CPT code 68135: Lesion destruction, conjunctiva2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $156.25 for 68135 in the office and $126.82 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 68135 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 68135 covers

An ophthalmologist typically uses a destructive technique, such as cryotherapy or cautery, to treat a lesion on the conjunctiva, the membrane covering the eye’s front surface and lining the eyelids. A conjunctival papilloma is one example of a lesion that may be treated this way. The service may be performed in an office or facility setting, depending on the procedure and patient circumstances.

Select this code when the lesion is destroyed rather than removed by excision or sampled for diagnosis. Document the treated eye, lesion location and characteristics, and method of destruction. The 10-day global period includes related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this code; 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 68135

Across 109 of 109 payment localities, the office rate for 68135 runs from $144.09 in Arkansas to $205.28 in San Benito County, CA. Vermont pays $156.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68135 rates by state

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

See 68135 in every payment locality

How the 68135 rate is calculated

Each of 68135’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 68135

68135 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 68135

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

How 68135 has changed in Vermont

Price 68135 for an earlier date of service

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

Browse all communities in Vermont

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