CPT code 68325: Conjunctivoplasty, mucous membrane graft2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $542.77 for 68325 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 68325 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 68325 covers

An ophthalmologist, often an oculoplastic surgeon, uses this procedure to reconstruct conjunctival lining with a mucous membrane graft. It is used when scarring, contraction, trauma, or adhesions leave the eyelid fornix shortened or inadequately lined, such as in complex ocular-surface or socket reconstruction. The surgeon prepares the affected area and places the graft to restore the lining and support eyelid movement or prosthesis retention. The graft procurement is included in the service.

Select this code when the operative report supports conjunctivoplasty with a mucous membrane graft; document the defect, reconstruction, and graft used. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons are paid only with 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 Utah compares for 68325

Across 109 of 109 payment localities, the facility rate for 68325 runs from $513.47 in Arkansas to $707.76 in Alaska. Utah pays $542.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68325 rates by state

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

See 68325 in every payment locality

How the 68325 rate is calculated

Each of 68325’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 68325

68325 has a 90-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 68325

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

How 68325 has changed in Utah

Price 68325 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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