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See a sample rate comparisonHCPCS S2068 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.
Breast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Provider Services and Supplies |
| Common Place of Service | 21 - Inpatient Hospital None 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for S2068 |
National average reimbursement for HCPCS S2068 by major payers:
$6,821.79
$15,195.16
$5,797.52
$7,569.74
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HCPCS S2068
5 of 25 sample ratesHigher to lower in this preview
Hani Sbitany
$37,851.46Published rateRichard Siy
Methodist Hospital
$33,417.82Published rateCasian Monaco
North Shore-Lij Medical PC
$23,730.90Published rateScott Reis
Houston Plastic & Craniofacial S
$21,000.00Published rateGranger Wong
Kapi Olani Medical Center For Women & Children
$4,010.45Published rate
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See a sample payer proposalHCPCS S2068 vs. Other Miscellaneous Provider Services and Supplies Codes
The HCPCS S2068 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Provider Services and Supplies. 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 HCPCS S2068 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 |
|---|---|---|
| S2067-HCPCS | High | Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (DIEP) flap(s) and/or gluteal artery perforator (GAP) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral |
| S2068-HCPCS | High | Breast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral |
| S2070-HCPCS | Moderate | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S2068. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S2068 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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