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See a sample rate comparisonCPT 68399 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 The Eye Surface, Surgery Involving The Conjunctiva. The Conjunctiva Is A Membrane Covering The Eyeball And The Inside Of The Eyelid.
| 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 68399 |
| Medicaid Fee Schedule | View Medicaid rates for 68399 |
National average reimbursement for CPT 68399 by major payers:
$935.08
$91.34
$48.76
$854.44
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CPT 68399
5 of 25 sample ratesHigher to lower in this preview
Ku Medwest Ambulatory Surgery Center, LLC
Ku Medwest Ambulatory Surgery Center LLC
$2,321.00Published rateParkcreek Asc LLC
$688.00Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$506.00Published ratePalos Health Surgery Center, LLC
Palos Health Surgery Center LLC
$166.00Published rateAthens Eye Surgery Center,LLC
Athens Eye Surgery Centerllc
$78.00Published rate
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See a sample payer proposalCPT 68399 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68399 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 68399 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 |
| 68399-CPT | Moderate | Surgery On The Eye Surface, Surgery Involving The Conjunctiva. The Conjunctiva Is A Membrane Covering The Eyeball And The Inside Of The Eyelid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68399 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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