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See a sample rate comparisonCPT 68505 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Xcision Of Lacriml Gland (Dacryoadnecto) Excpt For Tumor; Parti, Excision Of Lacrimal Gland (Dacryoadenectomy) Except For Tumor; Parti
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 68505 |
| Medicaid Fee Schedule | View Medicaid rates for 68505 |
National average reimbursement for CPT 68505 by major payers:
$1,275.34
$1,273.80
$1,414.70
$1,645.70
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CPT 68505
5 of 25 sample ratesHigher to lower in this preview
Alle-Kiski Medical Center
Highmark Health
$10,750.32Published rateDanbury Surgical Center Lp, Surgical Center Of Ridgefield
Danbury Surgical Center Lp
$3,000.00Published rateNorthwest Surgery Center, LLC
Lewis & Clark Orthopaedic, LLC 401(K) Plan
$2,076.00Published rateRed Lion Surgicenter, LLC
Red Lion Surgicenter LLC
$1,142.00Published rateFayetteville Gastroenterology Endoscopy Center, LLC
Fayetteville Gastroenterology Endoscopy Center LLC
$600.00Published rate
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See a sample payer proposalCPT 68505 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68505 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 68505 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 68505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68505 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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