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See a sample rate comparisonCPT 68840 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.
Probe Lacrimal Canaliculi
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 68840 |
| Medicaid Fee Schedule | View Medicaid rates for 68840 |
National average reimbursement for CPT 68840 by major payers:
$169.66
$164.75
$179.99
$209.36
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CPT 68840
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$6,623.00Published rateBay Area Surgical Specialist Services, LLC
Bay Area Surgical Specialist Services LLC
$632.50Published rateSouth Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
$375.00Published rateWatsonville Surgeons Group LLC, Central Coast Surgery Center
Watsonville Surgeon'S Group Inc
$155.00Published rateAtlantic Surgery & Laser Center LLC
Atlantic Surgery Laser Center LLC
$82.00Published rate
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See a sample payer proposalCPT 68840 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68840 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 68840 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 |
|---|---|---|
| 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 |
| 68816-CPT | Moderate | Probing Of Nasolacrimal Duct, Probing Of Nasolacrimal Duct With Or Without Irrigation With Transluminal Balloon Catheter Dilation |
| 68840-CPT | Low | Probe Lacrimal Canaliculi |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68840. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68840 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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