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CPT code 68110: Conjunctival excision, lesion under 1 cm2026 Medicare rate & RVUs in Wisconsin

Reports surgical excision of a small conjunctival lesion, such as a localized growth, when the lesion measures less than one centimeter.

CMS RVU26DEffective Oct 1, 2026One payment locality3.3K Medicare services in 2024

In Wisconsin, Medicare pays $226.95 for 68110 in the office and $122.96 when it’s performed in a hospital or facility.

$226.95Office (non-facility)
$122.96Hospital or facility
−4.4%vs the national office rate ($237.48)

Check a contract rate as a % of Medicare · 68110 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 68110 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 68110 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 68110 covers

An ophthalmologist uses this service to remove a small, localized lesion from the conjunctiva, the membrane covering the white of the eye and lining the eyelids. Examples include a conjunctival nevus or papilloma selected for excision. The procedure may be performed in an office or an operating facility. When tissue is removed, it may be submitted for pathologic examination.

Choose this code when the excised conjunctival lesion measures less than one centimeter; document its size, site, and the excision performed. A biopsy code is a different choice when tissue is sampled rather than the lesion being excised. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Wisconsin compares for 68110

Across 109 of 109 payment localities, the office rate for 68110 runs from $210.72 in Arkansas to $318.58 in San Benito County, CA. Wisconsin pays $226.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

68110 in Wisconsin vs other payment areas
  1. Wisconsin · this page$226.95
  2. Los Angeles, CA · California$270.12+$43.17
  3. Washington, DC area · District of Columbia$272.12+$45.17
  4. Miami, FL · Florida$251.75+$24.80
  5. Chicago, IL · Illinois$244.82+$17.87
  6. Manhattan, NY · New York$272.14+$45.19
  7. Alaska · Alaska$276.23+$49.28

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

Every other payment area

68110 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$213.74$118.76
ArkansasArkansas$210.72$117.48
ArizonaArizona$231.42$126.24
Bakersfield, CACalifornia$253.45$134.48
Chico, CACalifornia$252.99$134.02
El Centro, CACalifornia$253.01$134.04
Fresno, CACalifornia$252.99$134.02
Hanford, CACalifornia$252.99$134.02

68110 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$210.72

$285.78

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

View every state and territory as a table
68110 office rate range by state
State / territoryOffice rate rangeLocalities
AK$276.231
AL$213.741
AR$210.721
AZ$231.421
CA$252.99–$318.5829
CO$248.281
CT$253.021
DC$272.121
DE$235.221
FL$232.19–$251.753
GA$219.62–$241.382
GU$259.311
HI$259.311
IA$219.901
ID$221.121
IL$225.00–$246.194
IN$222.401
KS$218.491
KY$217.801
LA$217.31–$227.872
MA$246.68–$273.082
MD$239.77–$272.123
ME$221.82–$234.192
MI$222.97–$234.612
MN$239.231
MO$213.39–$229.153
MS$212.121
MT$237.471
NC$224.161
ND$234.701
NE$221.201
NH$244.021
NJ$256.28–$269.312
NM$224.001
NV$236.871
NY$227.41–$278.105
OH$222.411
OK$217.851
OR$235.40–$256.512
PA$222.98–$246.572
PR$239.321
RI$243.831
SC$223.581
SD$234.381
TN$219.511
TX$221.52–$247.148
UT$226.581
VA$233.15–$272.122
VI$239.321
VT$233.431
WA$246.34–$279.012
WI$226.951
WV$216.741
WY$236.261

See 68110 in every payment locality

How the 68110 rate is calculated

Each of 68110’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 · 68110

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.77

1.77 RVUs× 1.000 GPCI

Practice expense5.20

5.20 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

7.1100

Conversion factor

$33.4009

Medicare rate

$237.48

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,536

Code
68110
Physician work
1.77
Practice expense
5.20
Malpractice
0.14

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 68110 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0001.7700
Practice expense5.20× 0.9584.9816
Malpractice0.14× 0.3080.0431
Total RVUs6.7947
Conversion factor× 33.4009

Office rate, Wisconsin$226.95

Office: (1.77 × 1 + 5.2 × 0.958 + 0.14 × 0.308) × $33.4009 = $226.95

Facility: (1.77 × 1 + 1.95 × 0.958 + 0.14 × 0.308) × $33.4009 = $122.96

Open 68110 in the RVU calculator

Payment rules and modifiers for 68110

68110 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68110

Conjunctival excision, lesion under 1 cm

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 · 68110

Conjunctival excision, lesion under 1 cm

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

68110 without 50 · national office

$237.48

Conjunctival excision, lesion under 1 cm

68110-50 · Bilateral: 150%

$356.22

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

Codes related to 68110

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

Codes related to 68110
CodeHow it relatesOffice range, Wisconsin
Used instead
68100Conjunctival biopsy, diagnostic tissue samplingConjunctival biopsy for tissue sampling rather than excision of the small lesion.$171.61
68130Conjunctival excision, adjacent sclera includedFor excision of a conjunctival lesion involving adjacent sclera.$529.46
68135Lesion destruction, conjunctivaDescribes destruction of a conjunctival lesion rather than surgical excision.$152.28
Same family
68115Conjunctival excision, lesion larger than 1 cmSibling excision code for a conjunctival lesion in the larger size category.$316.27

How 68110 has changed in Wisconsin

68110 · Office / nonfacility

$226.95

Effective 2026-10-01

The base rate is $11.70 higher than on 2025-10-01, moving from $215.25 to $226.95 (5.4%).

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

    $215.25changed to$226.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 5.00 changed to 5.20
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $224.91changed to$215.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.11 changed to 5.00
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $221.24changed to$224.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $227.35changed to$221.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.10 changed to 5.11
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $229.16changed to$227.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.06 changed to 5.10
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $231.60changed to$229.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.07 changed to 5.06
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $227.48changed to$231.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.68 changed to 5.07
    • Malpractice RVU 0.13 changed to 0.14
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $226.21changed to$227.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.61 changed to 4.68
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $222.18changed to$226.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.50 changed to 4.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $218.75changed to$222.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.41 changed to 4.50
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $218.59changed to$218.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $218.90changed to$218.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.39 changed to 4.41
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $217.81changed to$218.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $222.10changed to$217.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.38 changed to 4.39
    • Malpractice RVU 0.33 changed to 0.14
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $226.19changed to$222.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.83 changed to 4.38
    • Malpractice RVU 0.35 changed to 0.33
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$226.19

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$226.95$122.96RVU26D
2026-07-01$226.95$122.96RVU26C
2026-04-01$226.95$122.96RVU26B
2026-01-01$226.95$122.96RVU26A
2025-10-01$215.25$136.94RVU25D
2025-07-01$215.25$136.94RVU25C
2025-04-01$215.25$136.94RVU25B
2025-01-01$215.25$136.94RVU25A
2024-10-01$224.91$140.49RVU24D
2024-07-01$224.91$140.49RVU24C
2024-04-01$224.91$140.49RVU24B
2024-03-09$224.91$140.49RVU24AR
2024-01-01$221.24$138.20RVU24A
2023-10-01$227.35$140.43RVU23D
2023-07-01$227.35$140.43RVU23C
2023-04-01$227.35$140.43RVU23B
2023-01-01$227.35$140.43RVU23A
2022-10-01$229.16$139.84RVU22D
2022-07-01$229.16$139.84RVU22C
2022-04-01$229.16$139.84RVU22B
2022-01-01$229.16$139.84RVU22A
2021-10-01$231.60$140.88RVU21D
2021-07-01$231.60$140.88RVU21C
2021-04-01$231.60$140.88RVU21B
2021-01-01$231.60$140.88RVU21A
2020-10-01$227.48$143.57RVU20D
2020-07-01$227.48$143.57RVU20C
2020-04-01$227.48$143.57RVU20B
2020-01-01$227.48$143.57RVU20A
2019-10-01$226.21$145.51RVU19D
2019-07-01$226.21$145.51RVU19C
2019-04-01$226.21$145.51RVU19B
2019-01-01$226.21$145.51RVU19A
2018-10-01$222.18$146.04RVU18D
2018-07-01$222.18$146.04RVU18C
2018-04-01$222.18$146.04RVU18B
2018-01-01$222.18$146.04RVU18AR1
2017-10-01$218.75$144.99RVU17D
2017-07-01$218.75$144.99RVU17C
2017-04-01$218.75$144.99RVU17B
2017-01-01$218.75$144.99RVU17A
2016-10-01$218.59$145.07RVU16D
2016-07-01$218.59$145.07RVU16C
2016-04-01$218.59$145.07RVU16B
2016-01-01$218.59$145.07RVU16A
2015-10-01$218.90$146.14RVU15D
2015-07-01$218.90$146.14RVU15C
2015-04-01$217.81$145.42RVU15B
2015-01-01$217.81$145.42RVU15A
2014-10-01$222.10$149.34RVU14D
2014-07-01$222.10$149.34RVU14C
2014-04-01$222.10$149.34RVU14B
2014-01-01$222.10$149.34RVU14A
2013-10-01$226.19$149.11RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 68110 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

68110 billing questions

How is this code distinguished from 68115?

Use 68110 for excision of a conjunctival lesion measuring less than one centimeter. Code 68115 describes the larger-lesion size category; document the lesion measurement.

When should 68100 be used instead?

68100 describes conjunctival biopsy, where tissue is sampled for examination. Use 68110 when the service is excision of the small lesion rather than sampling alone.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in this procedure's payment.

How is bilateral excision reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

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 68110PPRRVU2026_Oct_nonQPP.csv, line 7,536 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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