CPT code 68750: Tear drainage bypass, tube or stent placement2026 Medicare rate & RVUs in Kansas

A lacrimal surgeon creates a tear drainage pathway from the conjunctival sac to the nasal cavity and places a tube or stent.

CMS RVU26DEffective Oct 1, 2026One payment locality539 Medicare services in 2024

In Kansas, Medicare pays $697.59 for 68750 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$697.59Hospital or facility

Check a contract rate as a % of Medicare · 68750 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 68750 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 68750 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 68750 covers

This operation bypasses the usual tear drainage route by connecting the conjunctival sac to the nasal cavity with a tube or stent. Ophthalmologists specializing in oculoplastic or lacrimal surgery typically perform it for severe drainage obstruction when the normal canalicular pathway cannot provide adequate drainage. It is generally performed in an operating room, with the implant maintaining the new passage for tears.

Report this code when the surgeon creates the conjunctiva-to-nose pathway and places the tube or stent; that placement is part of the service. The operative report should identify the indication, side, new drainage route, and tube or stent placement. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; 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 Kansas compares for 68750

Across 109 of 109 payment localities, the facility rate for 68750 runs from $680.23 in Arkansas to $945.80 in San Benito County, CA. Kansas pays $697.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

68750 in Kansas vs other payment areas
  1. Kansas · this page$697.59
  2. Los Angeles, CA · California$824.95+$127.36
  3. Washington, DC area · District of Columbia$839.57+$141.98
  4. Miami, FL · Florida$806.82+$109.23
  5. Chicago, IL · Illinois$788.58+$90.99
  6. Manhattan, NY · New York$849.53+$151.94
  7. Alaska · Alaska$926.56+$228.97

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

Every other payment area

68750 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$687.90
ArkansasArkansas—$680.23
ArizonaArizona—$732.74
Bakersfield, CACalifornia—$782.07
Chico, CACalifornia—$779.41
El Centro, CACalifornia—$779.55
Fresno, CACalifornia—$779.41
Hanford, CACalifornia—$779.41

68750 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
68750 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 68750 in every payment locality

How the 68750 rate is calculated

Each of 68750’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 · 68750

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.85

9.85 RVUs× 1.000 GPCI

Practice expense11.75

11.75 RVUs× 1.000 GPCI

Malpractice0.82

0.82 RVUs× 1.000 GPCI

Adjusted RVUs

22.4200

Conversion factor

$33.4009

Medicare rate

$748.85

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,567

Code
68750
Physician work
9.85
Practice expense
11.75
Malpractice
0.82

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Facility calculation for 68750 in Kansas
ComponentRVULocality factorAdjusted
Physician work9.85× 1.0009.8500
Practice expense11.75× 0.90410.6220
Malpractice0.82× 0.5040.4133
Total RVUs20.8853
Conversion factor× 33.4009

Facility rate, Kansas$697.59

Facility: (9.85 × 1 + 11.75 × 0.904 + 0.82 × 0.504) × $33.4009 = $697.59

Open 68750 in the RVU calculator

Payment rules and modifiers for 68750

68750 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68750

Tear drainage bypass, tube or stent placement

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 68750

Tear drainage bypass, tube or stent placement

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

68750 without 50 · national facility

$748.85

Tear drainage bypass, tube or stent placement

68750-50 · Bilateral: 150%

$1,123.28

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

How 68750 has changed in Kansas

68750 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$697.59RVU26D
2026-07-01Not available in this setting$697.59RVU26C
2026-04-01Not available in this setting$697.59RVU26B
2026-01-01Not available in this setting$697.59RVU26A
2025-10-01Not available in this setting$767.31RVU25D
2025-07-01Not available in this setting$767.31RVU25C
2025-04-01Not available in this setting$767.31RVU25B
2025-01-01Not available in this setting$767.31RVU25A
2024-10-01Not available in this setting$794.69RVU24D
2024-07-01Not available in this setting$794.69RVU24C
2024-04-01Not available in this setting$794.69RVU24B
2024-03-09Not available in this setting$794.69RVU24AR
2024-01-01Not available in this setting$781.72RVU24A
2023-10-01Not available in this setting$802.89RVU23D
2023-07-01Not available in this setting$802.89RVU23C
2023-04-01Not available in this setting$802.89RVU23B
2023-01-01Not available in this setting$802.89RVU23A
2022-10-01Not available in this setting$812.02RVU22D
2022-07-01Not available in this setting$812.02RVU22C
2022-04-01Not available in this setting$812.02RVU22B
2022-01-01Not available in this setting$812.02RVU22A
2021-10-01Not available in this setting$796.41RVU21D
2021-07-01Not available in this setting$796.41RVU21C
2021-04-01Not available in this setting$796.41RVU21B
2021-01-01Not available in this setting$796.41RVU21A
2020-10-01Not available in this setting$783.08RVU20D
2020-07-01Not available in this setting$783.08RVU20C
2020-04-01Not available in this setting$783.08RVU20B
2020-01-01Not available in this setting$783.08RVU20A
2019-10-01Not available in this setting$762.35RVU19D
2019-07-01Not available in this setting$762.35RVU19C
2019-04-01Not available in this setting$762.35RVU19B
2019-01-01Not available in this setting$762.35RVU19A
2018-10-01Not available in this setting$759.33RVU18D
2018-07-01Not available in this setting$759.33RVU18C
2018-04-01Not available in this setting$759.33RVU18B
2018-01-01Not available in this setting$759.33RVU18AR1
2017-10-01Not available in this setting$752.19RVU17D
2017-07-01Not available in this setting$752.19RVU17C
2017-04-01Not available in this setting$752.19RVU17B
2017-01-01Not available in this setting$752.19RVU17A
2016-10-01Not available in this setting$748.69RVU16D
2016-07-01Not available in this setting$748.69RVU16C
2016-04-01Not available in this setting$748.69RVU16B
2016-01-01Not available in this setting$748.69RVU16A
2015-10-01Not available in this setting$749.85RVU15D
2015-07-01Not available in this setting$749.85RVU15C
2015-04-01Not available in this setting$746.12RVU15B
2015-01-01Not available in this setting$746.12RVU15A
2014-10-01Not available in this setting$783.49RVU14D
2014-07-01Not available in this setting$783.49RVU14C
2014-04-01Not available in this setting$783.49RVU14B
2014-01-01Not available in this setting$783.49RVU14A
2013-10-01Not available in this setting$784.64RVU13D
2013-07-01Not available in this setting$784.64RVU13C
2013-04-01Not available in this setting$784.64RVU13B
2013-01-01Not available in this setting$784.64RVU13AR

Price 68750 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

68750 billing questions

When is this code preferred over a dacryocystorhinostomy?

Use this code when the surgeon creates a bypass from the conjunctival sac to the nose with a tube or stent. A dacryocystorhinostomy uses the lacrimal sac as the connection point.

Is placement of the tube or stent separately reported?

No. Tube or stent placement is included in this procedure.

How should bilateral surgery be reported?

CMS identifies the procedure as bilateral and pays modifier 50 at 150%. The operative documentation should establish that the procedure was performed on both sides.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and related postoperative care. It does not describe unrelated services.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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
RVUs for 68750PPRRVU2026_Oct_nonQPP.csv, line 7,567 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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