CPT code 68020: Conjunctival cyst drainage, incision and drainage2026 Medicare rate & RVUs in South Carolina

Report this service when an ophthalmologist opens and drains a cyst of the conjunctiva, rather than excising a conjunctival lesion or treating an eyelid lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality2.5K Medicare services in 2024

In South Carolina, Medicare pays $115.31 for 68020 in the office and $90.93 when it’s performed in a hospital or facility.

$115.31Office (non-facility)
$90.93Hospital or facility
−4.9%vs the national office rate ($121.25)

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.

We’ll open 68020 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 68020 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 South Carolina 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. South Carolina pays $115.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

68020 in South Carolina vs other payment areas
  1. South Carolina · this page$115.31
  2. Los Angeles, CA · California$135.33+$20.02
  3. Washington, DC area · District of Columbia$136.92+$21.61
  4. Miami, FL · Florida$128.80+$13.49
  5. Chicago, IL · Illinois$125.82+$10.51
  6. Manhattan, NY · New York$137.64+$22.33
  7. Alaska · Alaska$147.63+$32.32

Other areas in South Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

68020 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$110.92$87.83
ArkansasArkansas$109.61$86.95
ArizonaArizona$118.58$93.01
Bakersfield, CACalifornia$127.87$98.95
Chico, CACalifornia$127.56$98.64
El Centro, CACalifornia$127.58$98.66
Fresno, CACalifornia$127.56$98.64
Hanford, CACalifornia$127.56$98.64

68020 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$109.61

$147.63

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
68020 office rate range by state
State / territoryOffice rate rangeLocalities
AK$147.631
AL$110.921
AR$109.611
AZ$118.581
CA$127.56–$156.8129
CO$125.761
CT$128.351
DC$136.921
DE$120.311
FL$119.58–$128.803
GA$114.03–$123.142
GU$129.861
HI$129.861
IA$113.301
ID$113.891
IL$116.66–$125.844
IN$114.431
KS$112.831
KY$112.981
LA$112.82–$117.402
MA$125.20–$136.802
MD$122.33–$136.923
ME$114.34–$119.492
MI$115.36–$120.782
MN$121.221
MO$111.21–$117.793
MS$110.431
MT$121.241
NC$115.331
ND$119.461
NE$113.821
NH$123.831
NJ$130.02–$135.902
NM$115.861
NV$120.821
NY$116.75–$140.415
OH$114.991
OK$112.861
OR$120.06–$129.222
PA$115.16–$125.612
PR$121.991
RI$124.181
SC$115.311
SD$119.251
TN$113.291
TX$114.54–$125.188
UT$116.611
VA$119.13–$136.922
VI$121.991
VT$119.041
WA$124.95–$139.382
WI$116.131
WV$113.091
WY$120.461

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.

How the rate is built · 68020

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.38

1.38 RVUs× 1.000 GPCI

Practice expense2.16

2.16 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

3.6300

Conversion factor

$33.4009

Medicare rate

$121.25

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,533

Code
68020
Physician work
1.38
Practice expense
2.16
Malpractice
0.09

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 68020 in South Carolina
ComponentRVULocality factorAdjusted
Physician work1.38× 1.0001.3800
Practice expense2.16× 0.9241.9958
Malpractice0.09× 0.8500.0765
Total RVUs3.4523
Conversion factor× 33.4009

Office rate, South Carolina$115.31

Office: (1.38 × 1 + 2.16 × 0.924 + 0.09 × 0.85) × $33.4009 = $115.31

Facility: (1.38 × 1 + 1.37 × 0.924 + 0.09 × 0.85) × $33.4009 = $90.93

Open 68020 in the RVU calculator

Payment rules and modifiers for 68020

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

CMS payment indicators · 68020

Conjunctival cyst drainage, incision and drainage

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 68020

Conjunctival cyst drainage, incision and drainage

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

68020 without 50 · national office

$121.25

Conjunctival cyst drainage, incision and drainage

68020-50 · Bilateral: 150%

$181.88

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 68020 has changed in South Carolina

68020 · Office / nonfacility

$115.31

Effective 2026-10-01

The base rate is $4.72 higher than on 2025-10-01, moving from $110.59 to $115.31 (4.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $110.59changed to$115.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.42 changed to 1.38
    • Practice expense RVU 2.10 changed to 2.16
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $114.11changed to$110.59

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.11 changed to 2.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $112.25changed to$114.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $114.68changed to$112.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.08 changed to 2.11
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817
  5. January 1, 2023

    RVU23A

    $114.67changed to$114.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.02 changed to 2.08
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $115.31changed to$114.67

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.01 changed to 2.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $115.47changed to$115.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.90 changed to 2.01
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $116.27changed to$115.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.92 changed to 1.90
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.15changed to$116.27

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $114.12changed to$116.15

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.86 changed to 1.92
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $114.14changed to$114.12

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $114.55changed to$114.14

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $113.98changed to$114.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $115.45changed to$113.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.85 changed to 1.86
    • Malpractice RVU 0.19 changed to 0.10
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $114.63changed to$115.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.03 changed to 1.85
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $114.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$115.31$90.93RVU26D
2026-07-01$115.31$90.93RVU26C
2026-04-01$115.31$90.93RVU26B
2026-01-01$115.31$90.93RVU26A
2025-10-01$110.59$100.55RVU25D
2025-07-01$110.59$100.55RVU25C
2025-04-01$110.59$100.55RVU25B
2025-01-01$110.59$100.55RVU25A
2024-10-01$114.11$103.48RVU24D
2024-07-01$114.11$103.48RVU24C
2024-04-01$114.11$103.48RVU24B
2024-03-09$114.11$103.48RVU24AR
2024-01-01$112.25$101.79RVU24A
2023-10-01$114.68$103.91RVU23D
2023-07-01$114.68$103.91RVU23C
2023-04-01$114.68$103.91RVU23B
2023-01-01$114.68$103.91RVU23A
2022-10-01$114.67$104.04RVU22D
2022-07-01$114.67$104.04RVU22C
2022-04-01$114.67$104.04RVU22B
2022-01-01$114.67$104.04RVU22A
2021-10-01$115.31$104.91RVU21D
2021-07-01$115.31$104.91RVU21C
2021-04-01$115.31$104.91RVU21B
2021-01-01$115.31$104.91RVU21A
2020-10-01$115.47$105.65RVU20D
2020-07-01$115.47$105.65RVU20C
2020-04-01$115.47$105.65RVU20B
2020-01-01$115.47$105.65RVU20A
2019-10-01$116.27$106.74RVU19D
2019-07-01$116.27$106.74RVU19C
2019-04-01$116.27$106.74RVU19B
2019-01-01$116.27$106.74RVU19A
2018-10-01$116.15$106.63RVU18D
2018-07-01$116.15$106.63RVU18C
2018-04-01$116.15$106.63RVU18B
2018-01-01$116.15$106.63RVU18AR1
2017-10-01$114.12$105.93RVU17D
2017-07-01$114.12$105.93RVU17C
2017-04-01$114.12$105.93RVU17B
2017-01-01$114.12$105.93RVU17A
2016-10-01$114.14$105.97RVU16D
2016-07-01$114.14$105.97RVU16C
2016-04-01$114.14$105.97RVU16B
2016-01-01$114.14$105.97RVU16A
2015-10-01$114.55$106.36RVU15D
2015-07-01$114.55$106.36RVU15C
2015-04-01$113.98$105.83RVU15B
2015-01-01$113.98$105.83RVU15A
2014-10-01$115.45$107.94RVU14D
2014-07-01$115.45$107.94RVU14C
2014-04-01$115.45$107.94RVU14B
2014-01-01$115.45$107.94RVU14A
2013-10-01$114.63$106.28RVU13D
2013-07-01$114.63$106.28RVU13C
2013-04-01$114.63$106.28RVU13B
2013-01-01$114.63$106.28RVU13AR

Price 68020 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

68020 billing questions

When is this code used instead of an eyelid drainage code?

Use this code for incision and drainage of a cyst in the conjunctiva. A collection in the eyelid itself is a different anatomic service.

Is this the code for excising a conjunctival cyst?

No. This code describes opening and draining the cyst. When the service is excision of a conjunctival lesion, select the code that matches the excision and lesion size.

Are related postoperative visits separately reportable?

Related postoperative visits within the 10-day global period are included in the procedure.

How is bilateral treatment reported?

For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.

How does payment work when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

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

Show the CMS file lines behind this rate
RVUs for 68020PPRRVU2026_Oct_nonQPP.csv, line 7,533 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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