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

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 Iowa, Medicare pays $571.72 for 68340 in the office and $328.45 when it’s performed in a hospital or facility.

$571.72Office (non-facility)
$328.45Hospital or facility
−8.1%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 Iowa
  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 Iowa 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. Iowa pays $571.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

68340 in Iowa vs other payment areas
  1. Iowa · this page$571.72
  2. Los Angeles, CA · California$701.69+$129.97
  3. Washington, DC area · District of Columbia$711.50+$139.78
  4. Miami, FL · Florida$673.93+$102.21
  5. Chicago, IL · Illinois$654.13+$82.41
  6. Manhattan, NY · New York$716.54+$144.82
  7. Alaska · Alaska$721.84+$150.12

Other areas in Iowa 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 68340 in Iowa
ComponentRVULocality factorAdjusted
Physician work4.85× 1.0004.8500
Practice expense13.12× 0.91512.0048
Malpractice0.66× 0.3970.2620
Total RVUs17.1168
Conversion factor× 33.4009

Office rate, Iowa$571.72

Office: (4.85 × 1 + 13.12 × 0.915 + 0.66 × 0.397) × $33.4009 = $571.72

Facility: (4.85 × 1 + 5.16 × 0.915 + 0.66 × 0.397) × $33.4009 = $328.45

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, Iowa
Used instead
68320Conjunctivoplasty, graft or extensive rearrangementConsider when the operative objective is eyelid-lining revision or reconstruction rather than adhesion division.$693.21
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.$579.29
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 Iowa

68340 · Office / nonfacility

$571.72

Effective 2026-10-01

The base rate is $41.20 higher than on 2025-10-01, moving from $530.52 to $571.72 (7.8%).

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

    $530.52changed to$571.72

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $555.07changed to$530.52

    • 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

    $546.01changed to$555.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $563.70changed to$546.01

    • 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
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $571.79changed to$563.70

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $570.71changed to$571.79

    • 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

    $548.37changed to$570.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.10 changed to 12.38
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $534.36changed to$548.37

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $518.10changed to$534.36

    • 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

    $509.62changed to$518.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.05 changed to 10.22
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $506.57changed to$509.62

    • 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
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $507.90changed to$506.57

    • 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

    $505.37changed to$507.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $513.42changed to$505.37

    • 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 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $516.42changed to$513.42

    • 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 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $516.42

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$571.72$328.45RVU26D
2026-07-01$571.72$328.45RVU26C
2026-04-01$571.72$328.45RVU26B
2026-01-01$571.72$328.45RVU26A
2025-10-01$530.52$355.68RVU25D
2025-07-01$530.52$355.68RVU25C
2025-04-01$530.52$355.68RVU25B
2025-01-01$530.52$355.68RVU25A
2024-10-01$555.07$367.25RVU24D
2024-07-01$555.07$367.25RVU24C
2024-04-01$555.07$367.25RVU24B
2024-03-09$555.07$367.25RVU24AR
2024-01-01$546.01$361.25RVU24A
2023-10-01$563.70$369.74RVU23D
2023-07-01$563.70$369.74RVU23C
2023-04-01$563.70$369.74RVU23B
2023-01-01$563.70$369.74RVU23A
2022-10-01$571.79$370.60RVU22D
2022-07-01$571.79$370.60RVU22C
2022-04-01$571.79$370.60RVU22B
2022-01-01$571.79$370.60RVU22A
2021-10-01$570.71$372.91RVU21D
2021-07-01$570.71$372.91RVU21C
2021-04-01$570.71$372.91RVU21B
2021-01-01$570.71$372.91RVU21A
2020-10-01$548.37$378.48RVU20D
2020-07-01$548.37$378.48RVU20C
2020-04-01$548.37$378.48RVU20B
2020-01-01$548.37$378.48RVU20A
2019-10-01$534.36$381.05RVU19D
2019-07-01$534.36$381.05RVU19C
2019-04-01$534.36$381.05RVU19B
2019-01-01$534.36$381.05RVU19A
2018-10-01$518.10$382.27RVU18D
2018-07-01$518.10$382.27RVU18C
2018-04-01$518.10$382.27RVU18B
2018-01-01$518.10$382.27RVU18AR1
2017-10-01$509.62$378.19RVU17D
2017-07-01$509.62$378.19RVU17C
2017-04-01$509.62$378.19RVU17B
2017-01-01$509.62$378.19RVU17A
2016-10-01$506.57$376.32RVU16D
2016-07-01$506.57$376.32RVU16C
2016-04-01$506.57$376.32RVU16B
2016-01-01$506.57$376.32RVU16A
2015-10-01$507.90$376.86RVU15D
2015-07-01$507.90$376.86RVU15C
2015-04-01$505.37$374.98RVU15B
2015-01-01$505.37$374.98RVU15A
2014-10-01$513.42$384.97RVU14D
2014-07-01$513.42$384.97RVU14C
2014-04-01$513.42$384.97RVU14B
2014-01-01$513.42$384.97RVU14A
2013-10-01$516.42$380.92RVU13D
2013-07-01$516.42$380.92RVU13C
2013-04-01$516.42$380.92RVU13B
2013-01-01$516.42$380.92RVU13AR

Price 68340 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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