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CPT code 68320: Conjunctivoplasty, graft or extensive rearrangement2026 Medicare rate & RVUs in Virginia

Report this service when an ophthalmic surgeon reconstructs the conjunctival lining using a conjunctival graft or extensive tissue rearrangement.

CMS RVU26DEffective Oct 1, 2026One payment locality5.6K Medicare services in 2024

In Virginia, Medicare pays $733.43 for 68320 in the office and $459.28 when it’s performed in a hospital or facility.

$733.43Office (non-facility)
$459.28Hospital or facility
−1.8%vs the national office rate ($747.18)

Check a contract rate as a % of Medicare · 68320 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 68320 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 68320 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 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.

How Virginia compares for 68320

Across 109 of 109 payment localities, the office rate for 68320 runs from $666.44 in Arkansas to $990.25 in San Benito County, CA. Virginia pays $733.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

68320 in Virginia vs other payment areas
  1. Virginia · this page$733.43
  2. Los Angeles, CA · California$844.38+$110.95
  3. Washington, DC area · District of Columbia$852.27+$118.84
  4. Miami, FL · Florida$794.30+$60.87
  5. Chicago, IL · Illinois$773.32+$39.89
  6. Manhattan, NY · New York$854.27+$120.84
  7. Alaska · Alaska$880.99+$147.56

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

Every other payment area

68320 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$675.53$431.49
ArkansasArkansas$666.44$426.86
ArizonaArizona$728.79$458.54
Bakersfield, CACalifornia$793.97$488.30
Chico, CACalifornia$792.30$486.62
El Centro, CACalifornia$792.38$486.71
Fresno, CACalifornia$792.30$486.62
Hanford, CACalifornia$792.30$486.62

68320 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.

$666.44

$891.28

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

View every state and territory as a table
68320 office rate range by state
State / territoryOffice rate rangeLocalities
AK$880.991
AL$675.531
AR$666.441
AZ$728.791
CA$792.30–$990.2529
CO$778.941
CT$794.661
DC$852.271
DE$740.371
FL$733.13–$794.303
GA$694.93–$759.482
GU$810.431
HI$810.431
IA$693.211
ID$697.081
IL$712.05–$775.724
IN$700.901
KS$689.381
KY$688.671
LA$687.35–$719.172
MA$774.42–$853.892
MD$754.11–$852.273
ME$699.62–$736.272
MI$704.65–$740.872
MN$750.091
MO$675.80–$722.543
MS$671.281
MT$747.141
NC$706.591
ND$737.061
NE$697.001
NH$766.121
NJ$804.77–$844.202
NM$707.941
NV$744.851
NY$716.42–$872.765
OH$702.591
OK$688.381
OR$740.06–$803.332
PA$704.09–$775.432
PR$752.581
RI$766.411
SC$705.561
SD$735.871
TN$692.511
TX$699.71–$775.488
UT$714.601
VA$733.43–$852.272
VI$752.581
VT$733.621
WA$773.16–$871.552
WI$713.801
WV$687.181
WY$742.751

See 68320 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,541

Code
68320
Physician work
6.47
Practice expense
15.39
Malpractice
0.51

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 68320 in Virginia
ComponentRVULocality factorAdjusted
Physician work6.47× 1.0006.4700
Practice expense15.39× 0.98315.1284
Malpractice0.51× 0.7060.3601
Total RVUs21.9584
Conversion factor× 33.4009

Office rate, Virginia$733.43

Office: (6.47 × 1 + 15.39 × 0.983 + 0.51 × 0.706) × $33.4009 = $733.43

Facility: (6.47 × 1 + 7.04 × 0.983 + 0.51 × 0.706) × $33.4009 = $459.28

Open 68320 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 68320

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

Codes related to 68320
CodeHow it relatesOffice range, Virginia
Same family
68330Symblepharon repair, without graftConjunctivoplasty in the same family, performed without a graft.$612.45
68325Conjunctivoplasty, mucous membrane graftRelated conjunctival reconstruction using a buccal mucous membrane graft.No office rate
68326Fornix reconstruction, with mucous membrane graftRelated conjunctival reconstruction using another mucous membrane graft.No office rate
68328Eyelid lining repair, graft reconstructionRelated conjunctival reconstruction using a free skin graft.No office rate
Used instead
68340Adhesion release, eyelid adhesionsFor separating eyelid adhesions when that work does not involve this reconstruction.$608.33

How 68320 has changed in Virginia

68320 · Office / nonfacility

$733.43

Effective 2026-10-01

The base rate is $34.21 higher than on 2025-10-01, moving from $699.22 to $733.43 (4.9%).

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

    $699.22changed to$733.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.64 changed to 6.47
    • Practice expense RVU 14.80 changed to 15.39
    • Malpractice RVU 0.53 changed to 0.51
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $727.42changed to$699.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.04 changed to 14.80

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $715.55changed to$727.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $741.39changed to$715.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.95 changed to 15.04
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $754.78changed to$741.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.76 changed to 14.95
    • Malpractice RVU 0.54 changed to 0.53
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $762.18changed to$754.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.82 changed to 14.76
    • Malpractice RVU 0.51 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $747.27changed to$762.18

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.72 changed to 14.82
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $741.77changed to$747.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.68 changed to 13.72
    • Malpractice RVU 0.50 changed to 0.52
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $735.64changed to$741.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.53 changed to 13.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $724.71changed to$735.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.32 changed to 13.53
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $720.95changed to$724.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.31 changed to 13.32
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $722.90changed to$720.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.30 changed to 13.31
    • Malpractice RVU 0.49 changed to 0.50

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $719.30changed to$722.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $736.95changed to$719.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.24 changed to 13.30
    • Malpractice RVU 1.23 changed to 0.49
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $742.64changed to$736.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.58 changed to 13.24
    • Malpractice RVU 1.29 changed to 1.23
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $742.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$733.43$459.28RVU26D
2026-07-01$733.43$459.28RVU26C
2026-04-01$733.43$459.28RVU26B
2026-01-01$733.43$459.28RVU26A
2025-10-01$699.22$511.75RVU25D
2025-07-01$699.22$511.75RVU25C
2025-04-01$699.22$511.75RVU25B
2025-01-01$699.22$511.75RVU25A
2024-10-01$727.42$526.31RVU24D
2024-07-01$727.42$526.31RVU24C
2024-04-01$727.42$526.31RVU24B
2024-03-09$727.42$526.31RVU24AR
2024-01-01$715.55$517.72RVU24A
2023-10-01$741.39$531.72RVU23D
2023-07-01$741.39$531.72RVU23C
2023-04-01$741.39$531.72RVU23B
2023-01-01$741.39$531.72RVU23A
2022-10-01$754.78$536.82RVU22D
2022-07-01$754.78$536.82RVU22C
2022-04-01$754.78$536.82RVU22B
2022-01-01$754.78$536.82RVU22A
2021-10-01$762.18$539.29RVU21D
2021-07-01$762.18$539.29RVU21C
2021-04-01$762.18$539.29RVU21B
2021-01-01$762.18$539.29RVU21A
2020-10-01$747.27$545.56RVU20D
2020-07-01$747.27$545.56RVU20C
2020-04-01$747.27$545.56RVU20B
2020-01-01$747.27$545.56RVU20A
2019-10-01$741.77$546.69RVU19D
2019-07-01$741.77$546.69RVU19C
2019-04-01$741.77$546.69RVU19B
2019-01-01$741.77$546.69RVU19A
2018-10-01$735.64$548.22RVU18D
2018-07-01$735.64$548.22RVU18C
2018-04-01$735.64$548.22RVU18B
2018-01-01$735.64$548.22RVU18AR1
2017-10-01$724.71$541.95RVU17D
2017-07-01$724.71$541.95RVU17C
2017-04-01$724.71$541.95RVU17B
2017-01-01$724.71$541.95RVU17A
2016-10-01$720.95$538.98RVU16D
2016-07-01$720.95$538.98RVU16C
2016-04-01$720.95$538.98RVU16B
2016-01-01$720.95$538.98RVU16A
2015-10-01$722.90$539.93RVU15D
2015-07-01$722.90$539.93RVU15C
2015-04-01$719.30$537.24RVU15B
2015-01-01$719.30$537.24RVU15A
2014-10-01$736.95$557.91RVU14D
2014-07-01$736.95$557.91RVU14C
2014-04-01$736.95$557.91RVU14B
2014-01-01$736.95$557.91RVU14A
2013-10-01$742.64$552.51RVU13D
2013-07-01$742.64$552.51RVU13C
2013-04-01$742.64$552.51RVU13B
2013-01-01$742.64$552.51RVU13AR

Price 68320 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 68320PPRRVU2026_Oct_nonQPP.csv, line 7,541 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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