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CMS RVU26D · Effective 2026-10-01

68340 in Alaska*

Office / nonfacility

$721.84

Base rate per service

Facility setting

$438.69

Base rate per service

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.

Ophthalmic surgery

About 68340: Eyelid adhesion release

Reports surgical division of adhesions involving the eyelid, such as lid-margin fusion that limits normal separation or movement of the lids.

This procedure releases abnormal scar tissue or other adhesions that bind eyelid structures together, including fusion at the lid margins. A typical clinical situation is acquired or congenital ankyloblepharon, where adhesions restrict opening or separation of the lids. An ophthalmologist, often an oculoplastic surgeon, performs the release in an operative setting; Medicare records services in both office and facility settings.

Report the code when the operative work is directed at separating eyelid adhesions, rather than reconstructing damaged eyelid lining. The note should identify the affected eyelid or lids, the location and extent of the adhesion, the functional or anatomic problem, and the release performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 68340

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.85 · 26%
  • Practice expense (office) RVU13.12 · 70%
  • Malpractice RVU0.66 · 4%

371

Medicare services in 2024 · #3795 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.

68340 compared with similar codes

Office rates for Alaska*, from the same CMS release.

68320

Conjunctivoplasty

Graft or extensive rearrangement

$880.99

Choose 68340 for division of eyelid adhesions. Choose 68320 when the principal work is revision or reconstruction of eyelid lining.

68325

Conjunctivoplasty

Mucous membrane graft

No office rate

68340 addresses adhesion release; 68325 is associated with eyelid-lining revision or graft work. Base selection on the work actually performed.

68330

Symblepharon repair

Without graft

$738.88

Use 68330 for eyelid-lining revision rather than a procedure whose primary purpose is separating an eyelid adhesion.

The same code, a different location

How does Alaska* compare?

68340 across payment areas

Same release and payment basis · bars start at $0

  1. Alaska* · This locality

    $721.84

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $701.69

    $20.15 lower than Alaska*

  3. Dc + Md/Va Suburbs

    $711.50

    $10.34 lower than Alaska*

  4. Miami

    $673.93

    $47.91 lower than Alaska*

  5. Chicago

    $654.13

    $67.71 lower than Alaska*

  6. Manhattan

    $716.54

    $5.30 lower than Alaska*

  7. Alabama

    $557.91

    $163.93 lower than Alaska*

Other payment areas listed in Alaska appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 68340 ranges from $549.78 in Arkansas to $823.54 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Arkansas

    Arkansas · 68340

    Office

    $549.78

    Facility

    $321.39

    $172.06 lower than Alaska* for the office setting.

  • Arizona

    Arizona · 68340

    Office

    $605.50

    Facility

    $347.87

    $116.34 lower than Alaska* for the office setting.

  • Bakersfield

    California · 68340

    Office

    $658.79

    Facility

    $367.39

    $63.05 lower than Alaska* for the office setting.

  • Chico

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • El Centro

    California · 68340

    Office

    $656.96

    Facility

    $365.57

    $64.88 lower than Alaska* for the office setting.

  • Fresno

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Hanford-Corcoran

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Madera

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Merced

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Modesto

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Napa

    California · 68340

    Office

    $760.97

    Facility

    $410.55

    $39.13 higher than Alaska* for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 68340

    Office

    $698.24

    Facility

    $383.98

    $23.60 lower than Alaska* for the office setting.

  • Redding

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Rest Of California

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 68340

    Office

    $664.00

    Facility

    $372.61

    $57.84 lower than Alaska* for the office setting.

  • Sacramento-Roseville-Folsom

    California · 68340

    Office

    $689.29

    Facility

    $380.08

    $32.55 lower than Alaska* for the office setting.

  • Salinas

    California · 68340

    Office

    $686.73

    Facility

    $378.58

    $35.11 lower than Alaska* for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 68340

    Office

    $702.91

    Facility

    $384.93

    $18.93 lower than Alaska* for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 68340

    Office

    $805.39

    Facility

    $430.51

    $83.55 higher than Alaska* for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 68340

    Office

    $804.64

    Facility

    $429.76

    $82.80 higher than Alaska* for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 68340

    Office

    $823.54

    Facility

    $440.16

    $101.70 higher than Alaska* for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 68340

    Office

    $820.48

    Facility

    $437.09

    $98.64 higher than Alaska* for the office setting.

  • San Luis Obispo-Paso Robles

    California · 68340

    Office

    $675.70

    Facility

    $372.87

    $46.14 lower than Alaska* for the office setting.

  • Santa Cruz-Watsonville

    California · 68340

    Office

    $709.65

    Facility

    $386.62

    $12.19 lower than Alaska* for the office setting.

  • Santa Maria-Santa Barbara

    California · 68340

    Office

    $689.31

    Facility

    $379.30

    $32.53 lower than Alaska* for the office setting.

  • Santa Rosa-Petaluma

    California · 68340

    Office

    $716.80

    Facility

    $390.31

    $5.04 lower than Alaska* for the office setting.

  • Stockton

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Vallejo

    California · 68340

    Office

    $759.89

    Facility

    $409.47

    $38.05 higher than Alaska* for the office setting.

  • Visalia

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Yuba City

    California · 68340

    Office

    $656.85

    Facility

    $365.46

    $64.99 lower than Alaska* for the office setting.

  • Colorado

    Colorado · 68340

    Office

    $647.42

    Facility

    $364.53

    $74.42 lower than Alaska* for the office setting.

  • Connecticut

    Connecticut · 68340

    Office

    $663.87

    Facility

    $377.53

    $57.97 lower than Alaska* for the office setting.

  • Delaware

    Delaware · 68340

    Office

    $615.58

    Facility

    $352.90

    $106.26 lower than Alaska* for the office setting.

  • Fort Lauderdale

    Florida · 68340

    Office

    $645.77

    Facility

    $376.44

    $76.07 lower than Alaska* for the office setting.

  • Rest Of Florida

    Florida · 68340

    Office

    $614.07

    Facility

    $359.89

    $107.77 lower than Alaska* for the office setting.

  • Atlanta

    Georgia · 68340

    Office

    $634.19

    Facility

    $364.06

    $87.65 lower than Alaska* for the office setting.

  • Rest Of Georgia

    Georgia · 68340

    Office

    $579.16

    Facility

    $342.01

    $142.68 lower than Alaska* for the office setting.

  • Hawaii, Guam

    Hawaii · 68340

    Office

    $673.01

    Facility

    $370.72

    $48.83 lower than Alaska* for the office setting.

  • Iowa

    Iowa · 68340

    Office

    $571.72

    Facility

    $328.45

    $150.12 lower than Alaska* for the office setting.

  • Idaho

    Idaho · 68340

    Office

    $575.58

    Facility

    $330.98

    $146.26 lower than Alaska* for the office setting.

  • East St. Louis

    Illinois · 68340

    Office

    $609.55

    Facility

    $364.95

    $112.29 lower than Alaska* for the office setting.

  • Rest Of Illinois

    Illinois · 68340

    Office

    $596.54

    Facility

    $353.80

    $125.30 lower than Alaska* for the office setting.

  • Suburban Chicago

    Illinois · 68340

    Office

    $652.24

    Facility

    $379.19

    $69.60 lower than Alaska* for the office setting.

  • Indiana

    Indiana · 68340

    Office

    $578.94

    Facility

    $332.48

    $142.90 lower than Alaska* for the office setting.

  • Kansas

    Kansas · 68340

    Office

    $569.26

    Facility

    $328.91

    $152.58 lower than Alaska* for the office setting.

  • Kentucky

    Kentucky · 68340

    Office

    $571.74

    Facility

    $335.38

    $150.10 lower than Alaska* for the office setting.

  • New Orleans

    Louisiana · 68340

    Office

    $599.40

    Facility

    $349.22

    $122.44 lower than Alaska* for the office setting.

  • Rest Of Louisiana

    Louisiana · 68340

    Office

    $570.94

    Facility

    $335.64

    $150.90 lower than Alaska* for the office setting.

  • Metropolitan Boston

    Massachusetts · 68340

    Office

    $711.49

    Facility

    $394.04

    $10.35 lower than Alaska* for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 68340

    Office

    $643.60

    Facility

    $363.64

    $78.24 lower than Alaska* for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 68340

    Office

    $662.07

    Facility

    $376.79

    $59.77 lower than Alaska* for the office setting.

  • Rest Of Maryland

    Maryland · 68340

    Office

    $627.33

    Facility

    $358.27

    $94.51 lower than Alaska* for the office setting.

  • Rest Of Maine

    Maine · 68340

    Office

    $578.87

    Facility

    $334.27

    $142.97 lower than Alaska* for the office setting.

  • Southern Maine

    Maine · 68340

    Office

    $610.18

    Facility

    $346.70

    $111.66 lower than Alaska* for the office setting.

  • Detroit

    Michigan · 68340

    Office

    $622.04

    Facility

    $365.48

    $99.80 lower than Alaska* for the office setting.

  • Rest Of Michigan

    Michigan · 68340

    Office

    $586.98

    Facility

    $344.24

    $134.86 lower than Alaska* for the office setting.

  • Minnesota

    Minnesota · 68340

    Office

    $619.45

    Facility

    $345.87

    $102.39 lower than Alaska* for the office setting.

  • Metropolitan Kansas City

    Missouri · 68340

    Office

    $595.02

    Facility

    $345.37

    $126.82 lower than Alaska* for the office setting.

  • Metropolitan St. Louis

    Missouri · 68340

    Office

    $601.27

    Facility

    $348.16

    $120.57 lower than Alaska* for the office setting.

  • Rest Of Missouri

    Missouri · 68340

    Office

    $561.21

    Facility

    $332.03

    $160.63 lower than Alaska* for the office setting.

  • Mississippi

    Mississippi · 68340

    Office

    $555.59

    Facility

    $326.68

    $166.25 lower than Alaska* for the office setting.

  • Montana**

    Montana · 68340

    Office

    $622.21

    Facility

    $356.34

    $99.63 lower than Alaska* for the office setting.

  • North Carolina

    North Carolina · 68340

    Office

    $584.94

    Facility

    $336.88

    $136.90 lower than Alaska* for the office setting.

  • North Dakota**

    North Dakota · 68340

    Office

    $609.16

    Facility

    $343.29

    $112.68 lower than Alaska* for the office setting.

  • Nebraska

    Nebraska · 68340

    Office

    $574.80

    Facility

    $329.41

    $147.04 lower than Alaska* for the office setting.

  • New Hampshire

    New Hampshire · 68340

    Office

    $637.47

    Facility

    $360.70

    $84.37 lower than Alaska* for the office setting.

  • Northern Nj

    New Jersey · 68340

    Office

    $704.08

    Facility

    $395.67

    $17.76 lower than Alaska* for the office setting.

  • Rest Of New Jersey

    New Jersey · 68340

    Office

    $671.19

    Facility

    $380.86

    $50.65 lower than Alaska* for the office setting.

  • New Mexico

    New Mexico · 68340

    Office

    $590.32

    Facility

    $346.51

    $131.52 lower than Alaska* for the office setting.

  • Nevada**

    Nevada · 68340

    Office

    $619.02

    Facility

    $352.88

    $102.82 lower than Alaska* for the office setting.

  • Nyc Suburbs/Long Island

    New York · 68340

    Office

    $734.34

    Facility

    $418.22

    $12.50 higher than Alaska* for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 68340

    Office

    $675.81

    Facility

    $384.68

    $46.03 lower than Alaska* for the office setting.

  • Queens

    New York · 68340

    Office

    $722.13

    Facility

    $407.87

    $0.29 higher than Alaska* for the office setting.

  • Rest Of New York

    New York · 68340

    Office

    $593.80

    Facility

    $341.22

    $128.04 lower than Alaska* for the office setting.

  • Ohio

    Ohio · 68340

    Office

    $584.31

    Facility

    $341.57

    $137.53 lower than Alaska* for the office setting.

  • Oklahoma

    Oklahoma · 68340

    Office

    $570.45

    Facility

    $333.03

    $151.39 lower than Alaska* for the office setting.

  • Portland

    Oregon · 68340

    Office

    $667.85

    Facility

    $372.47

    $53.99 lower than Alaska* for the office setting.

  • Rest Of Oregon

    Oregon · 68340

    Office

    $613.96

    Facility

    $349.15

    $107.88 lower than Alaska* for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 68340

    Office

    $647.40

    Facility

    $370.62

    $74.44 lower than Alaska* for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 68340

    Office

    $585.11

    Facility

    $341.04

    $136.73 lower than Alaska* for the office setting.

  • Puerto Rico

    Puerto Rico · 68340

    Office

    $626.75

    Facility

    $357.95

    $95.09 lower than Alaska* for the office setting.

  • Rhode Island

    Rhode Island · 68340

    Office

    $637.42

    Facility

    $362.77

    $84.42 lower than Alaska* for the office setting.

  • South Carolina

    South Carolina · 68340

    Office

    $585.65

    Facility

    $339.98

    $136.19 lower than Alaska* for the office setting.

  • South Dakota**

    South Dakota · 68340

    Office

    $607.62

    Facility

    $341.75

    $114.22 lower than Alaska* for the office setting.

  • Tennessee

    Tennessee · 68340

    Office

    $572.17

    Facility

    $330.50

    $149.67 lower than Alaska* for the office setting.

  • Austin

    Texas · 68340

    Office

    $645.49

    Facility

    $364.19

    $76.35 lower than Alaska* for the office setting.

  • Beaumont

    Texas · 68340

    Office

    $581.25

    Facility

    $339.31

    $140.59 lower than Alaska* for the office setting.

  • Brazoria

    Texas · 68340

    Office

    $614.76

    Facility

    $351.28

    $107.08 lower than Alaska* for the office setting.

  • Dallas

    Texas · 68340

    Office

    $618.83

    Facility

    $354.03

    $103.01 lower than Alaska* for the office setting.

  • Fort Worth

    Texas · 68340

    Office

    $614.74

    Facility

    $352.59

    $107.10 lower than Alaska* for the office setting.

  • Galveston

    Texas · 68340

    Office

    $616.70

    Facility

    $352.69

    $105.14 lower than Alaska* for the office setting.

  • Houston

    Texas · 68340

    Office

    $628.78

    Facility

    $364.77

    $93.06 lower than Alaska* for the office setting.

  • Rest Of Texas

    Texas · 68340

    Office

    $597.77

    Facility

    $345.46

    $124.07 lower than Alaska* for the office setting.

  • Utah

    Utah · 68340

    Office

    $593.72

    Facility

    $343.80

    $128.12 lower than Alaska* for the office setting.

  • Virginia

    Virginia · 68340

    Office

    $608.33

    Facility

    $346.98

    $113.51 lower than Alaska* for the office setting.

  • Virgin Islands

    United States Virgin Islands · 68340

    Office

    $626.75

    Facility

    $357.95

    $95.09 lower than Alaska* for the office setting.

  • Vermont

    Vermont · 68340

    Office

    $606.99

    Facility

    $343.77

    $114.85 lower than Alaska* for the office setting.

  • Rest Of Washington

    Washington · 68340

    Office

    $642.32

    Facility

    $362.36

    $79.52 lower than Alaska* for the office setting.

  • Seattle (King Cnty)

    Washington · 68340

    Office

    $725.80

    Facility

    $399.58

    $3.96 higher than Alaska* for the office setting.

  • Wisconsin

    Wisconsin · 68340

    Office

    $588.60

    Facility

    $333.89

    $133.24 lower than Alaska* for the office setting.

  • West Virginia

    West Virginia · 68340

    Office

    $574.35

    Facility

    $343.31

    $147.49 lower than Alaska* for the office setting.

  • Wyoming**

    Wyoming · 68340

    Office

    $616.53

    Facility

    $350.66

    $105.31 lower than Alaska* for the office setting.

See how rates vary across the country

68340 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$549.78

$740.19

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$721.841
AL$557.911
AR$549.781
AZ$605.501
CA$656.85–$823.5429
CO$647.421
CT$663.871
DC$711.501
DE$615.581
FL$614.07–$673.933
GA$579.16–$634.192
GU$673.011
HI$673.011
IA$571.721
ID$575.581
IL$596.54–$654.134
IN$578.941
KS$569.261
KY$571.741
LA$570.94–$599.402
MA$643.60–$711.492
MD$627.33–$711.503
ME$578.87–$610.182
MI$586.98–$622.042
MN$619.451
MO$561.21–$601.273
MS$555.591
MT$622.211
NC$584.941
ND$609.161
NE$574.801
NH$637.471
NJ$671.19–$704.082
NM$590.321
NV$619.021
NY$593.80–$734.345
OH$584.311
OK$570.451
OR$613.96–$667.852
PA$585.11–$647.402
PR$626.751
RI$637.421
SC$585.651
SD$607.621
TN$572.171
TX$581.25–$645.498
UT$593.721
VA$608.33–$711.502
VI$626.751
VT$606.991
WA$642.32–$725.802
WI$588.601
WV$574.351
WY$616.531

Explore 68340 on the national rate map →

Where does this rate apply?

Alaska* is a Medicare payment area. Our Census mapping connects it to 355 cities and communities in Alaska, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Alaska →

Why are the office and facility amounts different?

For 68340 in Alaska*, the physician’s office rate is $721.84 and the facility-setting rate is $438.69: a difference of $283.15.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 68340 in Alaska*. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$794.02

$721.84 × 110% = $794.02

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 68340 in Alaska*.

PPRRVU2026_Oct_nonQPP.csv

7,547

Code
68340
Physician work
4.85
Practice expense
13.12
Malpractice
0.66

GPCI2026.csv

5

Locality
Alaska*
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office / nonfacility calculation for 68340 in Alaska*
ComponentRVULocality factorAdjusted
Physician work4.85× 1.5007.2750
Practice expense13.12× 1.06513.9728
Malpractice0.66× 0.5510.3637
Total RVUs21.6115
Conversion factor× 33.4009

Office / nonfacility rate, Alaska*$721.84

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 68340 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.851.5
Practice expense13.121.065
Malpractice0.660.551

(4.85 × 1.5 + 13.12 × 1.065 + 0.66 × 0.551) × $33.4009 = $721.84

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.851.5
Practice expense5.161.065
Malpractice0.660.551

(4.85 × 1.5 + 5.16 × 1.065 + 0.66 × 0.551) × $33.4009 = $438.69

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

68340 · Office / nonfacility

$721.84

Effective 2026-10-01

The base rate is $42.02 higher than on 2025-10-01, moving from $679.82 to $721.84 (6.2%).

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

    $679.82changed to$721.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.97 changed to 4.85
    • Practice expense RVU 12.25 changed to 13.12
    • Malpractice RVU 0.54 changed to 0.66
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $679.82

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$721.84$438.69RVU26D
2026-07-01$721.84$438.69RVU26C
2026-04-01$721.84$438.69RVU26B
2026-01-01$721.84$438.69RVU26A
2025-10-01$679.82$472.82RVU25D
2025-07-01$679.82$472.82RVU25C
2025-04-01$679.82$472.82RVU25B
2025-01-01$679.82$472.82RVU25A

68340 billing questions

When should this code be chosen instead of an eyelid-lining reconstruction code?

Use this code when the operative objective is dividing an adhesion that binds eyelid structures. A lining reconstruction code describes work to revise or rebuild the eyelid lining.

What should the operative note document?

Document the adhesion's location and extent, which eyelid or lids are involved, the resulting functional or anatomic problem, and how the adhesion was released.

Does the code have a postoperative global period?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery reported?

CMS identifies the procedure as bilateral when modifier 50 is used and pays it at 150%. The operative record should support treatment of both sides.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules provided for this code.

What happens when another procedure is performed in the same session?

The standard multiple procedure reduction applies: the highest-valued procedure is paid in full, and other procedures are paid at 50%.

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.

RVUs for 68340PPRRVU2026_Oct_nonQPP.csv, line 7,547 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet