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CPT code 68340: Adhesion release, eyelid adhesions2026 Medicare rate & RVUs in Connecticut

Reports surgical division of adhesions involving the eyelid, such as lid-margin fusion that limits normal separation or movement of the lids.

CMS RVU26DEffective Oct 1, 2026One payment locality371 Medicare services in 2024

In Connecticut, Medicare pays $663.87 for 68340 in the office and $377.53 when it’s performed in a hospital or facility.

$663.87Office (non-facility)
$377.53Hospital or facility
+6.7%vs the national office rate ($622.26)

Check a contract rate as a % of Medicare · 68340 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 68340 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 68340 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 68340 covers

This procedure releases abnormal scar tissue or other adhesions that bind eyelid structures together, including fusion at the lid margins. A typical clinical situation is acquired or congenital ankyloblepharon, where adhesions restrict opening or separation of the lids. An ophthalmologist, often an oculoplastic surgeon, performs the release in an operative setting; Medicare records services in both office and facility settings.

Report the code when the operative work is directed at separating eyelid adhesions, rather than reconstructing damaged eyelid lining. The note should identify the affected eyelid or lids, the location and extent of the adhesion, the functional or anatomic problem, and the release performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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 Connecticut compares for 68340

Across 109 of 109 payment localities, the office rate for 68340 runs from $549.78 in Arkansas to $823.54 in San Benito County, CA. Connecticut pays $663.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

68340 in Connecticut vs other payment areas
  1. Connecticut · this page$663.87
  2. Los Angeles, CA · California$701.69+$37.82
  3. Washington, DC area · District of Columbia$711.50+$47.63
  4. Miami, FL · Florida$673.93+$10.06
  5. Chicago, IL · Illinois$654.13−$9.74
  6. Manhattan, NY · New York$716.54+$52.67
  7. Alaska · Alaska$721.84+$57.97

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

Every other payment area

68340 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$557.91$325.28
ArkansasArkansas$549.78$321.39
ArizonaArizona$605.50$347.87
Bakersfield, CACalifornia$658.79$367.39
Chico, CACalifornia$656.85$365.46
El Centro, CACalifornia$656.96$365.57
Fresno, CACalifornia$656.85$365.46
Hanford, CACalifornia$656.85$365.46

68340 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.

$549.78

$740.19

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

View every state and territory as a table
68340 office rate range by state
State / territoryOffice rate rangeLocalities
AK$721.841
AL$557.911
AR$549.781
AZ$605.501
CA$656.85–$823.5429
CO$647.421
CT$663.871
DC$711.501
DE$615.581
FL$614.07–$673.933
GA$579.16–$634.192
GU$673.011
HI$673.011
IA$571.721
ID$575.581
IL$596.54–$654.134
IN$578.941
KS$569.261
KY$571.741
LA$570.94–$599.402
MA$643.60–$711.492
MD$627.33–$711.503
ME$578.87–$610.182
MI$586.98–$622.042
MN$619.451
MO$561.21–$601.273
MS$555.591
MT$622.211
NC$584.941
ND$609.161
NE$574.801
NH$637.471
NJ$671.19–$704.082
NM$590.321
NV$619.021
NY$593.80–$734.345
OH$584.311
OK$570.451
OR$613.96–$667.852
PA$585.11–$647.402
PR$626.751
RI$637.421
SC$585.651
SD$607.621
TN$572.171
TX$581.25–$645.498
UT$593.721
VA$608.33–$711.502
VI$626.751
VT$606.991
WA$642.32–$725.802
WI$588.601
WV$574.351
WY$616.531

See 68340 in every payment locality

How the 68340 rate is calculated

Each of 68340’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 · 68340

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.85

4.85 RVUs× 1.000 GPCI

Practice expense13.12

13.12 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

18.6300

Conversion factor

$33.4009

Medicare rate

$622.26

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,547

Code
68340
Physician work
4.85
Practice expense
13.12
Malpractice
0.66

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 68340 in Connecticut
ComponentRVULocality factorAdjusted
Physician work4.85× 1.0204.9470
Practice expense13.12× 1.07714.1302
Malpractice0.66× 1.2100.7986
Total RVUs19.8758
Conversion factor× 33.4009

Office rate, Connecticut$663.87

Office: (4.85 × 1.02 + 13.12 × 1.077 + 0.66 × 1.21) × $33.4009 = $663.87

Facility: (4.85 × 1.02 + 5.16 × 1.077 + 0.66 × 1.21) × $33.4009 = $377.53

Open 68340 in the RVU calculator

Payment rules and modifiers for 68340

68340 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68340

Adhesion release, eyelid adhesions

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 · 68340

Adhesion release, eyelid adhesions

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

68340 without 50 · national office

$622.26

Adhesion release, eyelid adhesions

68340-50 · Bilateral: 150%

$933.39

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 68340

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

Codes related to 68340
CodeHow it relatesOffice range, Connecticut
Used instead
68320Conjunctivoplasty, graft or extensive rearrangementConsider when the operative objective is eyelid-lining revision or reconstruction rather than adhesion division.$794.66
68325Conjunctivoplasty, mucous membrane graftA lining-revision or graft procedure may fit when reconstruction, rather than release alone, is performed.No office rate
68330Symblepharon repair, without graftPertains to eyelid-lining revision; distinguish it from a procedure focused on separating adhesions.$663.19
68335Symblepharon repair, with graftConsider for eyelid-lining revision or graft work when that is the operative objective.No office rate

How 68340 has changed in Connecticut

68340 · Office / nonfacility

$663.87

Effective 2026-10-01

The base rate is $46.19 higher than on 2025-10-01, moving from $617.68 to $663.87 (7.5%).

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

    $617.68changed to$663.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.97 changed to 4.85
    • Practice expense RVU 12.25 changed to 13.12
    • Malpractice RVU 0.54 changed to 0.66
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $644.79changed to$617.68

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.59 changed to 12.25
    • Malpractice RVU 0.46 changed to 0.54

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $634.26changed to$644.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $659.97changed to$634.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.61 changed to 12.59
    • Malpractice RVU 0.43 changed to 0.46
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $675.10changed to$659.97

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.55 changed to 12.61
    • Malpractice RVU 0.40 changed to 0.43
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $673.12changed to$675.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.38 changed to 12.55
    • Malpractice RVU 0.37 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $645.04changed to$673.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.10 changed to 12.38
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $627.97changed to$645.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.70 changed to 11.10
    • Malpractice RVU 0.36 changed to 0.37
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $608.06changed to$627.97

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.22 changed to 10.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $601.42changed to$608.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.05 changed to 10.22
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $601.51changed to$601.42

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.04 changed to 10.05
    • Malpractice RVU 0.37 changed to 0.36
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $602.84changed to$601.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.03 changed to 10.04
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $599.84changed to$602.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $623.69changed to$599.84

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.99 changed to 10.03
    • Malpractice RVU 0.95 changed to 0.36
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $630.17changed to$623.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.00 changed to 9.99
    • Malpractice RVU 0.99 changed to 0.95
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $630.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$663.87$377.53RVU26D
2026-07-01$663.87$377.53RVU26C
2026-04-01$663.87$377.53RVU26B
2026-01-01$663.87$377.53RVU26A
2025-10-01$617.68$408.77RVU25D
2025-07-01$617.68$408.77RVU25C
2025-04-01$617.68$408.77RVU25B
2025-01-01$617.68$408.77RVU25A
2024-10-01$644.79$420.35RVU24D
2024-07-01$644.79$420.35RVU24C
2024-04-01$644.79$420.35RVU24B
2024-03-09$644.79$420.35RVU24AR
2024-01-01$634.26$413.49RVU24A
2023-10-01$659.97$425.08RVU23D
2023-07-01$659.97$425.08RVU23C
2023-04-01$659.97$425.08RVU23B
2023-01-01$659.97$425.08RVU23A
2022-10-01$675.10$427.99RVU22D
2022-07-01$675.10$427.99RVU22C
2022-04-01$675.10$427.99RVU22B
2022-01-01$675.10$427.99RVU22A
2021-10-01$673.12$430.17RVU21D
2021-07-01$673.12$430.17RVU21C
2021-04-01$673.12$430.17RVU21B
2021-01-01$673.12$430.17RVU21A
2020-10-01$645.04$436.57RVU20D
2020-07-01$645.04$436.57RVU20C
2020-04-01$645.04$436.57RVU20B
2020-01-01$645.04$436.57RVU20A
2019-10-01$627.97$440.01RVU19D
2019-07-01$627.97$440.01RVU19C
2019-04-01$627.97$440.01RVU19B
2019-01-01$627.97$440.01RVU19A
2018-10-01$608.06$441.53RVU18D
2018-07-01$608.06$441.53RVU18C
2018-04-01$608.06$441.53RVU18B
2018-01-01$608.06$441.53RVU18AR1
2017-10-01$601.42$438.67RVU17D
2017-07-01$601.42$438.67RVU17C
2017-04-01$601.42$438.67RVU17B
2017-01-01$601.42$438.67RVU17A
2016-10-01$601.51$438.56RVU16D
2016-07-01$601.51$438.56RVU16C
2016-04-01$601.51$438.56RVU16B
2016-01-01$601.51$438.56RVU16A
2015-10-01$602.84$438.89RVU15D
2015-07-01$602.84$438.89RVU15C
2015-04-01$599.84$436.71RVU15B
2015-01-01$599.84$436.71RVU15A
2014-10-01$623.69$462.98RVU14D
2014-07-01$623.69$462.98RVU14C
2014-04-01$623.69$462.98RVU14B
2014-01-01$623.69$462.98RVU14A
2013-10-01$630.17$460.60RVU13D
2013-07-01$630.17$460.60RVU13C
2013-04-01$630.17$460.60RVU13B
2013-01-01$630.17$460.60RVU13AR

Price 68340 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

68340 billing questions

When should this code be chosen instead of an eyelid-lining reconstruction code?

Use this code when the operative objective is dividing an adhesion that binds eyelid structures. A lining reconstruction code describes work to revise or rebuild the eyelid lining.

What should the operative note document?

Document the adhesion's location and extent, which eyelid or lids are involved, the resulting functional or anatomic problem, and how the adhesion was released.

Does the code have a postoperative global period?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery reported?

CMS identifies the procedure as bilateral when modifier 50 is used and pays it at 150%. The operative record should support treatment of both sides.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The standard multiple procedure reduction applies: the highest-valued procedure is paid in full, and other procedures are paid at 50%.

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 68340PPRRVU2026_Oct_nonQPP.csv, line 7,547 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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