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CPT code 68760: Punctal closure, cautery or other method2026 Medicare rate & RVUs in Indiana

Reports closure of a lacrimal punctum by cautery, ligation, or another method to reduce tear drainage, commonly for patients with dry eye.

CMS RVU26DEffective Oct 1, 2026One payment locality5.3K Medicare services in 2024

In Indiana, Medicare pays $205.60 for 68760 in the office and $120.46 when it’s performed in a hospital or facility.

$205.60Office (non-facility)
$120.46Hospital or facility
−6.3%vs the national office rate ($219.44)

Check a contract rate as a % of Medicare · 68760 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 68760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 68760 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 68760 covers

An ophthalmologist, often an oculoplastic specialist, closes a lacrimal punctum to slow tear drainage and retain tears on the eye. This is commonly considered for patients with dry eye when punctal occlusion is needed and a plug is not the selected method. The clinician may use cautery, ligation, or another closure technique, typically in an office setting.

Report this code for punctal closure by a method other than a plug; the plug method is represented separately. Document the treated punctum or side, the technique, and the clinical reason for reducing tear drainage. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 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 Indiana compares for 68760

Across 109 of 109 payment localities, the office rate for 68760 runs from $195.09 in Arkansas to $292.91 in San Benito County, CA. Indiana pays $205.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

68760 in Indiana vs other payment areas
  1. Indiana · this page$205.60
  2. Los Angeles, CA · California$248.92+$43.32
  3. Washington, DC area · District of Columbia$250.99+$45.39
  4. Miami, FL · Florida$233.02+$27.42
  5. Chicago, IL · Illinois$226.69+$21.09
  6. Manhattan, NY · New York$251.28+$45.68
  7. Alaska · Alaska$256.59+$50.99

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

Every other payment area

68760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$197.83$117.46
ArkansasArkansas$195.09$116.19
ArizonaArizona$213.91$124.91
Bakersfield, CACalifornia$233.76$133.09
Chico, CACalifornia$233.30$132.63
El Centro, CACalifornia$233.32$132.65
Fresno, CACalifornia$233.30$132.63
Hanford, CACalifornia$233.30$132.63

68760 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.

$195.09

$263.11

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

View every state and territory as a table
68760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$256.591
AL$197.831
AR$195.091
AZ$213.911
CA$233.30–$292.9129
CO$229.141
CT$233.651
DC$250.991
DE$217.381
FL$214.90–$233.023
GA$203.42–$223.062
GU$238.941
HI$238.941
IA$203.311
ID$204.451
IL$208.45–$227.694
IN$205.601
KS$202.091
KY$201.661
LA$201.23–$210.842
MA$227.73–$251.702
MD$221.52–$250.993
ME$205.14–$216.312
MI$206.42–$217.172
MN$220.691
MO$197.70–$211.933
MS$196.451
MT$219.431
NC$207.261
ND$216.671
NE$204.471
NH$225.281
NJ$236.63–$248.492
NM$207.381
NV$218.821
NY$210.22–$256.785
OH$205.851
OK$201.641
OR$217.43–$236.562
PA$206.34–$227.822
PR$221.101
RI$225.211
SC$206.841
SD$216.341
TN$203.021
TX$205.01–$228.118
UT$209.571
VA$215.41–$250.992
VI$221.101
VT$215.571
WA$227.38–$257.052
WI$209.631
WV$200.941
WY$218.231

See 68760 in every payment locality

How the 68760 rate is calculated

Each of 68760’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 · 68760

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.74

1.74 RVUs× 1.000 GPCI

Practice expense4.69

4.69 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

6.5700

Conversion factor

$33.4009

Medicare rate

$219.44

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

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,568

Code
68760
Physician work
1.74
Practice expense
4.69
Malpractice
0.14

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 68760 in Indiana
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense4.69× 0.9274.3476
Malpractice0.14× 0.4860.0680
Total RVUs6.1557
Conversion factor× 33.4009

Office rate, Indiana$205.60

Office: (1.74 × 1 + 4.69 × 0.927 + 0.14 × 0.486) × $33.4009 = $205.60

Facility: (1.74 × 1 + 1.94 × 0.927 + 0.14 × 0.486) × $33.4009 = $120.46

Open 68760 in the RVU calculator

Payment rules and modifiers for 68760

68760 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68760

Punctal closure, cautery or other method

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 68760

Punctal closure, cautery or other method

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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

68760 without 50 · national office

$219.44

Punctal closure, cautery or other method

68760-50 · Bilateral: 150%

$329.16

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 68760

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

Codes related to 68760
CodeHow it relatesOffice range, Indiana
Same family
68761Punctal occlusion, plug, each punctumCloses the lacrimal punctum with a plug rather than cautery or another closure method.$135.14
68770Lacrimal fistula closureAlso closes a lacrimal opening, but treats a fistula rather than a punctum.No office rate
Used instead
68705Punctum revision, with reconstructionAddresses excessive tearing through a different drainage-reduction procedure.$243.41

How 68760 has changed in Indiana

68760 · Office / nonfacility

$205.60

Effective 2026-10-01

The base rate is $10.87 higher than on 2025-10-01, moving from $194.73 to $205.60 (5.6%).

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

    $194.73changed to$205.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 4.52 changed to 4.69
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $203.92changed to$194.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.64 changed to 4.52
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $200.59changed to$203.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $206.43changed to$200.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.66 changed to 4.64
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485

  5. January 1, 2023

    RVU23A

    $208.05changed to$206.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.64 changed to 4.66
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $208.21changed to$208.05

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.58 changed to 4.64
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $202.84changed to$208.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.16 changed to 4.58
    • Malpractice RVU 0.13 changed to 0.14
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.74changed to$202.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.01 changed to 4.16
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $193.22changed to$198.74

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.85 changed to 4.01

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $190.68changed to$193.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.77 changed to 3.85
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $190.92changed to$190.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $191.06changed to$190.92

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.76 changed to 3.77
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $190.11changed to$191.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $194.89changed to$190.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.75 changed to 3.76
    • Malpractice RVU 0.33 changed to 0.12
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $197.35changed to$194.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.13 changed to 3.75
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $197.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$205.60$120.46RVU26D
2026-07-01$205.60$120.46RVU26C
2026-04-01$205.60$120.46RVU26B
2026-01-01$205.60$120.46RVU26A
2025-10-01$194.73$132.70RVU25D
2025-07-01$194.73$132.70RVU25C
2025-04-01$194.73$132.70RVU25B
2025-01-01$194.73$132.70RVU25A
2024-10-01$203.92$136.09RVU24D
2024-07-01$203.92$136.09RVU24C
2024-04-01$203.92$136.09RVU24B
2024-03-09$203.92$136.09RVU24AR
2024-01-01$200.59$133.87RVU24A
2023-10-01$206.43$135.74RVU23D
2023-07-01$206.43$135.74RVU23C
2023-04-01$206.43$135.74RVU23B
2023-01-01$206.43$135.74RVU23A
2022-10-01$208.05$134.85RVU22D
2022-07-01$208.05$134.85RVU22C
2022-04-01$208.05$134.85RVU22B
2022-01-01$208.05$134.85RVU22A
2021-10-01$208.21$135.98RVU21D
2021-07-01$208.21$135.98RVU21C
2021-04-01$208.21$135.98RVU21B
2021-01-01$208.21$135.98RVU21A
2020-10-01$202.84$138.47RVU20D
2020-07-01$202.84$138.47RVU20C
2020-04-01$202.84$138.47RVU20B
2020-01-01$202.84$138.47RVU20A
2019-10-01$198.74$140.11RVU19D
2019-07-01$198.74$140.11RVU19C
2019-04-01$198.74$140.11RVU19B
2019-01-01$198.74$140.11RVU19A
2018-10-01$193.22$140.62RVU18D
2018-07-01$193.22$140.62RVU18C
2018-04-01$193.22$140.62RVU18B
2018-01-01$193.22$140.62RVU18AR1
2017-10-01$190.68$139.83RVU17D
2017-07-01$190.68$139.83RVU17C
2017-04-01$190.68$139.83RVU17B
2017-01-01$190.68$139.83RVU17A
2016-10-01$190.92$140.14RVU16D
2016-07-01$190.92$140.14RVU16C
2016-04-01$190.92$140.14RVU16B
2016-01-01$190.92$140.14RVU16A
2015-10-01$191.06$140.75RVU15D
2015-07-01$191.06$140.75RVU15C
2015-04-01$190.11$140.05RVU15B
2015-01-01$190.11$140.05RVU15A
2014-10-01$194.89$144.69RVU14D
2014-07-01$194.89$144.69RVU14C
2014-04-01$194.89$144.69RVU14B
2014-01-01$194.89$144.69RVU14A
2013-10-01$197.35$143.96RVU13D
2013-07-01$197.35$143.96RVU13C
2013-04-01$197.35$143.96RVU13B
2013-01-01$197.35$143.96RVU13AR

Price 68760 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

68760 billing questions

How does this differ from 68761?

This code is for punctal closure by cautery, ligation, or another non-plug method. Code 68761 is for closure using a plug and is reported per punctum.

When is punctal closure used?

It is used to reduce tear drainage and retain tears, commonly in a patient with dry eye. The documentation should support the clinical reason for occlusion and identify the method performed.

How should bilateral treatment be reported?

When both sides are treated, report modifier 50. CMS pays a bilateral procedure at 150% under the rule for this code.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can an assistant or co-surgeon be billed?

CMS 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
RVUs for 68760PPRRVU2026_Oct_nonQPP.csv, line 7,568 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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