CPT code 68362: Fornix reconstruction, with mucous membrane graft2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $541.79 for 68362 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 68362 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 68362 covers

An ophthalmic surgeon, often an oculoplastic specialist, uses this procedure to restore the conjunctival fornix—the pocket between the eyelid and the eye—when scarring has shortened or distorted it. The operation involves releasing or addressing scarred tissue and using a mucous membrane graft to rebuild the lining and help restore fornix depth. It is generally performed in an operating room for cicatricial changes such as severe conjunctival scarring or symblepharon that compromise the fornix.

Report the code when the service includes fornix reconstruction with a mucous membrane graft, rather than a reconstruction without graft or a more limited adhesion-release procedure. The operative report should identify the affected eye, the scarring and loss of fornix depth, the reconstruction performed, and the graft used. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires 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 Utah compares for 68362

Across 109 of 109 payment localities, the facility rate for 68362 runs from $512.51 in Arkansas to $706.40 in Alaska. Utah pays $541.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

68362 rates by state

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

See 68362 in every payment locality

How the 68362 rate is calculated

Each of 68362’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 68362

68362 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 68362

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

How 68362 has changed in Utah

Price 68362 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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