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

In Wisconsin, Medicare pays $527.24 for 68335 in a facility. There’s no office rate.

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.

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 Wisconsin 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. Wisconsin pays $527.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68335 rates by state

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

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.

Payment rules and modifiers for 68335

68335 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 68335

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

How 68335 has changed in Wisconsin

Price 68335 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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