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CPT code 68360: Conjunctivoplasty, cul-de-sac reconstruction2026 Medicare rate & RVUs in Iowa

An ophthalmic surgeon uses this code for surgical reconstruction of the conjunctival cul-de-sac, often when scarring has contracted the eyelid lining.

CMS RVU26DEffective Oct 1, 2026One payment locality55 Medicare services in 2024

In Iowa, Medicare pays $507.38 for 68360 in the office and $332.26 when it’s performed in a hospital or facility.

$507.38Office (non-facility)
$332.26Hospital or facility
−7.1%vs the national office rate ($546.44)

Check a contract rate as a % of Medicare · 68360 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 68360 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 68360 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 68360 covers

CPT 68360 describes surgical reconstruction of the conjunctival cul-de-sac, the pocket formed by the eyelid lining and the eye surface. Ophthalmologists may perform it to restore the fornix when scarring has shortened or distorted the lining, including after injury, inflammation, or prior surgery. These procedures are generally performed in a surgical facility rather than an office.

Select the code from the operative work documented: the record should identify the affected side, the cul-de-sac or fornix addressed, the extent of reconstruction, and the technique used. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid; 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 68360

Across 109 of 109 payment localities, the office rate for 68360 runs from $488.53 in Arkansas to $719.97 in San Benito County, CA. Iowa pays $507.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

68360 in Iowa vs other payment areas
  1. Iowa · this page$507.38
  2. Los Angeles, CA · California$615.60+$108.22
  3. Washington, DC area · District of Columbia$621.96+$114.58
  4. Miami, FL · Florida$581.82+$74.44
  5. Chicago, IL · Illinois$566.74+$59.36
  6. Manhattan, NY · New York$624.13+$116.75
  7. Alaska · Alaska$648.32+$140.94

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

Every other payment area

68360 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$495.05$327.58
ArkansasArkansas$488.53$324.13
ArizonaArizona$533.21$347.75
Bakersfield, CACalifornia$579.43$369.67
Chico, CACalifornia$578.12$368.36
El Centro, CACalifornia$578.18$368.42
Fresno, CACalifornia$578.12$368.36
Hanford, CACalifornia$578.12$368.36

68360 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.

$488.53

$649.05

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

View every state and territory as a table
68360 office rate range by state
State / territoryOffice rate rangeLocalities
AK$648.321
AL$495.051
AR$488.531
AZ$533.211
CA$578.12–$719.9729
CO$568.881
CT$580.701
DC$621.961
DE$541.551
FL$537.11–$581.823
GA$509.61–$555.462
GU$590.781
HI$590.781
IA$507.381
ID$510.221
IL$522.23–$567.784
IN$512.951
KS$504.801
KY$504.821
LA$503.93–$526.742
MA$565.75–$622.632
MD$551.40–$621.963
ME$512.21–$538.232
MI$516.43–$542.842
MN$547.611
MO$495.76–$528.963
MS$492.251
MT$546.411
NC$517.181
ND$538.501
NE$510.041
NH$559.721
NJ$588.02–$616.312
NM$518.851
NV$544.571
NY$524.23–$637.605
OH$514.811
OK$504.431
OR$541.01–$586.202
PA$515.80–$567.002
PR$550.251
RI$560.231
SC$516.711
SD$537.571
TN$507.061
TX$512.66–$566.418
UT$523.191
VA$536.31–$621.962
VI$550.251
VT$536.191
WA$564.77–$635.212
WI$521.871
WV$504.421
WY$542.971

See 68360 in every payment locality

How the 68360 rate is calculated

Each of 68360’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 · 68360

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.04

5.04 RVUs× 1.000 GPCI

Practice expense10.92

10.92 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

16.3600

Conversion factor

$33.4009

Medicare rate

$546.44

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

7,548

Code
68360
Physician work
5.04
Practice expense
10.92
Malpractice
0.40

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 68360 in Iowa
ComponentRVULocality factorAdjusted
Physician work5.04× 1.0005.0400
Practice expense10.92× 0.9159.9918
Malpractice0.40× 0.3970.1588
Total RVUs15.1906
Conversion factor× 33.4009

Office rate, Iowa$507.38

Office: (5.04 × 1 + 10.92 × 0.915 + 0.4 × 0.397) × $33.4009 = $507.38

Facility: (5.04 × 1 + 5.19 × 0.915 + 0.4 × 0.397) × $33.4009 = $332.26

Open 68360 in the RVU calculator

Payment rules and modifiers for 68360

68360 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68360

Conjunctivoplasty, cul-de-sac reconstruction

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)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 · 68360

Conjunctivoplasty, cul-de-sac reconstruction

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

68360 without 50 · national office

$546.44

Conjunctivoplasty, cul-de-sac reconstruction

68360-50 · Bilateral: 150%

$819.66

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 68360

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

Codes related to 68360
CodeHow it relatesOffice range, Iowa
Same family
68330Symblepharon repair, without graftRelated conjunctival lining revision code; distinguish the documented operative service.$579.29
68320Conjunctivoplasty, graft or extensive rearrangementRelated conjunctivoplasty code involving a graft or extensive rearrangement.$693.21
68362Fornix reconstruction, with mucous membrane graftRelated code for reconstruction of the conjunctival cul-de-sac; compare the operative technique.No office rate
Used instead
68340Adhesion release, eyelid adhesionsUsed when the service is severing conjunctival and eyelid adhesions rather than cul-de-sac reconstruction.$571.72

How 68360 has changed in Iowa

68360 · Office / nonfacility

$507.38

Effective 2026-10-01

The base rate is $25.03 higher than on 2025-10-01, moving from $482.35 to $507.38 (5.2%).

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

    $482.35changed to$507.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.17 changed to 5.04
    • Practice expense RVU 10.47 changed to 10.92
    • 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

    $501.85changed to$482.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.65 changed to 10.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $493.66changed to$501.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $507.13changed to$493.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.57 changed to 10.65
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $512.49changed to$507.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.44 changed to 10.57
    • 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

    $518.49changed to$512.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.50 changed to 10.44
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $510.06changed to$518.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.70 changed to 10.50
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $509.77changed to$510.06

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.69 changed to 9.70
    • Malpractice RVU 0.44 changed to 0.39
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $505.21changed to$509.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.60 changed to 9.69
    • Malpractice RVU 0.37 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $498.35changed to$505.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.46 changed to 9.60
    • Malpractice RVU 0.40 changed to 0.37
    • 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

    $495.19changed to$498.35

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.44 changed to 9.46
    • Malpractice RVU 0.41 changed to 0.40
    • 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

    $495.62changed to$495.19

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.42 changed to 9.44
    • Malpractice RVU 0.37 changed to 0.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $493.15changed to$495.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $502.57changed to$493.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.41 changed to 9.42
    • Malpractice RVU 0.98 changed to 0.37
    • 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

    $503.47changed to$502.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.33 changed to 9.41
    • Malpractice RVU 1.02 changed to 0.98
    • 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: $503.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$507.38$332.26RVU26D
2026-07-01$507.38$332.26RVU26C
2026-04-01$507.38$332.26RVU26B
2026-01-01$507.38$332.26RVU26A
2025-10-01$482.35$369.83RVU25D
2025-07-01$482.35$369.83RVU25C
2025-04-01$482.35$369.83RVU25B
2025-01-01$482.35$369.83RVU25A
2024-10-01$501.85$379.98RVU24D
2024-07-01$501.85$379.98RVU24C
2024-04-01$501.85$379.98RVU24B
2024-03-09$501.85$379.98RVU24AR
2024-01-01$493.66$373.78RVU24A
2023-10-01$507.13$381.31RVU23D
2023-07-01$507.13$381.31RVU23C
2023-04-01$507.13$381.31RVU23B
2023-01-01$507.13$381.31RVU23A
2022-10-01$512.49$381.91RVU22D
2022-07-01$512.49$381.91RVU22C
2022-04-01$512.49$381.91RVU22B
2022-01-01$512.49$381.91RVU22A
2021-10-01$518.49$383.98RVU21D
2021-07-01$518.49$383.98RVU21C
2021-04-01$518.49$383.98RVU21B
2021-01-01$518.49$383.98RVU21A
2020-10-01$510.06$389.93RVU20D
2020-07-01$510.06$389.93RVU20C
2020-04-01$510.06$389.93RVU20B
2020-01-01$510.06$389.93RVU20A
2019-10-01$509.77$393.08RVU19D
2019-07-01$509.77$393.08RVU19C
2019-04-01$509.77$393.08RVU19B
2019-01-01$509.77$393.08RVU19A
2018-10-01$505.21$394.19RVU18D
2018-07-01$505.21$394.19RVU18C
2018-04-01$505.21$394.19RVU18B
2018-01-01$505.21$394.19RVU18AR1
2017-10-01$498.35$390.23RVU17D
2017-07-01$498.35$390.23RVU17C
2017-04-01$498.35$390.23RVU17B
2017-01-01$498.35$390.23RVU17A
2016-10-01$495.19$388.36RVU16D
2016-07-01$495.19$388.36RVU16C
2016-04-01$495.19$388.36RVU16B
2016-01-01$495.19$388.36RVU16A
2015-10-01$495.62$388.41RVU15D
2015-07-01$495.62$388.41RVU15C
2015-04-01$493.15$386.47RVU15B
2015-01-01$493.15$386.47RVU15A
2014-10-01$502.57$396.80RVU14D
2014-07-01$502.57$396.80RVU14C
2014-04-01$502.57$396.80RVU14B
2014-01-01$502.57$396.80RVU14A
2013-10-01$503.47$392.41RVU13D
2013-07-01$503.47$392.41RVU13C
2013-04-01$503.47$392.41RVU13B
2013-01-01$503.47$392.41RVU13AR

Price 68360 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.

Browse all communities in Iowa

68360 billing questions

When is 68360 appropriate instead of 68340?

Use 68360 for reconstruction of the conjunctival cul-de-sac. Code 68340 describes severing adhesions; it is the more fitting choice when the documented service is limited to releasing conjunctival adhesions.

What documentation supports 68360?

Document the side and specific cul-de-sac or fornix treated, the scarring or distortion, and the reconstructive work performed. The operative report should make clear how the work restores the eyelid lining.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The routine related follow-up is not separately represented by another service code.

How is 68360 reported when both sides are reconstructed?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the 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 68360PPRRVU2026_Oct_nonQPP.csv, line 7,548 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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