FeeBase
Log inGet started
Menu

CPT code 68335: Symblepharon repair, with graft2026 Medicare rate & RVUs

Repair scar adhesions joining the eyelid and ocular conjunctiva with a graft to restore the conjunctival lining and fornix.

CMS RVU26DEffective Oct 1, 2026109 payment localities503 Medicare services in 2024

Medicare pays $553.45 for 68335 nationally in a facility.

Medicare rate · 68335

Symblepharon repair, with graft

Office or facility?

Work RVUs
8.25
Total RVUs
16.57
Global days
090

National rate · 2026

$553.45

Facility setting, before claim adjustments.

See every locality for 68335 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 68335 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 68335 covers

This procedure addresses symblepharon, in which scar tissue adheres the eyelid lining to the conjunctiva covering the eye. An ophthalmic surgeon releases the adhesion and uses a graft to reconstruct the affected conjunctival surface or fornix. It may be performed in an operating room when scarring limits eye movement, disrupts the ocular surface, or prevents normal lid position.

Report this code when the repair includes graft reconstruction, rather than adhesion release alone. The operative note should identify the affected side and site, describe the adhesions and their release, and document graft placement. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery services are not paid; 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 68335 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

68335 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$511.80
AlaskaUnavailable$697.79
ArizonaUnavailable$542.31
ArkansasUnavailable$506.57
Atlanta, GAUnavailable$562.87
Austin, TXUnavailable$566.27
Bakersfield, CAUnavailable$574.47
Baltimore area, MDUnavailable$581.82
Beaumont, TXUnavailable$528.87
Brazoria, TXUnavailable$548.43

68335 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.

View every state and territory as a table
68335 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 68335 rate is calculated

Each of 68335’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 · 68335

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.25

8.25 RVUs× 1.000 GPCI

Practice expense7.65

7.65 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

16.5700

Conversion factor

$33.4009

Medicare rate

$553.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 68335

68335 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68335

Symblepharon repair, with 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)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 · 68335

Symblepharon repair, with 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

68335 without 50 · national facility

$553.45

Symblepharon repair, with graft

68335-50 · Bilateral: 150%

$830.18

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

68335 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 68335

    Symblepharon repair, with graft8.25 wRVU

    Not priced

  • 68330

    Symblepharon repair, without graft5.64 wRVU

    $623.93

  • 68340

    Adhesion release, eyelid adhesions4.85 wRVU

    $622.26

  • 68320

    Conjunctivoplasty, graft or extensive rearrangement6.47 wRVU

    $747.18

How to choose

68330Symblepharon repairWithout graft
Both address symblepharon, but 68335 includes graft reconstruction; 68330 is the repair without a graft.
68340Adhesion releaseEyelid adhesions
68340 describes severing conjunctival or fornix adhesions. Choose 68335 when the repair includes graft reconstruction.
68320ConjunctivoplastyGraft or extensive rearrangement
68320 is conjunctivoplasty involving a graft or extensive rearrangement. 68335 is the graft-based repair for symblepharon.

Codes related to 68335

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

Codes related to 68335
CodeHow it relatesNational office range
Same family
68330Symblepharon repair, without graftSymblepharon repair without graft; the presence of graft reconstruction distinguishes 68335.$557.46–$823.85
Used instead
68340Adhesion release, eyelid adhesionsUsed for severing conjunctival or fornix adhesions when the service is adhesion division rather than graft repair.$549.78–$823.54
68320Conjunctivoplasty, graft or extensive rearrangementConjunctival reconstruction with graft or extensive rearrangement for a different repair approach.$666.44–$990.25
68325Conjunctivoplasty, mucous membrane graftConjunctival reconstruction using a mucous membrane graft, for a different reconstructive service.No office rate

68335 billing questions

When is 68335 used instead of 68330?

Use 68335 when the symblepharon repair includes a graft. Code 68330 describes repair without a graft.

Can adhesion release be reported separately?

The adhesion release that is part of the graft repair is integral to the service. A separate code may be considered only for a distinct, separately performed procedure supported by the operative note.

How is bilateral repair reported?

For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.

Does the global period include postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included.

Can an assistant surgeon or co-surgeon be billed?

Assistant-at-surgery services are not paid for this code. Co-surgeons are paid only when supporting documentation is provided.

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 68335PPRRVU2026_Oct_nonQPP.csv, line 7,546 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 68335 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 68335 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet