CPT code 68705: Punctum revision, with reconstruction2026 Medicare rate & RVUs in Rhode Island
Reconstructs a narrowed or abnormal lacrimal punctum to improve tear drainage, with dilation included when performed as part of the repair.
In Rhode Island, Medicare pays $266.67 for 68705 in the office and $146.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 68705 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 68705 covers
This procedure revises and reconstructs the lacrimal punctum, the small opening at the inner eyelid that drains tears. Ophthalmologists, including oculoplastic surgeons, may perform it for a narrowed or abnormal punctum associated with impaired tear drainage, such as persistent tearing. It may be performed in an office or an operating room, depending on the clinical circumstances and the extent of repair.
Report the code when the service involves reconstruction of the punctum; dilation performed as part of that service is included. Documentation should identify the affected side, the punctal abnormality, and the reconstruction performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral services, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Assistant-at-surgery payment is restricted; 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 Rhode Island compares for 68705
Across 109 of 109 payment localities, the office rate for 68705 runs from $230.97 in Arkansas to $346.73 in San Benito County, CA. Rhode Island pays $266.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$266.67
- Los Angeles, CA · California$294.70+$28.03
- Washington, DC area · District of Columbia$297.21+$30.54
- Miami, FL · Florida$276.14+$9.47
- Chicago, IL · Illinois$268.62+$1.95
- Manhattan, NY · New York$297.62+$30.95
- Alaska · Alaska$303.76+$37.09
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $234.22 | $132.22 |
| ArkansasArkansas | $230.97 | $130.83 |
| ArizonaArizona | $253.29 | $140.34 |
| Bakersfield, CACalifornia | $276.74 | $148.98 |
| Chico, CACalifornia | $276.19 | $148.43 |
| El Centro, CACalifornia | $276.22 | $148.46 |
| Fresno, CACalifornia | $276.19 | $148.43 |
| Hanford, CACalifornia | $276.19 | $148.43 |
| Madera, CACalifornia | $276.19 | $148.43 |
| Merced, CACalifornia | $276.19 | $148.43 |
| Modesto, CACalifornia | $276.19 | $148.43 |
| Napa, CACalifornia | $320.35 | $166.71 |
| Oxnard, CACalifornia | $293.38 | $155.60 |
| Redding, CACalifornia | $276.19 | $148.43 |
| Rest of CaliforniaCalifornia | $276.19 | $148.43 |
| Riverside, CACalifornia | $278.06 | $150.30 |
| Sacramento, CACalifornia | $289.92 | $154.35 |
| Salinas, CACalifornia | $288.83 | $153.73 |
| San Diego, CACalifornia | $295.66 | $156.24 |
| Marin County, CACalifornia | $339.33 | $174.96 |
| San Francisco, CACalifornia | $339.13 | $174.77 |
| San Benito County, CACalifornia | $346.73 | $178.64 |
| Santa Clara County, CACalifornia | $345.94 | $177.85 |
| San Luis Obispo, CACalifornia | $284.16 | $151.39 |
| Santa Cruz, CACalifornia | $298.52 | $156.89 |
| Santa Maria, CACalifornia | $289.92 | $154.00 |
| Santa Rosa, CACalifornia | $301.55 | $158.41 |
| Stockton, CACalifornia | $276.19 | $148.43 |
| Vallejo, CACalifornia | $320.07 | $166.43 |
| Visalia, CACalifornia | $276.19 | $148.43 |
| Yuba City, CACalifornia | $276.19 | $148.43 |
| ColoradoColorado | $271.31 | $147.28 |
| ConnecticutConnecticut | $276.70 | $151.16 |
| DelawareDelaware | $257.41 | $142.23 |
| Fort Lauderdale, FLFlorida | $266.86 | $148.77 |
| Rest of FloridaFlorida | $254.56 | $143.12 |
| Atlanta, GAGeorgia | $264.17 | $145.74 |
| Rest of GeorgiaGeorgia | $240.93 | $136.95 |
| Hawaii, Guam, HIHawaii | $282.86 | $150.33 |
| IowaIowa | $240.68 | $134.02 |
| IdahoIdaho | $242.04 | $134.79 |
| East St. Louis, ILIllinois | $250.79 | $143.54 |
| Rest of IllinoisIllinois | $246.93 | $140.50 |
| Suburban Chicago, ILIllinois | $269.73 | $150.01 |
| IndianaIndiana | $243.41 | $135.35 |
| KansasKansas | $239.25 | $133.87 |
| KentuckyKentucky | $238.80 | $135.17 |
| New Orleans, LALouisiana | $249.69 | $140.00 |
| Rest of LouisianaLouisiana | $238.30 | $135.14 |
| Metropolitan Boston, MAMassachusetts | $298.02 | $158.83 |
| Rest of MassachusettsMassachusetts | $269.63 | $146.88 |
| Baltimore area, MDMaryland | $275.84 | $150.76 |
| Rest of MarylandMaryland | $262.31 | $144.34 |
| Rest of MaineMaine | $242.88 | $135.64 |
| Southern Maine, MEMaine | $256.10 | $140.58 |
| Detroit, MIMichigan | $257.27 | $144.78 |
| Rest of MichiganMichigan | $244.46 | $138.04 |
| MinnesotaMinnesota | $261.24 | $141.29 |
| Metropolitan Kansas City, MOMissouri | $248.42 | $138.96 |
| Metropolitan St. Louis, MOMissouri | $250.97 | $140.00 |
| Rest of MissouriMissouri | $234.13 | $133.65 |
| MississippiMississippi | $232.61 | $132.24 |
| MontanaMontana | $259.85 | $143.28 |
| North CarolinaNorth Carolina | $245.39 | $136.63 |
| North DakotaNorth Dakota | $256.49 | $139.92 |
| NebraskaNebraska | $242.05 | $134.46 |
| New HampshireNew Hampshire | $266.75 | $145.40 |
| Northern New JerseyNew Jersey | $294.24 | $159.02 |
| Rest of New JerseyNew Jersey | $280.22 | $152.92 |
| New MexicoNew Mexico | $245.61 | $138.72 |
| NevadaNevada | $259.10 | $142.41 |
| NYC suburbs and Long Island, NYNew York | $304.16 | $165.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $281.76 | $154.12 |
| Queens, NYNew York | $300.51 | $162.73 |
| Rest of New YorkNew York | $248.90 | $138.16 |
| OhioOhio | $243.78 | $137.35 |
| OklahomaOklahoma | $238.76 | $134.66 |
| Portland, OROregon | $280.08 | $150.57 |
| Rest of OregonOregon | $257.43 | $141.33 |
| Metropolitan Philadelphia, PAPennsylvania | $269.79 | $148.45 |
| Rest of PennsylvaniaPennsylvania | $244.35 | $137.34 |
| Puerto RicoPuerto Rico | $261.81 | $143.96 |
| South CarolinaSouth Carolina | $244.92 | $137.21 |
| South DakotaSouth Dakota | $256.09 | $139.52 |
| TennesseeTennessee | $240.36 | $134.40 |
| Austin, TXTexas | $270.10 | $146.77 |
| Beaumont, TXTexas | $242.77 | $136.69 |
| Brazoria, TXTexas | $257.49 | $141.97 |
| Dallas, TXTexas | $258.93 | $142.83 |
| Fort Worth, TXTexas | $257.15 | $142.21 |
| Galveston, TXTexas | $258.14 | $142.38 |
| Houston, TXTexas | $261.25 | $145.49 |
| Rest of TexasTexas | $249.85 | $139.23 |
| UtahUtah | $248.16 | $138.58 |
| VirginiaVirginia | $255.04 | $140.45 |
| Virgin Islands, VIUnited States Virgin Islands | $261.81 | $143.96 |
| VermontVermont | $255.20 | $139.80 |
| Rest of WashingtonWashington | $269.22 | $146.47 |
| King County, WAWashington | $304.34 | $161.31 |
| WisconsinWisconsin | $248.14 | $136.47 |
| West VirginiaWest Virginia | $238.02 | $136.72 |
| WyomingWyoming | $258.38 | $141.81 |
68705 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$230.97
$311.46
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $303.76 | 1 |
| AL | $234.22 | 1 |
| AR | $230.97 | 1 |
| AZ | $253.29 | 1 |
| CA | $276.19–$346.73 | 29 |
| CO | $271.31 | 1 |
| CT | $276.70 | 1 |
| DC | $297.21 | 1 |
| DE | $257.41 | 1 |
| FL | $254.56–$276.14 | 3 |
| GA | $240.93–$264.17 | 2 |
| GU | $282.86 | 1 |
| HI | $282.86 | 1 |
| IA | $240.68 | 1 |
| ID | $242.04 | 1 |
| IL | $246.93–$269.73 | 4 |
| IN | $243.41 | 1 |
| KS | $239.25 | 1 |
| KY | $238.80 | 1 |
| LA | $238.30–$249.69 | 2 |
| MA | $269.63–$298.02 | 2 |
| MD | $262.31–$297.21 | 3 |
| ME | $242.88–$256.10 | 2 |
| MI | $244.46–$257.27 | 2 |
| MN | $261.24 | 1 |
| MO | $234.13–$250.97 | 3 |
| MS | $232.61 | 1 |
| MT | $259.85 | 1 |
| NC | $245.39 | 1 |
| ND | $256.49 | 1 |
| NE | $242.05 | 1 |
| NH | $266.75 | 1 |
| NJ | $280.22–$294.24 | 2 |
| NM | $245.61 | 1 |
| NV | $259.10 | 1 |
| NY | $248.90–$304.16 | 5 |
| OH | $243.78 | 1 |
| OK | $238.76 | 1 |
| OR | $257.43–$280.08 | 2 |
| PA | $244.35–$269.79 | 2 |
| PR | $261.81 | 1 |
| RI | $266.67 | 1 |
| SC | $244.92 | 1 |
| SD | $256.09 | 1 |
| TN | $240.36 | 1 |
| TX | $242.77–$270.10 | 8 |
| UT | $248.16 | 1 |
| VA | $255.04–$297.21 | 2 |
| VI | $261.81 | 1 |
| VT | $255.20 | 1 |
| WA | $269.22–$304.34 | 2 |
| WI | $248.14 | 1 |
| WV | $238.02 | 1 |
| WY | $258.38 | 1 |
How the 68705 rate is calculated
Each of 68705’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 · 68705
RVUs × geographic indexes × conversion factor
Work2.06
2.06 RVUs× 1.000 GPCI
Practice expense5.55
5.55 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
7.7800
Conversion factor
$33.4009
Medicare rate
$259.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,564
- Code
- 68705
- Physician work
- 2.06
- Practice expense
- 5.55
- Malpractice
- 0.17
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.019 | 2.0991 |
| Practice expense | 5.55 | × 1.033 | 5.7331 |
| Malpractice | 0.17 | × 0.892 | 0.1516 |
| Total RVUs | 7.9839 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$266.67
Office: (2.06 × 1.019 + 5.55 × 1.033 + 0.17 × 0.892) × $33.4009 = $266.67
Facility: (2.06 × 1.019 + 2.06 × 1.033 + 0.17 × 0.892) × $33.4009 = $146.25
Payment rules and modifiers for 68705
68705 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68705
Punctum revision, with reconstruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 68705
Punctum revision, with reconstruction
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
68705 without 50 · national office
$259.86
Punctum revision, with reconstruction
68705-50 · Bilateral: 150%
$389.79
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).
How 68705 has changed in Rhode Island
68705 · Office / nonfacility
$266.67
Effective 2026-10-01
The base rate is $11.51 higher than on 2025-10-01, moving from $255.16 to $266.67 (4.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$255.16changed to$266.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.11 changed to 2.06
- Practice expense RVU 5.38 changed to 5.55
- Malpractice RVU 0.16 changed to 0.17
- Work GPCI 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$268.06changed to$255.16
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.53 changed to 5.38
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$263.68changed to$268.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$275.08changed to$263.68
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.55 changed to 5.53
- Malpractice RVU 0.18 changed to 0.17
- Work GPCI 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$281.22changed to$275.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.53 changed to 5.55
- Work GPCI 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$279.58changed to$281.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.44 changed to 5.53
- Malpractice RVU 0.16 changed to 0.18
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$269.95changed to$279.58
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.92 changed to 5.44
- Work GPCI 1.024 changed to 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$262.47changed to$269.95
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.72 changed to 4.92
- Work GPCI 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$253.86changed to$262.47
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.50 changed to 4.72
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$249.16changed to$253.86
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.41 changed to 4.50
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.052 changed to 1.050
- Malpractice GPCI 0.879 changed to 0.999
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$247.45changed to$249.16
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.40 changed to 4.41
- Work GPCI 1.022 changed to 1.025
- Practice expense GPCI 1.053 changed to 1.052
- Malpractice GPCI 0.759 changed to 0.879
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$247.96changed to$247.45
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.39 changed to 4.40
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$246.73changed to$247.96
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$255.91changed to$246.73
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.38 changed to 4.39
- Malpractice RVU 0.39 changed to 0.16
- Work GPCI 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$255.91
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $266.67 | $146.25 | RVU26D |
| 2026-07-01 | $266.67 | $146.25 | RVU26C |
| 2026-04-01 | $266.67 | $146.25 | RVU26B |
| 2026-01-01 | $266.67 | $146.25 | RVU26A |
| 2025-10-01 | $255.16 | $163.75 | RVU25D |
| 2025-07-01 | $255.16 | $163.75 | RVU25C |
| 2025-04-01 | $255.16 | $163.75 | RVU25B |
| 2025-01-01 | $255.16 | $163.75 | RVU25A |
| 2024-10-01 | $268.06 | $168.45 | RVU24D |
| 2024-07-01 | $268.06 | $168.45 | RVU24C |
| 2024-04-01 | $268.06 | $168.45 | RVU24B |
| 2024-03-09 | $268.06 | $168.45 | RVU24AR |
| 2024-01-01 | $263.68 | $165.70 | RVU24A |
| 2023-10-01 | $275.08 | $170.36 | RVU23D |
| 2023-07-01 | $275.08 | $170.36 | RVU23C |
| 2023-04-01 | $275.08 | $170.36 | RVU23B |
| 2023-01-01 | $275.08 | $170.36 | RVU23A |
| 2022-10-01 | $281.22 | $171.33 | RVU22D |
| 2022-07-01 | $281.22 | $171.33 | RVU22C |
| 2022-04-01 | $281.22 | $171.33 | RVU22B |
| 2022-01-01 | $281.22 | $171.33 | RVU22A |
| 2021-10-01 | $279.58 | $171.70 | RVU21D |
| 2021-07-01 | $279.58 | $171.70 | RVU21C |
| 2021-04-01 | $279.58 | $171.70 | RVU21B |
| 2021-01-01 | $279.58 | $171.70 | RVU21A |
| 2020-10-01 | $269.95 | $174.93 | RVU20D |
| 2020-07-01 | $269.95 | $174.93 | RVU20C |
| 2020-04-01 | $269.95 | $174.93 | RVU20B |
| 2020-01-01 | $269.95 | $174.93 | RVU20A |
| 2019-10-01 | $262.47 | $176.57 | RVU19D |
| 2019-07-01 | $262.47 | $176.57 | RVU19C |
| 2019-04-01 | $262.47 | $176.57 | RVU19B |
| 2019-01-01 | $262.47 | $176.57 | RVU19A |
| 2018-10-01 | $253.86 | $177.13 | RVU18D |
| 2018-07-01 | $253.86 | $177.13 | RVU18C |
| 2018-04-01 | $253.86 | $177.13 | RVU18B |
| 2018-01-01 | $253.86 | $177.13 | RVU18AR1 |
| 2017-10-01 | $249.16 | $175.17 | RVU17D |
| 2017-07-01 | $249.16 | $175.17 | RVU17C |
| 2017-04-01 | $249.16 | $175.17 | RVU17B |
| 2017-01-01 | $249.16 | $175.17 | RVU17A |
| 2016-10-01 | $247.45 | $173.93 | RVU16D |
| 2016-07-01 | $247.45 | $173.93 | RVU16C |
| 2016-04-01 | $247.45 | $173.93 | RVU16B |
| 2016-01-01 | $247.45 | $173.93 | RVU16A |
| 2015-10-01 | $247.96 | $174.55 | RVU15D |
| 2015-07-01 | $247.96 | $174.55 | RVU15C |
| 2015-04-01 | $246.73 | $173.69 | RVU15B |
| 2015-01-01 | $246.73 | $173.69 | RVU15A |
| 2014-10-01 | $255.91 | $182.73 | RVU14D |
| 2014-07-01 | $255.91 | $182.73 | RVU14C |
| 2014-04-01 | $255.91 | $182.73 | RVU14B |
| 2014-01-01 | $255.91 | $182.73 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
68705 billing questions
When should 68705 be chosen instead of punctal dilation?
Use 68705 when the punctum is reconstructed, with or without dilation. Simple dilation without reconstruction is reported with 68801.
Can dilation be billed separately with 68705?
Dilation performed as part of the punctal reconstruction is included in 68705. The code covers reconstruction whether or not dilation is performed.
How is a bilateral punctal reconstruction reported?
For bilateral services, report modifier 50. CMS pays the bilateral procedure at 150%.
Are postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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
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