CPT code 68115: Conjunctival excision, lesion larger than 1 cm2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $326.79 for 68115 in the office and $152.77 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 68115 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 68115 covers

This service removes a lesion from the conjunctiva, the tissue lining the inner eyelids and covering the visible surface of the eye. Ophthalmologists commonly excise larger or suspicious ocular-surface growths in an office procedure room or surgical facility. The removed tissue may be submitted for pathologic examination; the code represents the excision itself, not the laboratory interpretation.

Choose this code when documentation supports a lesion larger than 1 cm and describes its size, location, laterality, and excision. Medicare includes related postoperative visits during the 10-day global period. 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%. Medicare does not pay an assistant at surgery for this service; 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 Dakota compares for 68115

Across 109 of 109 payment localities, the office rate for 68115 runs from $293.22 in Arkansas to $445.50 in San Benito County, CA. South Dakota pays $326.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68115 rates by state

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

See 68115 in every payment locality

How the 68115 rate is calculated

Each of 68115’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 68115

68115 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 68115

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

How 68115 has changed in South Dakota

Price 68115 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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