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CPT code 68330: Symblepharon repair, without graft2026 Medicare rate & RVUs in Queens, NY

Repairs symblepharon by releasing conjunctival scar adhesions and restoring separation of the eyelid and eye surfaces without a graft.

CMS RVU26DEffective Oct 1, 2026One payment locality515 Medicare services in 2024

In Queens, NY, Medicare pays $719.08 for 68330 in the office and $451.40 when it’s performed in a hospital or facility.

$719.08Office (non-facility)
$451.40Hospital or facility
+15.3%vs the national office rate ($623.93)

Check a contract rate as a % of Medicare · 68330 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 68330 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 68330 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 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.

How Queens, NY compares for 68330

Across 109 of 109 payment localities, the office rate for 68330 runs from $557.46 in Arkansas to $823.85 in San Benito County, CA. Queens, NY pays $719.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

68330 in Queens, NY vs other payment areas
  1. Queens, NY · this page$719.08
  2. Manhattan, NY · New York$712.78−$6.30
  3. NYC suburbs and Long Island, NY · New York$728.12+$9.04
  4. Poughkeepsie and northern NYC suburbs, NY · New York$675.47−$43.61
  5. Rest of New York · New York$598.52−$120.56
  6. Los Angeles, CA · California$703.73−$15.35
  7. Washington, DC area · District of Columbia$710.67−$8.41

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

Every other payment area

68330 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$663.65$427.91
Chicago, ILIllinois$646.38$418.79
AlaskaAlaska$738.88$497.70
AlabamaAlabama$564.94$366.79
ArkansasArkansas$557.46$362.93
ArizonaArizona$608.77$389.33
Bakersfield, CACalifornia$662.16$413.97
Chico, CACalifornia$660.71$412.52

68330 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.

$557.46

$742.28

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

View every state and territory as a table
68330 office rate range by state
State / territoryOffice rate rangeLocalities
AK$738.881
AL$564.941
AR$557.461
AZ$608.771
CA$660.71–$823.8529
CO$649.911
CT$663.191
DC$710.671
DE$618.341
FL$612.80–$663.653
GA$581.30–$634.182
GU$675.401
HI$675.401
IA$579.291
ID$582.521
IL$595.59–$647.964
IN$585.651
KS$576.241
KY$575.971
LA$574.91–$601.102
MA$646.26–$711.682
MD$629.66–$710.673
ME$584.71–$614.722
MI$589.21–$619.282
MN$625.791
MO$565.47–$603.763
MS$561.591
MT$623.901
NC$590.431
ND$615.201
NE$582.381
NH$639.351
NJ$671.61–$704.132
NM$591.951
NV$621.901
NY$598.52–$728.125
OH$587.431
OK$575.621
OR$617.88–$669.902
PA$588.61–$647.412
PR$628.341
RI$639.811
SC$589.741
SD$614.171
TN$578.831
TX$585.01–$647.048
UT$597.181
VA$612.45–$710.672
VI$628.341
VT$612.461
WA$645.17–$726.192
WI$596.081
WV$575.131
WY$620.111

See 68330 in every payment locality

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

Office or facility?

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.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,545

Code
68330
Physician work
5.64
Practice expense
12.60
Malpractice
0.44

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 68330 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work5.64× 1.0646.0010
Practice expense12.60× 1.18214.8932
Malpractice0.44× 1.4420.6345
Total RVUs21.5286
Conversion factor× 33.4009

Office rate, Queens, NY$719.08

Office: (5.64 × 1.064 + 12.6 × 1.182 + 0.44 × 1.442) × $33.4009 = $719.08

Facility: (5.64 × 1.064 + 5.82 × 1.182 + 0.44 × 1.442) × $33.4009 = $451.40

Open 68330 in the RVU calculator

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

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 68330

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

Codes related to 68330
CodeHow it relatesOffice range, Queens, NY
Same family
68335Symblepharon repair, with graftSymblepharon repair when a free conjunctival or buccal mucous membrane graft is used.No office rate
Used instead
68340Adhesion release, eyelid adhesionsDescribes severing conjunctival or eyelid adhesions when the service is adhesion release rather than symblepharon repair.$722.13
68320Conjunctivoplasty, graft or extensive rearrangementFor conjunctivoplasty involving extensive rearrangement rather than repair of symblepharon without a graft.$862.09
68360Conjunctivoplasty, cul-de-sac reconstructionFor reconstruction of the conjunctival fornix using a conjunctival graft.$629.50
68362Fornix reconstruction, with mucous membrane graftFor fornix reconstruction using a mucous membrane graft.No office rate

How 68330 has changed in Queens, NY

68330 · Office / nonfacility

$719.08

Effective 2026-10-01

The base rate is $26.85 higher than on 2025-10-01, moving from $692.23 to $719.08 (3.9%).

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

    $692.23changed to$719.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.78 changed to 5.64
    • Practice expense RVU 12.17 changed to 12.60
    • Malpractice RVU 0.48 changed to 0.44
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $719.66changed to$692.23

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.39 changed to 12.17
    • Malpractice RVU 0.45 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $707.92changed to$719.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $744.13changed to$707.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.31 changed to 12.39
    • Malpractice RVU 0.44 changed to 0.45
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $767.58changed to$744.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.16 changed to 12.31
    • Malpractice RVU 0.43 changed to 0.44
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $776.59changed to$767.58

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.20 changed to 12.16
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $750.29changed to$776.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.24 changed to 12.20
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $735.18changed to$750.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.19 changed to 11.24
    • Malpractice RVU 0.42 changed to 0.44
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $728.65changed to$735.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.04 changed to 11.19
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $719.12changed to$728.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.86 changed to 11.04
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $717.07changed to$719.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.85 changed to 10.86
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $718.80changed to$717.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.83 changed to 10.85

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $715.22changed to$718.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $753.22changed to$715.22

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.79 changed to 10.83
    • Malpractice RVU 1.09 changed to 0.43
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $749.28changed to$753.22

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.87 changed to 10.79
    • Malpractice RVU 1.14 changed to 1.09
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $749.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$719.08$451.40RVU26D
2026-07-01$719.08$451.40RVU26C
2026-04-01$719.08$451.40RVU26B
2026-01-01$719.08$451.40RVU26A
2025-10-01$692.23$510.56RVU25D
2025-07-01$692.23$510.56RVU25C
2025-04-01$692.23$510.56RVU25B
2025-01-01$692.23$510.56RVU25A
2024-10-01$719.66$523.56RVU24D
2024-07-01$719.66$523.56RVU24C
2024-04-01$719.66$523.56RVU24B
2024-03-09$719.66$523.56RVU24AR
2024-01-01$707.92$515.01RVU24A
2023-10-01$744.13$538.37RVU23D
2023-07-01$744.13$538.37RVU23C
2023-04-01$744.13$538.37RVU23B
2023-01-01$744.13$538.37RVU23A
2022-10-01$767.58$550.85RVU22D
2022-07-01$767.58$550.85RVU22C
2022-04-01$767.58$550.85RVU22B
2022-01-01$767.58$550.85RVU22A
2021-10-01$776.59$555.49RVU21D
2021-07-01$776.59$555.49RVU21C
2021-04-01$776.59$555.49RVU21B
2021-01-01$776.59$555.49RVU21A
2020-10-01$750.29$555.32RVU20D
2020-07-01$750.29$555.32RVU20C
2020-04-01$750.29$555.32RVU20B
2020-01-01$750.29$555.32RVU20A
2019-10-01$735.18$549.65RVU19D
2019-07-01$735.18$549.65RVU19C
2019-04-01$735.18$549.65RVU19B
2019-01-01$735.18$549.65RVU19A
2018-10-01$728.65$551.97RVU18D
2018-07-01$728.65$551.97RVU18C
2018-04-01$728.65$551.97RVU18B
2018-01-01$728.65$551.97RVU18AR1
2017-10-01$719.12$547.28RVU17D
2017-07-01$719.12$547.28RVU17C
2017-04-01$719.12$547.28RVU17B
2017-01-01$719.12$547.28RVU17A
2016-10-01$717.07$545.78RVU16D
2016-07-01$717.07$545.78RVU16C
2016-04-01$717.07$545.78RVU16B
2016-01-01$717.07$545.78RVU16A
2015-10-01$718.80$546.89RVU15D
2015-07-01$718.80$546.89RVU15C
2015-04-01$715.22$544.17RVU15B
2015-01-01$715.22$544.17RVU15A
2014-10-01$753.22$584.28RVU14D
2014-07-01$753.22$584.28RVU14C
2014-04-01$753.22$584.28RVU14B
2014-01-01$753.22$584.28RVU14A
2013-10-01$749.28$570.39RVU13D
2013-07-01$749.28$570.39RVU13C
2013-04-01$749.28$570.39RVU13B
2013-01-01$749.28$570.39RVU13AR

Price 68330 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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
RVUs for 68330PPRRVU2026_Oct_nonQPP.csv, line 7,545 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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