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See a sample rate comparisonCPT 68841 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.
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea, Insertion Of Drug-Eluting Implant Including Punctal Dilation When Performed Into Lacrimal Canaliculus Each
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 68841 |
| Medicaid Fee Schedule | View Medicaid rates for 68841 |
National average reimbursement for CPT 68841 by major payers:
$44.61
$52.23
$51.99
$73.95
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CPT 68841
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$7,081.00Published rateSurgcenter Tucson, LLC
$2,388.00Published rateRegency Surgery Center, LLC
Regency Surgery Center LLC
$1,727.00Published rateFour States Surgery Center, PC, Four States Surgery Center,
Four States Surgery Center, PC
$988.00Published rateJaime Redman
Deaconess Hospital Inc
$31.80Published rate
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See a sample payer proposalCPT 68841 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 68841 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 68841 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 |
|---|---|---|
| 68801-CPT | Low | Dilation Of Lacrimal Punctum, With Or Without Irrigation |
| 68811-CPT | Moderate | Probing Of Nasolacrimal Duct W//W/O Irrigation; Requir, Probing Of Nasolacrimal Duct With Or Without Irrigation; Requiring Ge |
| 68816-CPT | Moderate | Probing Of Nasolacrimal Duct, Probing Of Nasolacrimal Duct With Or Without Irrigation With Transluminal Balloon Catheter Dilation |
| 68841-CPT | Low | Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea, Insertion Of Drug-Eluting Implant Including Punctal Dilation When Performed Into Lacrimal Canaliculus Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 68841. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 68841 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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