# CPT 68815: Probe Nasolacrimal Duct W/wo Irrg Insj Tube/stnt

Medicare CPT 68815 pays $373.09 in a non-facility setting and $193.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $330.46 in Arkansas to $431.95 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/68815-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $373.09 |
| National facility | $193.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $431.95 | $240.21 |
| District of Columbia | $428.15 | $216.07 |
| California | $424.02 | $210.99 |
| Washington | $413.33 | $208.10 |
| New Jersey | $413.25 | $210.54 |
| New York | $411.94 | $211.09 |
| Massachusetts | $408.86 | $206.59 |
| Hawaii | $408.25 | $203.56 |
| Connecticut | $397.74 | $203.85 |
| Colorado | $390.41 | $198.86 |
| Oregon | $386.74 | $197.08 |
| Maryland | $386.60 | $198.92 |
| New Hampshire | $383.62 | $196.21 |
| Rhode Island | $383.18 | $197.21 |
| Florida | $380.65 | $200.02 |
| Minnesota | $376.22 | $190.97 |
| Puerto Rico | $376.04 | $194.03 |
| Virgin Islands | $376.04 | $194.03 |
| Montana | $373.07 | $193.04 |
| Nevada | $372.19 | $191.98 |
| Wyoming | $371.26 | $191.23 |
| Illinois | $370.40 | $196.44 |
| Delaware | $369.48 | $191.61 |
| North Dakota | $368.92 | $188.89 |
| Texas | $368.76 | $191.52 |
| Pennsylvania | $368.66 | $192.32 |
| South Dakota | $368.43 | $188.40 |
| Vermont | $366.84 | $188.61 |
| Virginia | $366.30 | $189.33 |
| Arizona | $363.45 | $189.00 |
| Georgia | $361.80 | $190.05 |
| Michigan | $358.98 | $189.93 |
| Maine | $358.09 | $186.07 |
| Wisconsin | $356.55 | $184.08 |
| Utah | $355.68 | $186.45 |
| North Carolina | $351.91 | $183.95 |
| New Mexico | $351.40 | $186.32 |
| South Carolina | $350.89 | $184.54 |
| Missouri | $350.07 | $184.86 |
| Louisiana | $349.22 | $184.85 |
| Indiana | $349.17 | $182.28 |
| Ohio | $348.94 | $184.57 |
| Nebraska | $347.30 | $181.13 |
| Idaho | $347.13 | $181.50 |
| Iowa | $345.21 | $180.48 |
| Tennessee | $344.52 | $180.87 |
| Kansas | $342.90 | $180.15 |
| Oklahoma | $341.75 | $180.99 |
| Kentucky | $341.61 | $181.56 |
| West Virginia | $339.66 | $183.22 |
| Alabama | $335.27 | $177.74 |
| Mississippi | $332.58 | $177.58 |
| Arkansas | $330.46 | $175.81 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 68815 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules