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See a sample rate comparisonCPT 68371 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 22 - On Campus Outpatient Hospital 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 68371 |
| Medicaid Fee Schedule | View Medicaid rates for 68371 |
National average reimbursement for CPT 68371 by major payers:
$542.07
$528.19
$565.52
$662.80
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CPT 68371
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$6,548.33Published rateSummit Ambulatory Surgical Center, LLC
$2,388.00Published rateGeorgia Urology, PA, Georgia Urology Asc Conyers
$1,647.00Published rateCreve Coeur Surgery Center, LLC, City Place Surgery Center
Creve Coeur Surgery Center LLC
$1,248.00Published rateClearwater Ambulatory Surgical Centers Inc, Clearwater Endoscopy Center
Clearwater Ambulatory Surgical Centers Inc
$400.00Published rate
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See a sample payer proposalCPT 68371 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68371 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 68371 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 68371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68371 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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