$210.72–$318.58
Use 68115 when the excised conjunctival lesion is larger than 1 cm; 68110 identifies the smaller-lesion size range.
On this page
CMS RVU26D · Effective 2026-10-01
68115 Conjunctival excision Medicare reimbursement rates
Report surgical removal of a conjunctival lesion larger than 1 cm, such as a growth requiring excision rather than biopsy or destruction. Compare 68115 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 68115?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$293.22–$445.50
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $152.28 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 68115 pays more and less
109 payment localities
$293.22 to $445.50
Ophthalmology procedure
About 68115: Excision of conjunctival lesion over one centimeter
Report surgical removal of a conjunctival lesion larger than 1 cm, such as a growth requiring excision rather than biopsy or destruction.
This service removes a lesion from the conjunctiva, the tissue lining the inner eyelids and covering the visible surface of the eye. Ophthalmologists commonly excise larger or suspicious ocular-surface growths in an office procedure room or surgical facility. The removed tissue may be submitted for pathologic examination; the code represents the excision itself, not the laboratory interpretation.
Choose this code when documentation supports a lesion larger than 1 cm and describes its size, location, laterality, and excision. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 68115
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.35 · 24%
- Practice expense (office) RVU7.37 · 74%
- Malpractice RVU0.19 · 2%
2.1K
Medicare services in 2024 · #2417 by national volume
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.
68115 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$159.31–$241.16
68100 is for conjunctival biopsy. Choose 68115 when the service is excision of a lesion larger than 1 cm.
$495.09–$732.31
68130 identifies excision of a conjunctival lesion adjacent to the sclera; 68115 is distinguished by lesion size over 1 cm.
$144.09–$205.28
68135 is for destroying a conjunctival lesion. 68115 represents surgical excision of a lesion larger than 1 cm.
See how rates vary across the country
68115 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$293.22
$399.26
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $383.40 | 1 |
| AL | $297.48 | 1 |
| AR | $293.22 | 1 |
| AZ | $322.46 | 1 |
| CA | $353.02–$445.50 | 29 |
| CO | $346.31 | 1 |
| CT | $352.86 | 1 |
| DC | $379.78 | 1 |
| DE | $327.80 | 1 |
| FL | $323.36–$350.80 | 3 |
| GA | $305.64–$336.45 | 2 |
| GU | $362.06 | 1 |
| HI | $362.06 | 1 |
| IA | $306.25 | 1 |
| ID | $307.97 | 1 |
| IL | $313.16–$343.10 | 4 |
| IN | $309.77 | 1 |
| KS | $304.22 | 1 |
| KY | $303.14 | 1 |
| LA | $302.43–$317.34 | 2 |
| MA | $344.02–$381.28 | 2 |
| MD | $334.22–$379.78 | 3 |
| ME | $308.91–$326.45 | 2 |
| MI | $310.41–$326.74 | 2 |
| MN | $333.67 | 1 |
| MO | $296.87–$319.20 | 3 |
| MS | $295.13 | 1 |
| MT | $330.99 | 1 |
| NC | $312.22 | 1 |
| ND | $327.23 | 1 |
| NE | $308.10 | 1 |
| NH | $340.30 | 1 |
| NJ | $357.41–$375.77 | 2 |
| NM | $311.85 | 1 |
| NV | $330.19 | 1 |
| NY | $316.81–$387.99 | 5 |
| OH | $309.64 | 1 |
| OK | $303.25 | 1 |
| OR | $328.13–$357.96 | 2 |
| PA | $310.47–$343.73 | 2 |
| PR | $333.62 | 1 |
| RI | $339.93 | 1 |
| SC | $311.34 | 1 |
| SD | $326.79 | 1 |
| TN | $305.66 | 1 |
| TX | $308.40–$344.71 | 8 |
| UT | $315.59 | 1 |
| VA | $324.95–$379.78 | 2 |
| VI | $333.62 | 1 |
| VT | $325.41 | 1 |
| WA | $343.55–$389.65 | 2 |
| WI | $316.27 | 1 |
| WV | $301.49 | 1 |
| WY | $329.35 | 1 |
Compare 68115 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $297.48 | Facility $145.21 |
| Alaska* | Office $383.40 | Facility $198.07 |
| Arizona | Office $322.46 | Facility $153.83 |
| Arkansas | Office $293.22 | Facility $143.73 |
| Atlanta | Office $336.45 | Facility $159.65 |
| Austin | Office $344.71 | Facility $160.60 |
| Bakersfield | Office $353.64 | Facility $162.92 |
| Baltimore/Surr. Cntys | Office $351.73 | Facility $165.01 |
| Beaumont | Office $308.40 | Facility $150.04 |
| Brazoria | Office $328.02 | Facility $155.57 |
| Chicago | Office $341.00 | Facility $166.11 |
| Chico | Office $353.02 | Facility $162.30 |
| Colorado | Office $346.31 | Facility $161.15 |
| Connecticut | Office $352.86 | Facility $165.44 |
| Dallas | Office $329.82 | Facility $156.50 |
| Dc + Md/Va Suburbs | Office $379.78 | Facility $174.78 |
| Delaware | Office $327.80 | Facility $155.87 |
| Detroit | Office $326.74 | Facility $158.81 |
| East St. Louis | Office $317.74 | Facility $157.65 |
| El Centro | Office $353.06 | Facility $162.33 |
| Fort Lauderdale | Office $339.33 | Facility $163.05 |
| Fort Worth | Office $327.44 | Facility $155.86 |
| Fresno | Office $353.02 | Facility $162.30 |
| Galveston | Office $328.82 | Facility $156.02 |
| Hanford-Corcoran | Office $353.02 | Facility $162.30 |
| Hawaii, Guam | Office $362.06 | Facility $164.20 |
| Houston | Office $332.29 | Facility $159.49 |
| Idaho | Office $307.97 | Facility $147.87 |
| Indiana | Office $309.77 | Facility $148.46 |
| Iowa | Office $306.25 | Facility $147.03 |
| Kansas | Office $304.22 | Facility $146.91 |
| Kentucky | Office $303.14 | Facility $148.44 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $377.14 | Facility $171.27 |
| Madera | Office $353.02 | Facility $162.30 |
| Manhattan | Office $379.62 | Facility $177.41 |
| Merced | Office $353.02 | Facility $162.30 |
| Metropolitan Boston | Office $381.28 | Facility $173.50 |
| Metropolitan Kansas City | Office $315.84 | Facility $152.44 |
| Metropolitan Philadelphia | Office $343.73 | Facility $162.58 |
| Metropolitan St. Louis | Office $319.20 | Facility $153.53 |
| Miami | Office $350.80 | Facility $169.65 |
| Minnesota | Office $333.67 | Facility $154.61 |
| Mississippi | Office $295.13 | Facility $145.30 |
| Modesto | Office $353.02 | Facility $162.30 |
| Montana** | Office $330.99 | Facility $156.97 |
| Napa | Office $411.11 | Facility $181.75 |
| Nebraska | Office $308.10 | Facility $147.48 |
| Nevada** | Office $330.19 | Facility $156.00 |
| New Hampshire | Office $340.30 | Facility $159.15 |
| New Mexico | Office $311.85 | Facility $152.27 |
| New Orleans | Office $317.34 | Facility $153.59 |
| North Carolina | Office $312.22 | Facility $149.86 |
| North Dakota** | Office $327.23 | Facility $153.21 |
| Northern Nj | Office $375.77 | Facility $173.90 |
| Nyc Suburbs/Long Island | Office $387.99 | Facility $181.08 |
| Ohio | Office $309.64 | Facility $150.76 |
| Oklahoma | Office $303.25 | Facility $147.85 |
| Oxnard-Thousand Oaks-Ventura | Office $375.61 | Facility $169.92 |
| Portland | Office $357.96 | Facility $164.62 |
| Poughkpsie/N Nyc Suburbs | Office $359.25 | Facility $168.70 |
| Puerto Rico | Office $333.62 | Facility $157.68 |
| Queens | Office $383.63 | Facility $177.94 |
| Redding | Office $353.02 | Facility $162.30 |
| Rest Of California | Office $353.02 | Facility $162.30 |
| Rest Of Florida | Office $323.36 | Facility $157.00 |
| Rest Of Georgia | Office $305.64 | Facility $150.41 |
| Rest Of Illinois | Office $313.16 | Facility $154.28 |
| Rest Of Louisiana | Office $302.43 | Facility $148.42 |
| Rest Of Maine | Office $308.91 | Facility $148.81 |
| Rest Of Maryland | Office $334.22 | Facility $158.11 |
| Rest Of Massachusetts | Office $344.02 | Facility $160.78 |
| Rest Of Michigan | Office $310.41 | Facility $151.53 |
| Rest Of Missouri | Office $296.87 | Facility $146.86 |
| Rest Of New Jersey | Office $357.41 | Facility $167.38 |
| Rest Of New York | Office $316.81 | Facility $151.49 |
| Rest Of Oregon | Office $328.13 | Facility $154.81 |
| Rest Of Pennsylvania | Office $310.47 | Facility $150.72 |
| Rest Of Texas | Office $317.83 | Facility $152.69 |
| Rest Of Washington | Office $343.55 | Facility $160.31 |
| Rhode Island | Office $339.93 | Facility $160.17 |
| Riverside-San Bernardino-Ontario | Office $355.11 | Facility $164.39 |
| Sacramento-Roseville-Folsom | Office $371.01 | Facility $168.63 |
| Salinas | Office $369.63 | Facility $167.94 |
| San Diego-Chula Vista-Carlsbad | Office $378.70 | Facility $170.57 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $435.95 | Facility $190.59 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $435.74 | Facility $190.37 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $445.50 | Facility $194.56 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $444.62 | Facility $193.68 |
| San Luis Obispo-Paso Robles | Office $363.61 | Facility $165.40 |
| Santa Cruz-Watsonville | Office $382.63 | Facility $171.20 |
| Santa Maria-Santa Barbara | Office $371.12 | Facility $168.21 |
| Santa Rosa-Petaluma | Office $386.54 | Facility $172.84 |
| Seattle (King Cnty) | Office $389.65 | Facility $176.12 |
| South Carolina | Office $311.34 | Facility $150.55 |
| South Dakota** | Office $326.79 | Facility $152.77 |
| Southern Maine | Office $326.45 | Facility $153.99 |
| Stockton | Office $353.02 | Facility $162.30 |
| Suburban Chicago | Office $343.10 | Facility $164.38 |
| Tennessee | Office $305.66 | Facility $147.48 |
| Utah | Office $315.59 | Facility $152.01 |
| Vallejo | Office $410.79 | Facility $181.44 |
| Vermont | Office $325.41 | Facility $153.13 |
| Virgin Islands | Office $333.62 | Facility $157.68 |
| Virginia | Office $324.95 | Facility $153.89 |
| Visalia | Office $353.02 | Facility $162.30 |
| West Virginia | Office $301.49 | Facility $150.27 |
| Wisconsin | Office $316.27 | Facility $149.56 |
| Wyoming** | Office $329.35 | Facility $155.33 |
| Yuba City | Office $353.02 | Facility $162.30 |
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68115 billing questions
How does this differ from 68110?
68115 is for an excised conjunctival lesion larger than 1 cm; 68110 is for a lesion smaller than 1 cm. Document the lesion’s size to support the selection.
When would 68100 be more appropriate?
68100 describes a conjunctival biopsy. Use it when the service is a biopsy rather than excision of a lesion larger than 1 cm.
Is pathologic examination included?
The code represents removal of the lesion, not the laboratory examination of the specimen. A separately performed pathology service may be reported by the appropriate provider.
How is bilateral excision reported?
For bilateral treatment, report modifier 50; the CMS bilateral rule pays this code at 150%.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant or co-surgeon be paid?
Medicare does not pay an assistant at surgery for this service. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,53468040,,Treatment of eyelid lesions,A,,0.83,0.98,,0.32,,0.04,1.85,1.19,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53568100,,Biopsy conjunctiva,A,,1.32,3.95,,1.00,,0.11,5.38,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53668110,,Exc les conjunctiva <1 cm,A,,1.77,5.20,,1.95,,0.14,7.11,3.86,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53768115,,Exc les conjunctiva >1 cm,A,,2.35,7.37,,2.16,,0.19,9.91,4.70,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53868130,,Exc les conjunctiva adj scl,A,,4.97,11.23,,5.34,,0.40,16.60,10.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53968135,,Destruction les conjunctiva,A,,1.84,2.79,,1.90,,0.15,4.78,3.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54068200,,Treat eyelid by injection,A,,0.48,0.72,,0.35,,0.04,1.24,0.87,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00