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

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

CMS RVU26DEffective Oct 1, 2026One payment locality503 Medicare services in 2024

In South Carolina, Medicare pays $530.68 for 68335 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$530.68Hospital or facility

Check a contract rate as a % of Medicare · 68335 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 68335 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 68335 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 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.

How South Carolina compares for 68335

Across 109 of 109 payment localities, the facility rate for 68335 runs from $506.57 in Arkansas to $697.79 in Alaska. South Carolina pays $530.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

68335 in South Carolina vs other payment areas
  1. South Carolina · this page$530.68
  2. Los Angeles, CA · California$603.99+$73.31
  3. Washington, DC area · District of Columbia$616.34+$85.66
  4. Miami, FL · Florida$598.15+$67.47
  5. Chicago, IL · Illinois$585.64+$54.96
  6. Manhattan, NY · New York$625.60+$94.92
  7. Alaska · Alaska$697.79+$167.11

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

Every other payment area

68335 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$511.80
ArkansasArkansas—$506.57
ArizonaArizona—$542.31
Bakersfield, CACalifornia—$574.47
Chico, CACalifornia—$572.28
El Centro, CACalifornia—$572.40
Fresno, CACalifornia—$572.28
Hanford, CACalifornia—$572.28

68335 rates by state

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

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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

See 68335 in every payment locality

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.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,546

Code
68335
Physician work
8.25
Practice expense
7.65
Malpractice
0.67

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Facility calculation for 68335 in South Carolina
ComponentRVULocality factorAdjusted
Physician work8.25× 1.0008.2500
Practice expense7.65× 0.9247.0686
Malpractice0.67× 0.8500.5695
Total RVUs15.8881
Conversion factor× 33.4009

Facility rate, South Carolina$530.68

Facility: (8.25 × 1 + 7.65 × 0.924 + 0.67 × 0.85) × $33.4009 = $530.68

Open 68335 in the RVU calculator

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

How 68335 has changed in South Carolina

68335 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$530.68RVU26D
2026-07-01Not available in this setting$530.68RVU26C
2026-04-01Not available in this setting$530.68RVU26B
2026-01-01Not available in this setting$530.68RVU26A
2025-10-01Not available in this setting$589.07RVU25D
2025-07-01Not available in this setting$589.07RVU25C
2025-04-01Not available in this setting$589.07RVU25B
2025-01-01Not available in this setting$589.07RVU25A
2024-10-01Not available in this setting$605.54RVU24D
2024-07-01Not available in this setting$605.54RVU24C
2024-04-01Not available in this setting$605.54RVU24B
2024-03-09Not available in this setting$605.54RVU24AR
2024-01-01Not available in this setting$595.66RVU24A
2023-10-01Not available in this setting$606.73RVU23D
2023-07-01Not available in this setting$606.73RVU23C
2023-04-01Not available in this setting$606.73RVU23B
2023-01-01Not available in this setting$606.73RVU23A
2022-10-01Not available in this setting$606.52RVU22D
2022-07-01Not available in this setting$606.52RVU22C
2022-04-01Not available in this setting$606.52RVU22B
2022-01-01Not available in this setting$606.52RVU22A
2021-10-01Not available in this setting$610.68RVU21D
2021-07-01Not available in this setting$610.68RVU21C
2021-04-01Not available in this setting$610.68RVU21B
2021-01-01Not available in this setting$610.68RVU21A
2020-10-01Not available in this setting$620.32RVU20D
2020-07-01Not available in this setting$620.32RVU20C
2020-04-01Not available in this setting$620.32RVU20B
2020-01-01Not available in this setting$620.32RVU20A
2019-10-01Not available in this setting$624.10RVU19D
2019-07-01Not available in this setting$624.10RVU19C
2019-04-01Not available in this setting$624.10RVU19B
2019-01-01Not available in this setting$624.10RVU19A
2018-10-01Not available in this setting$625.91RVU18D
2018-07-01Not available in this setting$625.91RVU18C
2018-04-01Not available in this setting$625.91RVU18B
2018-01-01Not available in this setting$625.91RVU18AR1
2017-10-01Not available in this setting$622.35RVU17D
2017-07-01Not available in this setting$622.35RVU17C
2017-04-01Not available in this setting$622.35RVU17B
2017-01-01Not available in this setting$622.35RVU17A
2016-10-01Not available in this setting$621.47RVU16D
2016-07-01Not available in this setting$621.47RVU16C
2016-04-01Not available in this setting$621.47RVU16B
2016-01-01Not available in this setting$621.47RVU16A
2015-10-01Not available in this setting$623.39RVU15D
2015-07-01Not available in this setting$623.39RVU15C
2015-04-01Not available in this setting$620.29RVU15B
2015-01-01Not available in this setting$620.29RVU15A
2014-10-01Not available in this setting$641.11RVU14D
2014-07-01Not available in this setting$641.11RVU14C
2014-04-01Not available in this setting$641.11RVU14B
2014-01-01Not available in this setting$641.11RVU14A
2013-10-01Not available in this setting$629.26RVU13D
2013-07-01Not available in this setting$629.26RVU13C
2013-04-01Not available in this setting$629.26RVU13B
2013-01-01Not available in this setting$629.26RVU13AR

Price 68335 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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