CPT code 68330: Symblepharon repair, without graft2026 Medicare rate & RVUs
Repairs symblepharon by releasing conjunctival scar adhesions and restoring separation of the eyelid and eye surfaces without a graft.
Medicare pays $623.93 for 68330 nationally in the office and $397.47 in a hospital or facility. Local office rates run $557.46–$823.85.
Medicare rate · 68330
Symblepharon repair, without graft
- Work RVUs
- 5.64
- Total RVUs
- 18.68
- Global days
- 090
National rate · 2026
$623.93
Office setting, before claim adjustments.
See every locality for 68330 →Billed by an NP, PA or therapist? →
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 10 sections
What 68330 covers
Symblepharon is an adhesion between the conjunctiva lining the eyelid and the conjunctiva covering the eye, often following injury, inflammation, or prior surgery. For this repair, an ophthalmic surgeon releases the scar-related attachment and reshapes the involved tissue to restore separation, without placing a graft. The procedure may be performed in an office-based surgical setting or a facility, depending on the case and the surgeon’s approach.
Report 68330 when the operative work repairs symblepharon without a graft; a repair that uses a free conjunctival or buccal mucous membrane graft is represented by a different code. The operative note should identify the adhesion and describe its release and repair, including the side treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; 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.
Where 68330 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$557.46 to $823.85
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $564.94 | $366.79 |
| Alaska | $738.88 | $497.70 |
| Arizona | $608.77 | $389.33 |
| Arkansas | $557.46 | $362.93 |
| Atlanta, GA | $634.18 | $404.10 |
| Austin, TX | $647.04 | $407.45 |
| Bakersfield, CA | $662.16 | $413.97 |
| Baltimore area, MD | $661.15 | $418.16 |
| Beaumont, TX | $585.01 | $378.93 |
| Brazoria, TX | $618.41 | $394.00 |
| Chicago, IL | $646.38 | $418.79 |
| Chico, CA | $660.71 | $412.52 |
| Colorado | $649.91 | $408.95 |
| Connecticut | $663.19 | $419.29 |
| Dallas, TX | $621.85 | $396.30 |
| Delaware | $618.34 | $394.60 |
| Detroit, MI | $619.28 | $400.75 |
| East St. Louis, IL | $605.16 | $396.82 |
| El Centro, CA | $660.79 | $412.59 |
| Fort Lauderdale, FL | $641.27 | $411.87 |
| Fort Worth, TX | $617.84 | $394.55 |
| Fresno, CA | $660.71 | $412.52 |
| Galveston, TX | $619.96 | $395.09 |
| Hanford, CA | $660.71 | $412.52 |
| Hawaii, Guam, HI | $675.40 | $417.92 |
| Houston, TX | $628.02 | $403.14 |
| Idaho | $582.52 | $374.17 |
| Indiana | $585.65 | $375.73 |
| Iowa | $579.29 | $372.09 |
| Kansas | $576.24 | $371.52 |
| Kentucky | $575.97 | $374.64 |
| King County, WA | $726.19 | $448.33 |
| Los Angeles, CA | $703.73 | $435.83 |
| Madera, CA | $660.71 | $412.52 |
| Manhattan, NY | $712.78 | $449.63 |
| Marin County, CA | $806.42 | $487.12 |
| Merced, CA | $660.71 | $412.52 |
| Metropolitan Boston, MA | $711.68 | $441.29 |
| Metropolitan Kansas City, MO | $597.92 | $385.27 |
| Metropolitan Philadelphia, PA | $647.41 | $411.67 |
| Metropolitan St. Louis, MO | $603.76 | $388.17 |
| Miami, FL | $663.65 | $427.91 |
| Minnesota | $625.79 | $392.76 |
| Mississippi | $561.59 | $366.61 |
| Modesto, CA | $660.71 | $412.52 |
| Montana | $623.90 | $397.44 |
| Napa, CA | $762.40 | $463.93 |
| Nebraska | $582.38 | $373.36 |
| Nevada | $621.90 | $395.21 |
| New Hampshire | $639.35 | $403.60 |
| New Mexico | $591.95 | $384.29 |
| New Orleans, LA | $601.10 | $388.00 |
| North Carolina | $590.43 | $379.14 |
| North Dakota | $615.20 | $388.74 |
| Northern New Jersey | $704.13 | $441.44 |
| NYC suburbs and Long Island, NY | $728.12 | $458.86 |
| Ohio | $587.43 | $380.68 |
| Oklahoma | $575.62 | $373.39 |
| Oxnard, CA | $700.26 | $432.58 |
| Portland, OR | $669.90 | $418.30 |
| Poughkeepsie and northern NYC suburbs, NY | $675.47 | $427.50 |
| Puerto Rico | $628.34 | $399.39 |
| Queens, NY | $719.08 | $451.40 |
| Redding, CA | $660.71 | $412.52 |
| Rest of California | $660.71 | $412.52 |
| Rest of Florida | $612.80 | $396.31 |
| Rest of Georgia | $581.30 | $379.30 |
| Rest of Illinois | $595.59 | $388.83 |
| Rest of Louisiana | $574.91 | $374.50 |
| Rest of Maine | $584.71 | $376.36 |
| Rest of Maryland | $629.66 | $400.48 |
| Rest of Massachusetts | $646.26 | $407.80 |
| Rest of Michigan | $589.21 | $382.45 |
| Rest of Missouri | $565.47 | $370.26 |
| Rest of New Jersey | $671.61 | $424.32 |
| Rest of New York | $598.52 | $383.39 |
| Rest of Oregon | $617.88 | $392.33 |
| Rest of Pennsylvania | $588.61 | $380.72 |
| Rest of Texas | $601.04 | $386.13 |
| Rest of Washington | $645.17 | $406.71 |
| Rhode Island | $639.81 | $405.88 |
| Riverside, CA | $665.56 | $417.36 |
| Sacramento, CA | $692.49 | $429.12 |
| Salinas, CA | $689.86 | $427.40 |
| San Benito County, CA | $823.85 | $497.30 |
| San Diego, CA | $705.34 | $434.49 |
| San Francisco, CA | $805.92 | $486.62 |
| San Luis Obispo, CA | $678.81 | $420.87 |
| Santa Clara County, CA | $821.81 | $495.25 |
| Santa Cruz, CA | $711.55 | $436.40 |
| Santa Maria, CA | $692.25 | $428.20 |
| Santa Rosa, CA | $718.72 | $440.62 |
| South Carolina | $589.74 | $380.49 |
| South Dakota | $614.17 | $387.71 |
| Southern Maine, ME | $614.72 | $390.30 |
| Stockton, CA | $660.71 | $412.52 |
| Suburban Chicago, IL | $647.96 | $415.38 |
| Tennessee | $578.83 | $372.98 |
| Utah | $597.18 | $384.31 |
| Vallejo, CA | $761.68 | $463.21 |
| Vermont | $612.46 | $388.27 |
| Virgin Islands, VI | $628.34 | $399.39 |
| Virginia | $612.45 | $389.85 |
| Visalia, CA | $660.71 | $412.52 |
| Washington, DC area | $710.67 | $443.91 |
| West Virginia | $575.13 | $378.34 |
| Wisconsin | $596.08 | $379.14 |
| Wyoming | $620.11 | $393.65 |
| Yuba City, CA | $660.71 | $412.52 |
68330 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.
$557.46
$742.28
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 | $738.88 | 1 |
| AL | $564.94 | 1 |
| AR | $557.46 | 1 |
| AZ | $608.77 | 1 |
| CA | $660.71–$823.85 | 29 |
| CO | $649.91 | 1 |
| CT | $663.19 | 1 |
| DC | $710.67 | 1 |
| DE | $618.34 | 1 |
| FL | $612.80–$663.65 | 3 |
| GA | $581.30–$634.18 | 2 |
| GU | $675.40 | 1 |
| HI | $675.40 | 1 |
| IA | $579.29 | 1 |
| ID | $582.52 | 1 |
| IL | $595.59–$647.96 | 4 |
| IN | $585.65 | 1 |
| KS | $576.24 | 1 |
| KY | $575.97 | 1 |
| LA | $574.91–$601.10 | 2 |
| MA | $646.26–$711.68 | 2 |
| MD | $629.66–$710.67 | 3 |
| ME | $584.71–$614.72 | 2 |
| MI | $589.21–$619.28 | 2 |
| MN | $625.79 | 1 |
| MO | $565.47–$603.76 | 3 |
| MS | $561.59 | 1 |
| MT | $623.90 | 1 |
| NC | $590.43 | 1 |
| ND | $615.20 | 1 |
| NE | $582.38 | 1 |
| NH | $639.35 | 1 |
| NJ | $671.61–$704.13 | 2 |
| NM | $591.95 | 1 |
| NV | $621.90 | 1 |
| NY | $598.52–$728.12 | 5 |
| OH | $587.43 | 1 |
| OK | $575.62 | 1 |
| OR | $617.88–$669.90 | 2 |
| PA | $588.61–$647.41 | 2 |
| PR | $628.34 | 1 |
| RI | $639.81 | 1 |
| SC | $589.74 | 1 |
| SD | $614.17 | 1 |
| TN | $578.83 | 1 |
| TX | $585.01–$647.04 | 8 |
| UT | $597.18 | 1 |
| VA | $612.45–$710.67 | 2 |
| VI | $628.34 | 1 |
| VT | $612.46 | 1 |
| WA | $645.17–$726.19 | 2 |
| WI | $596.08 | 1 |
| WV | $575.13 | 1 |
| WY | $620.11 | 1 |
How the 68330 rate is calculated
Each of 68330’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 · 68330
RVUs × geographic indexes × conversion factor
Work5.64
5.64 RVUs× 1.000 GPCI
Practice expense12.60
12.60 RVUs× 1.000 GPCI
Malpractice0.44
0.44 RVUs× 1.000 GPCI
Adjusted RVUs
18.6800
Conversion factor
$33.4009
Medicare rate
$623.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 68330
68330 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68330
Symblepharon repair, without graft
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 68330
Symblepharon repair, without graft
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
68330 without 50 · national office
$623.93
Symblepharon repair, without graft
68330-50 · Bilateral: 150%
$935.89
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).
68330 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 68335Symblepharon repairWith graft
- Both address symblepharon repair, but 68335 includes a free conjunctival or buccal mucous membrane graft; 68330 is the repair without a graft.
- 68340Adhesion releaseEyelid adhesions
- 68340 describes severing conjunctival or eyelid adhesions. Choose 68330 when the operative service repairs symblepharon, not merely releases adhesions.
- 68360ConjunctivoplastyCul-de-sac reconstruction
- 68360 describes conjunctival fornix reconstruction using a conjunctival graft. 68330 is for symblepharon repair without a graft.
68330 billing questions
When should 68330 be chosen instead of 68335?
Use 68330 for symblepharon repair without a graft. Use 68335 when the repair includes a free conjunctival or buccal mucous membrane graft.
Can conjunctival adhesion release be billed separately?
Release of the adhesion is part of repairing the symblepharon. Do not separately report 68340 for the same release when it is integral to the repair.
How is bilateral repair reported?
For bilateral surgery, report modifier 50. CMS pays bilateral procedures at 150%.
What documentation supports 68330?
Document the symblepharon, the affected side, and the operative work releasing and repairing the adhesion. The note should make clear that no graft was used.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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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