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See a sample rate comparisonCPT 68760 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 To Close Off Tear Duct, Surgery To Close Off One Or More Tear Ducts To Relieve Or Prevent Excessive Tearing. The Duct May Be Closed With Heat A Laser Or Sutures.
| 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 50 - Bilateral Procedure E2 - Lower left, eyelid |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 68760 |
| Medicaid Fee Schedule | View Medicaid rates for 68760 |
National average reimbursement for CPT 68760 by major payers:
$264.72
$271.29
$295.44
$345.46
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CPT 68760
5 of 25 sample ratesHigher to lower in this preview
Central Jersey Surgery Center LLC, Central Jersey Surgery Center
Central Jersey Surgery Center LLC
$566.00Published rateHawthorn Place Outpatient Surgery Center Lp, Hawthorn Surgery Center
Hawthorn Place Outpatient Surgery Center Lp
$442.00Published rateThe Surgery Center, Howland, Humility Of Mary Health Partners
The Surgery Center Howland
$307.00Published rateKuresmart Pain Management Surgery Center-Catonsville LLC, Clearway Surgery Center Of Catonsville
Kuresmart Pain Management Surgery Centercatonsville LLC
$120.00Published ratePonte Vedra Beach Surgery Center LLC
Surgical Center Of Ponte Vedra B
$50.00Published rate
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See a sample payer proposalCPT 68760 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68760 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 68760 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 |
|---|---|---|
| 68760-CPT | Moderate | Surgery To Close Off Tear Duct, Surgery To Close Off One Or More Tear Ducts To Relieve Or Prevent Excessive Tearing. The Duct May Be Closed With Heat A Laser Or Sutures. |
| 68761-CPT | Low | Clo Lacrimal Punct-Plug Each |
| 68810-CPT | Moderate | Probing Of Nasolacrimal Duct, With Or Without Irrigation |
| 68815-CPT | Moderate | Probing Of Nasolacrimal Duct W//W/O Irrigation; W/ Inserti, Probing Of Nasolacrimal Duct With Or Without Irrigation; With Inserti |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68760 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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