CPT code 68320: Conjunctivoplasty, graft or extensive rearrangement2026 Medicare rate & RVUs in Oregon
Report this service when an ophthalmic surgeon reconstructs the conjunctival lining using a conjunctival graft or extensive tissue rearrangement.
Medicare pays $740.06–$803.33 for 68320 in the office in Oregon, from Rest of Oregon to Portland, OR. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 68320 covers
An ophthalmic surgeon uses this code to repair or reconstruct the conjunctival lining when a graft of conjunctival tissue or extensive rearrangement is needed. The work may address scarred or contracted tissue that interferes with the lining’s function, including changes associated with adhesions or ocular surface injury. It is performed in an ophthalmic surgical setting by a surgeon managing the affected eye and surrounding tissues.
Choose the code based on the documented reconstruction method and extent, distinguishing graft-based or extensive rearrangement from a procedure without grafting or a different graft type. The operative report should identify the affected area, the tissue used or rearranged, and the reconstructive work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, CMS pays 150%. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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.
Where 68320 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | $803.33 | $493.48 |
| Rest of Oregon | $740.06 | $462.28 |
How the 68320 rate is calculated
Each of 68320’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 · 68320
RVUs × geographic indexes × conversion factor
Work6.47
6.47 RVUs× 1.000 GPCI
Practice expense15.39
15.39 RVUs× 1.000 GPCI
Malpractice0.51
0.51 RVUs× 1.000 GPCI
Adjusted RVUs
22.3700
Conversion factor
$33.4009
Medicare rate
$747.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 68320
68320 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68320
Conjunctivoplasty, graft or extensive rearrangement
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 68320
Conjunctivoplasty, graft or extensive rearrangement
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
68320 without 50 · national office
$747.18
Conjunctivoplasty, graft or extensive rearrangement
68320-50 · Bilateral: 150%
$1,120.77
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).
68320 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 68330Symblepharon repairWithout graft
- Use 68320 for conjunctival grafting or extensive tissue rearrangement; 68330 describes conjunctivoplasty without a graft.
- 68325ConjunctivoplastyMucous membrane graft
- Use 68325 when the reconstruction uses a buccal mucous membrane graft. This code covers a conjunctival graft or extensive rearrangement.
- 68340Adhesion releaseEyelid adhesions
- Use 68340 for separating eyelid adhesions. Choose 68320 when the documented service reconstructs the conjunctival lining with a graft or extensive rearrangement.
68320 billing questions
When should I report this instead of 68330?
Report 68320 when the reconstruction uses a conjunctival graft or extensive tissue rearrangement. Code 68330 is for conjunctivoplasty without a graft.
What operative details support 68320?
Document the affected conjunctival area, the graft or rearrangement performed, and the extent of the reconstruction. The record should make the method distinguishable from a procedure without grafting.
How does CMS treat bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
Does the surgical assistant receive payment?
CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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