CPT code 68020: Conjunctival cyst drainage, incision and drainage2026 Medicare rate & RVUs in Baltimore area, MD

In Baltimore area, MD, Medicare pays $127.96 for 68020 in the office and $99.65 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 68020 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 68020 covers

This service involves making an incision in a conjunctival cyst and draining its contents. Ophthalmologists typically perform it as a minor procedure in an office or facility setting, often after examining the eye and identifying the cyst on the conjunctival surface. The code is for a cyst of the conjunctiva, not an abscess in the eyelid or a chalazion treated by excision.

Report the service when the documented treatment is incision and drainage; documentation should identify the conjunctival cyst and the procedure performed. The CMS global period is 10 days, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Baltimore area, MD compares for 68020

Across 109 of 109 payment localities, the office rate for 68020 runs from $109.61 in Arkansas to $156.81 in San Benito County, CA. Baltimore area, MD pays $127.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68020 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 68020 in every payment locality

How the 68020 rate is calculated

Each of 68020’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 68020

68020 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 68020

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 68020 has changed in Baltimore area, MD

Price 68020 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

• Baltimore
• Aberdeen
• Aberdeen Proving Ground
• Abingdon
• Annapolis
• Annapolis Neck
• Arbutus
• Arden on the Severn

Browse all communities in Maryland

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates