CPT code 68130: Conjunctival excision, adjacent sclera included2026 Medicare rate & RVUs in Vermont
Report this operation when an ophthalmologist removes a conjunctival lesion together with adjacent sclera, rather than excising conjunctiva alone or destroying the lesion.
In Vermont, Medicare pays $544.10 for 68130 in the office and $349.34 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 68130 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 68130 covers
An ophthalmologist removes a conjunctival lesion along with adjacent sclera when the lesion involves or requires excision of that underlying tissue. This is an ocular surface operation, commonly performed for a lesion that cannot be adequately removed by excising conjunctiva alone. The operative report should identify the lesion and site and describe removal of the adjacent sclera.
Choose this code based on the tissue removed, not lesion diameter: the defining feature is excision of adjacent sclera. Conjunctival excisions without adjacent sclera are distinguished by lesion size in nearby codes, while destruction uses a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily 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 Vermont compares for 68130
Across 109 of 109 payment localities, the office rate for 68130 runs from $495.09 in Arkansas to $732.31 in San Benito County, CA. Vermont pays $544.10. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$544.10
- Los Angeles, CA · California$625.41+$81.31
- Washington, DC area · District of Columbia$631.70+$87.60
- Miami, FL · Florida$590.26+$46.16
- Chicago, IL · Illinois$574.79+$30.69
- Manhattan, NY · New York$633.67+$89.57
- Alaska · Alaska$655.84+$111.74
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $501.77 | $329.63 |
| ArkansasArkansas | $495.09 | $326.09 |
| ArizonaArizona | $540.90 | $350.27 |
| Bakersfield, CACalifornia | $588.39 | $372.78 |
| Chico, CACalifornia | $587.09 | $371.47 |
| El Centro, CACalifornia | $587.15 | $371.54 |
| Fresno, CACalifornia | $587.09 | $371.47 |
| Hanford, CACalifornia | $587.09 | $371.47 |
| Madera, CACalifornia | $587.09 | $371.47 |
| Merced, CACalifornia | $587.09 | $371.47 |
| Modesto, CACalifornia | $587.09 | $371.47 |
| Napa, CACalifornia | $677.62 | $418.33 |
| Oxnard, CACalifornia | $622.33 | $389.80 |
| Redding, CACalifornia | $587.09 | $371.47 |
| Rest of CaliforniaCalifornia | $587.09 | $371.47 |
| Riverside, CACalifornia | $591.49 | $375.87 |
| Sacramento, CACalifornia | $615.37 | $386.57 |
| Salinas, CACalifornia | $613.04 | $385.03 |
| San Diego, CACalifornia | $626.83 | $391.54 |
| Marin County, CACalifornia | $716.78 | $439.39 |
| San Francisco, CACalifornia | $716.33 | $438.94 |
| San Benito County, CACalifornia | $732.31 | $448.62 |
| Santa Clara County, CACalifornia | $730.45 | $446.76 |
| San Luis Obispo, CACalifornia | $603.22 | $379.14 |
| Santa Cruz, CACalifornia | $632.39 | $393.36 |
| Santa Maria, CACalifornia | $615.17 | $385.78 |
| Santa Rosa, CACalifornia | $638.76 | $397.17 |
| Stockton, CACalifornia | $587.09 | $371.47 |
| Vallejo, CACalifornia | $676.96 | $417.67 |
| Visalia, CACalifornia | $587.09 | $371.47 |
| Yuba City, CACalifornia | $587.09 | $371.47 |
| ColoradoColorado | $577.53 | $368.20 |
| ConnecticutConnecticut | $589.46 | $377.58 |
| DelawareDelaware | $549.43 | $355.06 |
| Fort Lauderdale, FLFlorida | $570.13 | $370.84 |
| Rest of FloridaFlorida | $544.67 | $356.60 |
| Atlanta, GAGeorgia | $563.64 | $363.76 |
| Rest of GeorgiaGeorgia | $516.51 | $341.03 |
| Hawaii, Guam, HIHawaii | $600.22 | $376.53 |
| IowaIowa | $514.52 | $334.51 |
| IdahoIdaho | $517.41 | $336.41 |
| East St. Louis, ILIllinois | $537.99 | $357.00 |
| Rest of IllinoisIllinois | $529.34 | $349.73 |
| Suburban Chicago, ILIllinois | $576.06 | $374.02 |
| IndianaIndiana | $520.21 | $337.84 |
| KansasKansas | $511.82 | $333.97 |
| KentuckyKentucky | $511.68 | $336.79 |
| New Orleans, LALouisiana | $534.14 | $349.02 |
| Rest of LouisianaLouisiana | $510.76 | $336.65 |
| Metropolitan Boston, MAMassachusetts | $632.56 | $397.66 |
| Rest of MassachusettsMassachusetts | $574.28 | $367.12 |
| Baltimore area, MDMaryland | $587.66 | $376.57 |
| Rest of MarylandMaryland | $559.52 | $360.43 |
| Rest of MaineMaine | $519.40 | $338.40 |
| Southern Maine, MEMaine | $546.15 | $351.19 |
| Detroit, MIMichigan | $550.49 | $360.65 |
| Rest of MichiganMichigan | $523.55 | $343.93 |
| MinnesotaMinnesota | $555.93 | $353.49 |
| Metropolitan Kansas City, MOMissouri | $531.27 | $346.54 |
| Metropolitan St. Louis, MOMissouri | $536.48 | $349.19 |
| Rest of MissouriMissouri | $502.34 | $332.76 |
| MississippiMississippi | $498.83 | $329.44 |
| MontanaMontana | $554.43 | $357.70 |
| North CarolinaNorth Carolina | $524.50 | $340.95 |
| North DakotaNorth Dakota | $546.52 | $349.79 |
| NebraskaNebraska | $517.26 | $335.68 |
| New HampshireNew Hampshire | $568.16 | $363.37 |
| Northern New JerseyNew Jersey | $625.84 | $397.63 |
| Rest of New JerseyNew Jersey | $596.90 | $382.07 |
| New MexicoNew Mexico | $526.01 | $345.61 |
| NevadaNevada | $552.60 | $355.67 |
| NYC suburbs and Long Island, NYNew York | $647.42 | $413.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $600.36 | $384.94 |
| Queens, NYNew York | $639.25 | $406.71 |
| Rest of New YorkNew York | $531.73 | $344.84 |
| OhioOhio | $521.93 | $342.31 |
| OklahomaOklahoma | $511.34 | $335.66 |
| Portland, OROregon | $595.33 | $376.76 |
| Rest of OregonOregon | $548.99 | $353.04 |
| Metropolitan Philadelphia, PAPennsylvania | $575.40 | $370.60 |
| Rest of PennsylvaniaPennsylvania | $522.96 | $342.36 |
| Puerto RicoPuerto Rico | $558.38 | $359.49 |
| Rhode IslandRhode Island | $568.54 | $365.32 |
| South CarolinaSouth Carolina | $523.94 | $342.16 |
| South DakotaSouth Dakota | $545.58 | $348.85 |
| TennesseeTennessee | $514.14 | $335.31 |
| Austin, TXTexas | $575.02 | $366.88 |
| Beaumont, TXTexas | $519.75 | $340.72 |
| Brazoria, TXTexas | $549.47 | $354.51 |
| Dallas, TXTexas | $552.55 | $356.61 |
| Fort Worth, TXTexas | $548.97 | $355.00 |
| Galveston, TXTexas | $550.86 | $355.51 |
| Houston, TXTexas | $558.18 | $362.83 |
| Rest of TexasTexas | $534.03 | $347.33 |
| UtahUtah | $530.59 | $345.66 |
| VirginiaVirginia | $544.15 | $350.76 |
| Virgin Islands, VIUnited States Virgin Islands | $558.38 | $359.49 |
| Rest of WashingtonWashington | $573.30 | $366.14 |
| King County, WAWashington | $645.46 | $404.07 |
| WisconsinWisconsin | $529.46 | $340.99 |
| West VirginiaWest Virginia | $511.08 | $340.12 |
| WyomingWyoming | $550.98 | $354.25 |
68130 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.
$495.09
$659.70
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $655.84 | 1 |
| AL | $501.77 | 1 |
| AR | $495.09 | 1 |
| AZ | $540.90 | 1 |
| CA | $587.09–$732.31 | 29 |
| CO | $577.53 | 1 |
| CT | $589.46 | 1 |
| DC | $631.70 | 1 |
| DE | $549.43 | 1 |
| FL | $544.67–$590.26 | 3 |
| GA | $516.51–$563.64 | 2 |
| GU | $600.22 | 1 |
| HI | $600.22 | 1 |
| IA | $514.52 | 1 |
| ID | $517.41 | 1 |
| IL | $529.34–$576.06 | 4 |
| IN | $520.21 | 1 |
| KS | $511.82 | 1 |
| KY | $511.68 | 1 |
| LA | $510.76–$534.14 | 2 |
| MA | $574.28–$632.56 | 2 |
| MD | $559.52–$631.70 | 3 |
| ME | $519.40–$546.15 | 2 |
| MI | $523.55–$550.49 | 2 |
| MN | $555.93 | 1 |
| MO | $502.34–$536.48 | 3 |
| MS | $498.83 | 1 |
| MT | $554.43 | 1 |
| NC | $524.50 | 1 |
| ND | $546.52 | 1 |
| NE | $517.26 | 1 |
| NH | $568.16 | 1 |
| NJ | $596.90–$625.84 | 2 |
| NM | $526.01 | 1 |
| NV | $552.60 | 1 |
| NY | $531.73–$647.42 | 5 |
| OH | $521.93 | 1 |
| OK | $511.34 | 1 |
| OR | $548.99–$595.33 | 2 |
| PA | $522.96–$575.40 | 2 |
| PR | $558.38 | 1 |
| RI | $568.54 | 1 |
| SC | $523.94 | 1 |
| SD | $545.58 | 1 |
| TN | $514.14 | 1 |
| TX | $519.75–$575.02 | 8 |
| UT | $530.59 | 1 |
| VA | $544.15–$631.70 | 2 |
| VI | $558.38 | 1 |
| VT | $544.10 | 1 |
| WA | $573.30–$645.46 | 2 |
| WI | $529.46 | 1 |
| WV | $511.08 | 1 |
| WY | $550.98 | 1 |
How the 68130 rate is calculated
Each of 68130’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 · 68130
RVUs × geographic indexes × conversion factor
Work4.97
4.97 RVUs× 1.000 GPCI
Practice expense11.23
11.23 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
16.6000
Conversion factor
$33.4009
Medicare rate
$554.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,538
- Code
- 68130
- Physician work
- 4.97
- Practice expense
- 11.23
- Malpractice
- 0.40
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.97 | × 1.000 | 4.9700 |
| Practice expense | 11.23 | × 0.990 | 11.1177 |
| Malpractice | 0.40 | × 0.506 | 0.2024 |
| Total RVUs | 16.2901 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$544.10
Office: (4.97 × 1 + 11.23 × 0.99 + 0.4 × 0.506) × $33.4009 = $544.10
Facility: (4.97 × 1 + 5.34 × 0.99 + 0.4 × 0.506) × $33.4009 = $349.34
Payment rules and modifiers for 68130
68130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68130
Conjunctival excision, adjacent sclera included
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 68130
Conjunctival excision, adjacent sclera included
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
68130 without 50 · national office
$554.45
Conjunctival excision, adjacent sclera included
68130-50 · Bilateral: 150%
$831.68
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).
How 68130 has changed in Vermont
68130 · Office / nonfacility
$544.10
Effective 2026-10-01
The base rate is $25.21 higher than on 2025-10-01, moving from $518.89 to $544.10 (4.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$518.89changed to$544.10
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.10 changed to 4.97
- Practice expense RVU 10.81 changed to 11.23
- Practice expense GPCI 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$540.92changed to$518.89
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 11.02 changed to 10.81
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$532.10changed to$540.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$549.09changed to$532.10
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.93 changed to 11.02
- Malpractice RVU 0.38 changed to 0.40
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$558.98changed to$549.09
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.82 changed to 10.93
- Malpractice RVU 0.39 changed to 0.38
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$565.02changed to$558.98
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.86 changed to 10.82
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$556.91changed to$565.02
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.03 changed to 10.86
- Malpractice RVU 0.38 changed to 0.39
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$557.90changed to$556.91
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.01 changed to 10.03
- Malpractice RVU 0.37 changed to 0.38
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$553.27changed to$557.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 9.90 changed to 10.01
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$544.57changed to$553.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 9.74 changed to 9.90
- Practice expense GPCI 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$541.41changed to$544.57
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 9.73 changed to 9.74
- Practice expense GPCI 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$542.75changed to$541.41
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 9.72 changed to 9.73
- Malpractice RVU 0.36 changed to 0.37
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$540.05changed to$542.75
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$539.21changed to$540.05
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 9.69 changed to 9.72
- Malpractice RVU 0.33 changed to 0.36
- Practice expense GPCI 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$539.21
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $544.10 | $349.34 | RVU26D |
| 2026-07-01 | $544.10 | $349.34 | RVU26C |
| 2026-04-01 | $544.10 | $349.34 | RVU26B |
| 2026-01-01 | $544.10 | $349.34 | RVU26A |
| 2025-10-01 | $518.89 | $390.09 | RVU25D |
| 2025-07-01 | $518.89 | $390.09 | RVU25C |
| 2025-04-01 | $518.89 | $390.09 | RVU25B |
| 2025-01-01 | $518.89 | $390.09 | RVU25A |
| 2024-10-01 | $540.92 | $401.43 | RVU24D |
| 2024-07-01 | $540.92 | $401.43 | RVU24C |
| 2024-04-01 | $540.92 | $401.43 | RVU24B |
| 2024-03-09 | $540.92 | $401.43 | RVU24AR |
| 2024-01-01 | $532.10 | $394.88 | RVU24A |
| 2023-10-01 | $549.09 | $403.48 | RVU23D |
| 2023-07-01 | $549.09 | $403.48 | RVU23C |
| 2023-04-01 | $549.09 | $403.48 | RVU23B |
| 2023-01-01 | $549.09 | $403.48 | RVU23A |
| 2022-10-01 | $558.98 | $407.26 | RVU22D |
| 2022-07-01 | $558.98 | $407.26 | RVU22C |
| 2022-04-01 | $558.98 | $407.26 | RVU22B |
| 2022-01-01 | $558.98 | $407.26 | RVU22A |
| 2021-10-01 | $565.02 | $409.24 | RVU21D |
| 2021-07-01 | $565.02 | $409.24 | RVU21C |
| 2021-04-01 | $565.02 | $409.24 | RVU21B |
| 2021-01-01 | $565.02 | $409.24 | RVU21A |
| 2020-10-01 | $556.91 | $416.13 | RVU20D |
| 2020-07-01 | $556.91 | $416.13 | RVU20C |
| 2020-04-01 | $556.91 | $416.13 | RVU20B |
| 2020-01-01 | $556.91 | $416.13 | RVU20A |
| 2019-10-01 | $557.90 | $420.72 | RVU19D |
| 2019-07-01 | $557.90 | $420.72 | RVU19C |
| 2019-04-01 | $557.90 | $420.72 | RVU19B |
| 2019-01-01 | $557.90 | $420.72 | RVU19A |
| 2018-10-01 | $553.27 | $421.36 | RVU18D |
| 2018-07-01 | $553.27 | $421.36 | RVU18C |
| 2018-04-01 | $553.27 | $421.36 | RVU18B |
| 2018-01-01 | $553.27 | $421.36 | RVU18AR1 |
| 2017-10-01 | $544.57 | $416.62 | RVU17D |
| 2017-07-01 | $544.57 | $416.62 | RVU17C |
| 2017-04-01 | $544.57 | $416.62 | RVU17B |
| 2017-01-01 | $544.57 | $416.62 | RVU17A |
| 2016-10-01 | $541.41 | $414.87 | RVU16D |
| 2016-07-01 | $541.41 | $414.87 | RVU16C |
| 2016-04-01 | $541.41 | $414.87 | RVU16B |
| 2016-01-01 | $541.41 | $414.87 | RVU16A |
| 2015-10-01 | $542.75 | $415.04 | RVU15D |
| 2015-07-01 | $542.75 | $415.04 | RVU15C |
| 2015-04-01 | $540.05 | $412.98 | RVU15B |
| 2015-01-01 | $540.05 | $412.98 | RVU15A |
| 2014-10-01 | $539.21 | $413.44 | RVU14D |
| 2014-07-01 | $539.21 | $413.44 | RVU14C |
| 2014-04-01 | $539.21 | $413.44 | RVU14B |
| 2014-01-01 | $539.21 | $413.44 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
68130 billing questions
When should 68130 be chosen over 68110 or 68115?
Use 68130 when adjacent sclera is excised with the conjunctival lesion. The size-based codes describe conjunctival lesion excision without that scleral component.
What operative documentation supports 68130?
Document the lesion's site and the removal of adjacent sclera, along with the operative work performed. The scleral excision distinguishes this service from conjunctival excision alone.
Can modifier 50 be used for bilateral excision?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS treat other procedures performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50%. Assistant-at-surgery payment is statutorily restricted, and 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
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