CPT code 68761: Punctal occlusion, plug, each punctum2026 Medicare rate & RVUs in Alabama
Reports plug-based closure of a lacrimal punctum, commonly to retain tears in patients with aqueous-deficient dry eye.
In Alabama, Medicare pays $130.38 for 68761 in the office and $95.60 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 68761 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 68761 covers
An ophthalmologist places a plug in a lacrimal punctum to reduce tear drainage and help retain the eye’s natural tears. This is commonly performed in an office for patients with dry eye related to inadequate tear volume. The code represents treatment of each punctum, rather than a permanent closure technique or surgery to restore tear drainage.
Report the code for each punctum treated and document the indication, site and number of puncta, and plug placement. For bilateral treatment, modifier 50 applies; CMS pays the bilateral procedure at 150%. A 10-day global period includes related postoperative visits during that period. If multiple procedures subject to the standard multiple-procedure rule are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Alabama compares for 68761
Across 109 of 109 payment localities, the office rate for 68761 runs from $128.73 in Arkansas to $189.31 in San Benito County, CA. Alabama pays $130.38. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$130.38
- Los Angeles, CA · California$161.80+$31.42
- Washington, DC area · District of Columbia$162.97+$32.59
- Miami, FL · Florida$150.77+$20.39
- Chicago, IL · Illinois$147.11+$16.73
- Manhattan, NY · New York$163.01+$32.63
- Alaska · Alaska$171.31+$40.93
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $128.73 | $94.59 |
| ArizonaArizona | $140.00 | $101.49 |
| Bakersfield, CACalifornia | $152.38 | $108.82 |
| Chico, CACalifornia | $152.12 | $108.56 |
| El Centro, CACalifornia | $152.13 | $108.57 |
| Fresno, CACalifornia | $152.12 | $108.56 |
| Hanford, CACalifornia | $152.12 | $108.56 |
| Madera, CACalifornia | $152.12 | $108.56 |
| Merced, CACalifornia | $152.12 | $108.56 |
| Modesto, CACalifornia | $152.12 | $108.56 |
| Napa, CACalifornia | $175.29 | $122.91 |
| Oxnard, CACalifornia | $161.01 | $114.03 |
| Redding, CACalifornia | $152.12 | $108.56 |
| Rest of CaliforniaCalifornia | $152.12 | $108.56 |
| Riverside, CACalifornia | $152.91 | $109.35 |
| Sacramento, CACalifornia | $159.37 | $113.14 |
| Salinas, CACalifornia | $158.76 | $112.69 |
| San Diego, CACalifornia | $162.25 | $114.71 |
| Marin County, CACalifornia | $185.40 | $129.36 |
| San Francisco, CACalifornia | $185.32 | $129.28 |
| San Benito County, CACalifornia | $189.31 | $132.00 |
| Santa Clara County, CACalifornia | $188.99 | $131.67 |
| San Luis Obispo, CACalifornia | $156.21 | $110.94 |
| Santa Cruz, CACalifornia | $163.63 | $115.34 |
| Santa Maria, CACalifornia | $159.29 | $112.94 |
| Santa Rosa, CACalifornia | $165.28 | $116.47 |
| Stockton, CACalifornia | $152.12 | $108.56 |
| Vallejo, CACalifornia | $175.18 | $122.79 |
| Visalia, CACalifornia | $152.12 | $108.56 |
| Yuba City, CACalifornia | $152.12 | $108.56 |
| ColoradoColorado | $149.42 | $107.13 |
| ConnecticutConnecticut | $152.03 | $109.22 |
| DelawareDelaware | $142.14 | $102.87 |
| Fort Lauderdale, FLFlorida | $146.42 | $106.15 |
| Rest of FloridaFlorida | $140.28 | $102.28 |
| Atlanta, GAGeorgia | $145.42 | $105.04 |
| Rest of GeorgiaGeorgia | $133.46 | $98.00 |
| Hawaii, Guam, HIHawaii | $155.35 | $110.15 |
| IowaIowa | $133.79 | $97.42 |
| IdahoIdaho | $134.44 | $97.87 |
| East St. Louis, ILIllinois | $138.05 | $101.48 |
| Rest of IllinoisIllinois | $136.32 | $100.04 |
| Suburban Chicago, ILIllinois | $147.99 | $107.17 |
| IndianaIndiana | $135.14 | $98.29 |
| KansasKansas | $132.99 | $97.06 |
| KentuckyKentucky | $132.52 | $97.19 |
| New Orleans, LALouisiana | $137.99 | $100.59 |
| Rest of LouisianaLouisiana | $132.24 | $97.07 |
| Metropolitan Boston, MAMassachusetts | $163.38 | $115.92 |
| Rest of MassachusettsMassachusetts | $148.59 | $106.74 |
| Baltimore area, MDMaryland | $151.53 | $108.88 |
| Rest of MarylandMaryland | $144.70 | $104.47 |
| Rest of MaineMaine | $134.79 | $98.22 |
| Southern Maine, MEMaine | $141.57 | $102.18 |
| Detroit, MIMichigan | $141.56 | $103.21 |
| Rest of MichiganMichigan | $135.31 | $99.02 |
| MinnesotaMinnesota | $144.40 | $103.50 |
| Metropolitan Kansas City, MOMissouri | $137.43 | $100.11 |
| Metropolitan St. Louis, MOMissouri | $138.73 | $100.89 |
| Rest of MissouriMissouri | $130.09 | $95.83 |
| MississippiMississippi | $129.45 | $95.23 |
| MontanaMontana | $143.29 | $103.54 |
| North CarolinaNorth Carolina | $136.07 | $98.98 |
| North DakotaNorth Dakota | $141.90 | $102.15 |
| NebraskaNebraska | $134.51 | $97.82 |
| New HampshireNew Hampshire | $146.90 | $105.52 |
| Northern New JerseyNew Jersey | $161.56 | $115.46 |
| Rest of New JerseyNew Jersey | $154.10 | $110.70 |
| New MexicoNew Mexico | $135.86 | $99.41 |
| NevadaNevada | $142.99 | $103.21 |
| NYC suburbs and Long Island, NYNew York | $166.21 | $118.95 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $154.88 | $111.36 |
| Queens, NYNew York | $164.58 | $117.60 |
| Rest of New YorkNew York | $137.84 | $100.08 |
| OhioOhio | $135.03 | $98.74 |
| OklahomaOklahoma | $132.58 | $97.09 |
| Portland, OROregon | $153.99 | $109.83 |
| Rest of OregonOregon | $142.21 | $102.63 |
| Metropolitan Philadelphia, PAPennsylvania | $148.47 | $107.09 |
| Rest of PennsylvaniaPennsylvania | $135.36 | $98.87 |
| Puerto RicoPuerto Rico | $144.30 | $104.12 |
| Rhode IslandRhode Island | $147.05 | $105.99 |
| South CarolinaSouth Carolina | $135.70 | $98.98 |
| South DakotaSouth Dakota | $141.74 | $101.99 |
| TennesseeTennessee | $133.54 | $97.41 |
| Austin, TXTexas | $148.64 | $106.58 |
| Beaumont, TXTexas | $134.56 | $98.39 |
| Brazoria, TXTexas | $142.28 | $102.90 |
| Dallas, TXTexas | $142.99 | $103.40 |
| Fort Worth, TXTexas | $142.07 | $102.88 |
| Galveston, TXTexas | $142.59 | $103.12 |
| Houston, TXTexas | $143.87 | $104.40 |
| Rest of TexasTexas | $138.21 | $100.49 |
| UtahUtah | $137.34 | $99.98 |
| VirginiaVirginia | $140.98 | $101.91 |
| Virgin Islands, VIUnited States Virgin Islands | $144.30 | $104.12 |
| VermontVermont | $141.18 | $101.83 |
| Rest of WashingtonWashington | $148.37 | $106.52 |
| King County, WAWashington | $166.76 | $117.99 |
| WisconsinWisconsin | $137.67 | $99.60 |
| West VirginiaWest Virginia | $131.83 | $97.29 |
| WyomingWyoming | $142.68 | $102.93 |
68761 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.
$128.73
$171.31
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 | $171.31 | 1 |
| AL | $130.38 | 1 |
| AR | $128.73 | 1 |
| AZ | $140.00 | 1 |
| CA | $152.12–$189.31 | 29 |
| CO | $149.42 | 1 |
| CT | $152.03 | 1 |
| DC | $162.97 | 1 |
| DE | $142.14 | 1 |
| FL | $140.28–$150.77 | 3 |
| GA | $133.46–$145.42 | 2 |
| GU | $155.35 | 1 |
| HI | $155.35 | 1 |
| IA | $133.79 | 1 |
| ID | $134.44 | 1 |
| IL | $136.32–$147.99 | 4 |
| IN | $135.14 | 1 |
| KS | $132.99 | 1 |
| KY | $132.52 | 1 |
| LA | $132.24–$137.99 | 2 |
| MA | $148.59–$163.38 | 2 |
| MD | $144.70–$162.97 | 3 |
| ME | $134.79–$141.57 | 2 |
| MI | $135.31–$141.56 | 2 |
| MN | $144.40 | 1 |
| MO | $130.09–$138.73 | 3 |
| MS | $129.45 | 1 |
| MT | $143.29 | 1 |
| NC | $136.07 | 1 |
| ND | $141.90 | 1 |
| NE | $134.51 | 1 |
| NH | $146.90 | 1 |
| NJ | $154.10–$161.56 | 2 |
| NM | $135.86 | 1 |
| NV | $142.99 | 1 |
| NY | $137.84–$166.21 | 5 |
| OH | $135.03 | 1 |
| OK | $132.58 | 1 |
| OR | $142.21–$153.99 | 2 |
| PA | $135.36–$148.47 | 2 |
| PR | $144.30 | 1 |
| RI | $147.05 | 1 |
| SC | $135.70 | 1 |
| SD | $141.74 | 1 |
| TN | $133.54 | 1 |
| TX | $134.56–$148.64 | 8 |
| UT | $137.34 | 1 |
| VA | $140.98–$162.97 | 2 |
| VI | $144.30 | 1 |
| VT | $141.18 | 1 |
| WA | $148.37–$166.76 | 2 |
| WI | $137.67 | 1 |
| WV | $131.83 | 1 |
| WY | $142.68 | 1 |
How the 68761 rate is calculated
Each of 68761’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 · 68761
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense2.85
2.85 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
4.2900
Conversion factor
$33.4009
Medicare rate
$143.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,569
- Code
- 68761
- Physician work
- 1.37
- Practice expense
- 2.85
- Malpractice
- 0.07
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 2.85 | × 0.875 | 2.4937 |
| Malpractice | 0.07 | × 0.566 | 0.0396 |
| Total RVUs | 3.9034 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$130.38
Office: (1.37 × 1 + 2.85 × 0.875 + 0.07 × 0.566) × $33.4009 = $130.38
Facility: (1.37 × 1 + 1.66 × 0.875 + 0.07 × 0.566) × $33.4009 = $95.60
Payment rules and modifiers for 68761
68761 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68761
Punctal occlusion, plug, each punctum
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 68761
Punctal occlusion, plug, each punctum
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
68761 without 50 · national office
$143.29
Punctal occlusion, plug, each punctum
68761-50 · Bilateral: 150%
$214.94
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 68761 has changed in Alabama
68761 · Office / nonfacility
$130.38
Effective 2026-10-01
The base rate is $4.48 higher than on 2025-10-01, moving from $125.90 to $130.38 (3.6%).
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
$125.90changed to$130.38
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.41 changed to 1.37
- Practice expense RVU 2.81 changed to 2.85
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$131.49changed to$125.90
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.87 changed to 2.81
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$129.34changed to$131.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$134.90changed to$129.34
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.86 changed to 2.87
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$138.94changed to$134.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.84 changed to 2.86
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$141.02changed to$138.94
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.87 changed to 2.84
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$139.81changed to$141.02
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.70 changed to 2.87
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$139.65changed to$139.81
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.72 changed to 2.70
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$139.82changed to$139.65
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.73 changed to 2.72
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$139.82
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $130.38 | $95.60 | RVU26D |
| 2026-07-01 | $130.38 | $95.60 | RVU26C |
| 2026-04-01 | $130.38 | $95.60 | RVU26B |
| 2026-01-01 | $130.38 | $95.60 | RVU26A |
| 2025-10-01 | $125.90 | $103.41 | RVU25D |
| 2025-07-01 | $125.90 | $103.41 | RVU25C |
| 2025-04-01 | $125.90 | $103.41 | RVU25B |
| 2025-01-01 | $125.90 | $103.41 | RVU25A |
| 2024-10-01 | $131.49 | $106.32 | RVU24D |
| 2024-07-01 | $131.49 | $106.32 | RVU24C |
| 2024-04-01 | $131.49 | $106.32 | RVU24B |
| 2024-03-09 | $131.49 | $106.32 | RVU24AR |
| 2024-01-01 | $129.34 | $104.58 | RVU24A |
| 2023-10-01 | $134.90 | $108.42 | RVU23D |
| 2023-07-01 | $134.90 | $108.42 | RVU23C |
| 2023-04-01 | $134.90 | $108.42 | RVU23B |
| 2023-01-01 | $134.90 | $108.42 | RVU23A |
| 2022-10-01 | $138.94 | $110.36 | RVU22D |
| 2022-07-01 | $138.94 | $110.36 | RVU22C |
| 2022-04-01 | $138.94 | $110.36 | RVU22B |
| 2022-01-01 | $138.94 | $110.36 | RVU22A |
| 2021-10-01 | $141.02 | $110.96 | RVU21D |
| 2021-07-01 | $141.02 | $110.96 | RVU21C |
| 2021-04-01 | $141.02 | $110.96 | RVU21B |
| 2021-01-01 | $141.02 | $110.96 | RVU21A |
| 2020-10-01 | $139.81 | $111.57 | RVU20D |
| 2020-07-01 | $139.81 | $111.57 | RVU20C |
| 2020-04-01 | $139.81 | $111.57 | RVU20B |
| 2020-01-01 | $139.81 | $111.57 | RVU20A |
| 2019-10-01 | $139.65 | $112.07 | RVU19D |
| 2019-07-01 | $139.65 | $112.07 | RVU19C |
| 2019-04-01 | $139.65 | $112.07 | RVU19B |
| 2019-01-01 | $139.65 | $112.07 | RVU19A |
| 2018-10-01 | $139.82 | $113.23 | RVU18D |
| 2018-07-01 | $139.82 | $113.23 | RVU18C |
| 2018-04-01 | $139.82 | $113.23 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | 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 Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
68761 billing questions
How does this differ from 68760?
This code is for plug-based punctal closure. Code 68760 is used when the punctum is closed by a method such as cauterization or ligation.
How many units should be reported?
The code represents each punctum treated. Document the punctum or puncta where plugs were placed.
How is bilateral treatment reported?
Use modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included.
What documentation supports reporting this service?
Document the tear-retention indication, the treated punctum or puncta, and that plug placement was performed.
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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