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CPT code 68340: Adhesion release, eyelid adhesions2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $614.74 for 68340 in the office and $352.59 when it’s performed in a hospital or facility.

$614.74Office (non-facility)
$352.59Hospital or facility
−1.2%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $614.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

68340 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$614.74
  2. Austin, TX · Texas$645.49+$30.75
  3. Beaumont, TX · Texas$581.25−$33.49
  4. Brazoria, TX · Texas$614.76+$0.02
  5. Dallas, TX · Texas$618.83+$4.09
  6. Galveston, TX · Texas$616.70+$1.96
  7. Houston, TX · Texas$628.78+$14.04

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

Every other payment area

68340 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$597.77$345.46
Los Angeles, CACalifornia$701.69$387.16
Washington, DC areaDistrict of Columbia$711.50$398.30
Miami, FLFlorida$673.93$397.16
Chicago, ILIllinois$654.13$386.93
Manhattan, NYNew York$716.54$407.59
AlaskaAlaska$721.84$438.69
AlabamaAlabama$557.91$325.28

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 68340 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work4.85× 1.0094.8936
Practice expense13.12× 0.98612.9363
Malpractice0.66× 0.8710.5749
Total RVUs18.4048
Conversion factor× 33.4009

Office rate, Fort Worth, TX$614.74

Office: (4.85 × 1.009 + 13.12 × 0.986 + 0.66 × 0.871) × $33.4009 = $614.74

Facility: (4.85 × 1.009 + 5.16 × 0.986 + 0.66 × 0.871) × $33.4009 = $352.59

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, Fort Worth, TX
Used instead
68320Conjunctivoplasty, graft or extensive rearrangementConsider when the operative objective is eyelid-lining revision or reconstruction rather than adhesion division.$739.73
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.$617.84
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 Fort Worth, TX

68340 · Office / nonfacility

$614.74

Effective 2026-10-01

The base rate is $41.00 higher than on 2025-10-01, moving from $573.74 to $614.74 (7.1%).

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

    $573.74changed to$614.74

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $599.32changed to$573.74

    • 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

    $589.54changed to$599.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $606.72changed to$589.54

    • 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 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $614.34changed to$606.72

    • 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 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $612.97changed to$614.34

    • 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

    $586.91changed to$612.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.10 changed to 12.38
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $570.28changed to$586.91

    • 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 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $552.62changed to$570.28

    • 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

    $546.69changed to$552.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.05 changed to 10.22
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $546.74changed to$546.69

    • 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 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $548.08changed to$546.74

    • 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

    $545.35changed to$548.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $558.80changed to$545.35

    • 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
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $563.31changed to$558.80

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $563.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$614.74$352.59RVU26D
2026-07-01$614.74$352.59RVU26C
2026-04-01$614.74$352.59RVU26B
2026-01-01$614.74$352.59RVU26A
2025-10-01$573.74$382.63RVU25D
2025-07-01$573.74$382.63RVU25C
2025-04-01$573.74$382.63RVU25B
2025-01-01$573.74$382.63RVU25A
2024-10-01$599.32$394.02RVU24D
2024-07-01$599.32$394.02RVU24C
2024-04-01$599.32$394.02RVU24B
2024-03-09$599.32$394.02RVU24AR
2024-01-01$589.54$387.59RVU24A
2023-10-01$606.72$394.43RVU23D
2023-07-01$606.72$394.43RVU23C
2023-04-01$606.72$394.43RVU23B
2023-01-01$606.72$394.43RVU23A
2022-10-01$614.34$393.63RVU22D
2022-07-01$614.34$393.63RVU22C
2022-04-01$614.34$393.63RVU22B
2022-01-01$614.34$393.63RVU22A
2021-10-01$612.97$395.98RVU21D
2021-07-01$612.97$395.98RVU21C
2021-04-01$612.97$395.98RVU21B
2021-01-01$612.97$395.98RVU21A
2020-10-01$586.91$401.29RVU20D
2020-07-01$586.91$401.29RVU20C
2020-04-01$586.91$401.29RVU20B
2020-01-01$586.91$401.29RVU20A
2019-10-01$570.28$403.62RVU19D
2019-07-01$570.28$403.62RVU19C
2019-04-01$570.28$403.62RVU19B
2019-01-01$570.28$403.62RVU19A
2018-10-01$552.62$404.95RVU18D
2018-07-01$552.62$404.95RVU18C
2018-04-01$552.62$404.95RVU18B
2018-01-01$552.62$404.95RVU18AR1
2017-10-01$546.69$402.29RVU17D
2017-07-01$546.69$402.29RVU17C
2017-04-01$546.69$402.29RVU17B
2017-01-01$546.69$402.29RVU17A
2016-10-01$546.74$402.10RVU16D
2016-07-01$546.74$402.10RVU16C
2016-04-01$546.74$402.10RVU16B
2016-01-01$546.74$402.10RVU16A
2015-10-01$548.08$402.56RVU15D
2015-07-01$548.08$402.56RVU15C
2015-04-01$545.35$400.56RVU15B
2015-01-01$545.35$400.56RVU15A
2014-10-01$558.80$416.67RVU14D
2014-07-01$558.80$416.67RVU14C
2014-04-01$558.80$416.67RVU14B
2014-01-01$558.80$416.67RVU14A
2013-10-01$563.31$413.75RVU13D
2013-07-01$563.31$413.75RVU13C
2013-04-01$563.31$413.75RVU13B
2013-01-01$563.31$413.75RVU13AR

Price 68340 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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