Of South Bay
Torrance Ca Multispecialty Asc LLC
$544.00Published rate
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See a sample payer proposalCPT 68360 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68360 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 68360 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 68360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68360 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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