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See a sample rate comparisonCPT 68440 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.
Snip Incision Of Lacrimal Punctum
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 68440 |
| Medicaid Fee Schedule | View Medicaid rates for 68440 |
National average reimbursement for CPT 68440 by major payers:
$141.20
$141.62
$146.16
$178.60
Compare published rates across providers.
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CPT 68440
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$1,665.00Published rateEndo-Surgi Of Union Asc LLC
Endo-Surgi Center, P.A.
$545.00Published rateClarksville Surgicenter, LLC
$349.00Published rateLaurel Surgery & Endoscopy Center, LLC
Laurel Surgery And Endoscopy Center, LLC
$140.00Published ratePrince Georges Multi Specialty Surgery Center
$39.00Published rate
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See a sample payer proposalCPT 68440 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68440 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 68440 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 |
|---|---|---|
| 68400-CPT | Moderate | Incis, Drainage Of Lacrimal Gland |
| 68440-CPT | Low | Snip Incision Of Lacrimal Punctum |
| 68500-CPT | High | Xcision Of Lacriml Gland (Dacryoadnecto) Excpt For Tumor; Total, Excision Of Lacrimal Gland (Dacryoadenectomy) Except For Tumor; Total |
| 68505-CPT | High | Xcision Of Lacriml Gland (Dacryoadnecto) Excpt For Tumor; Parti, Excision Of Lacrimal Gland (Dacryoadenectomy) Except For Tumor; Parti |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68440 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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