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See a sample rate comparisonCPT 68700 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.
Canaliculoplasty
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68700 |
| Medicaid Fee Schedule | View Medicaid rates for 68700 |
National average reimbursement for CPT 68700 by major payers:
$754.71
$768.09
$823.93
$960.17
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CPT 68700
5 of 25 sample ratesHigher to lower in this preview
Medical City Specialty Surgicenter Of Dallas, LLC, Medical City Orthopedic & Spine Surgery Center Dallas
Medical City Specialty Surgicenter Of Dallas LLC
$5,176.00Published rateParkhill Surgery Center Plano, LLC
$1,919.00Published rateLos Gatos Surgical Center, A California Limited Partnership
$1,320.00Published rateLee Healthcare Investments, LLC, Lee Health Urology Surgery Center
$1,150.00Published rateArizona Surgical Specialists Center, LLC, Arizona Surgical Specialists Center, LLC - Scottsdale
Arizona Surgical Specialists Center LLC
$630.00Published rate
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See a sample payer proposalCPT 68700 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68700 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 68700 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 |
|---|---|---|
| 68020-CPT | Low | Surgery To Drain An Eye Cyst, Surgery To Drain A Cyst (Fluid-Filled Sac) On The Conjunctiva The Clear Mucous Membrane That Covers The Eye. |
| 68040-CPT | Low | Remove A Bump From The Eyelid, Procedure To Remove Grain-Like Bumps Caused By Irritation (Follicles) From The Inside Of The Eyelid. |
| 68700-CPT | Moderate | Canaliculoplasty |
| 68705-CPT | Moderate | Surgery To Repair Tear Duct, Surgery To Repair A Tear Duct That Has Turned Outward And Therefore Is Causing Excessive Tearing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68700 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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