FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

68040 in Beaumont

Office / nonfacility

$58.75

Base rate per service

Facility setting

$38.69

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.

Ophthalmology

About 68040: Nonincisional eyelid lesion treatment

Reports nonincisional treatment of an eyelid lesion, such as molluscum contagiosum, when the lesion is treated rather than biopsied or excised.

This service covers treatment of a non-chalazion lesion on the eyelid without making an incision. A typical example is treating eyelid molluscum contagiosum. Ophthalmologists and other clinicians who provide eye care may perform it in an office or outpatient setting. The procedure is directed at a clinically identified lesion; it is distinct from taking a biopsy to establish a diagnosis or surgically excising a lesion.

Choose the code when the documented service treats an eyelid lesion without incision, and distinguish it from chalazion treatment and procedures requiring incision or excision. Record the lesion’s eyelid location, clinical nature, and treatment performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 68040

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.83 · 45%
  • Practice expense (office) RVU0.98 · 53%
  • Malpractice RVU0.04 · 2%

2.9K

Medicare services in 2024 · #2197 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.

68040 compared with similar codes

Office rates for Beaumont, from the same CMS release.

67800

Chalazion removal

Single lesion

$123.03

Use 67800 for chalazion treatment. This code is for a non-chalazion eyelid lesion treated without incision.

67810

Eyelid biopsy

Eyelid skin or margin

$168.27

67810 represents eyelid biopsy for diagnostic evaluation. This code represents treatment of a lesion, not tissue sampling.

67840

Eyelid lesion excision

Excludes chalazion

$259.13

Use 67840 when the eyelid lesion is surgically excised. This code applies when treatment is performed without incision.

68020

Conjunctival cyst drainage

Incision and drainage

$114.54

68020 is for incision and drainage of a conjunctival cyst. This code concerns a lesion on the eyelid and involves no incision.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 68040 is $63.59—$4.84 higher than the $58.75 rate in Beaumont. Both use the same code, release and participation basis.

68040 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $58.75

  2. Austin

    $63.59

    $4.84 higher than Beaumont

  3. Brazoria

    $61.42

    $2.67 higher than Beaumont

  4. Dallas

    $61.72

    $2.97 higher than Beaumont

  5. Fort Worth

    $61.41

    $2.66 higher than Beaumont

  6. Galveston

    $61.55

    $2.80 higher than Beaumont

  7. Houston

    $62.29

    $3.54 higher than Beaumont

Other payment areas listed in Texas 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, 68040 ranges from $56.53 in Arkansas to $78.69 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

  • Rest Of Texas

    Texas · 68040

    Office

    $59.99

    Facility

    $39.07

    $1.24 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 68040

    Office

    $68.47

    Facility

    $42.39

    $9.72 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 68040

    Office

    $69.27

    Facility

    $43.30

    $10.52 higher than Beaumont for the office setting.

  • Miami

    Florida · 68040

    Office

    $65.18

    Facility

    $42.23

    $6.43 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 68040

    Office

    $63.88

    Facility

    $41.72

    $5.13 higher than Beaumont for the office setting.

  • Manhattan

    New York · 68040

    Office

    $69.65

    Facility

    $44.04

    $10.90 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 68040

    Office

    $77.18

    Facility

    $53.70

    $18.43 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 68040

    Office

    $57.12

    Facility

    $37.83

    $1.63 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 68040

    Office

    $56.53

    Facility

    $37.59

    $2.22 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 68040

    Office

    $60.58

    Facility

    $39.22

    $1.83 higher than Beaumont for the office setting.

  • Bakersfield

    California · 68040

    Office

    $64.94

    Facility

    $40.78

    $6.19 higher than Beaumont for the office setting.

  • Chico

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • El Centro

    California · 68040

    Office

    $64.79

    Facility

    $40.63

    $6.04 higher than Beaumont for the office setting.

  • Fresno

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Madera

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Merced

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Modesto

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Napa

    California · 68040

    Office

    $73.29

    Facility

    $44.24

    $14.54 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 68040

    Office

    $68.02

    Facility

    $41.96

    $9.27 higher than Beaumont for the office setting.

  • Redding

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Rest Of California

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 68040

    Office

    $65.24

    Facility

    $41.08

    $6.49 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 68040

    Office

    $67.51

    Facility

    $41.87

    $8.76 higher than Beaumont for the office setting.

  • Salinas

    California · 68040

    Office

    $67.24

    Facility

    $41.69

    $8.49 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 68040

    Office

    $68.43

    Facility

    $42.06

    $9.68 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 68040

    Office

    $77.12

    Facility

    $46.04

    $18.37 higher than Beaumont for the office setting.

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

    California · 68040

    Office

    $77.08

    Facility

    $45.99

    $18.33 higher than Beaumont for the office setting.

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

    California · 68040

    Office

    $78.69

    Facility

    $46.90

    $19.94 higher than Beaumont for the office setting.

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

    California · 68040

    Office

    $78.50

    Facility

    $46.72

    $19.75 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 68040

    Office

    $66.19

    Facility

    $41.08

    $7.44 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 68040

    Office

    $68.79

    Facility

    $42.01

    $10.04 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 68040

    Office

    $67.38

    Facility

    $41.68

    $8.63 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 68040

    Office

    $69.47

    Facility

    $42.40

    $10.72 higher than Beaumont for the office setting.

  • Stockton

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Vallejo

    California · 68040

    Office

    $73.22

    Facility

    $44.17

    $14.47 higher than Beaumont for the office setting.

  • Visalia

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Yuba City

    California · 68040

    Office

    $64.79

    Facility

    $40.62

    $6.04 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 68040

    Office

    $63.93

    Facility

    $40.47

    $5.18 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 68040

    Office

    $65.15

    Facility

    $41.41

    $6.40 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 68040

    Office

    $61.40

    Facility

    $39.62

    $2.65 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 68040

    Office

    $63.30

    Facility

    $40.97

    $4.55 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 68040

    Office

    $61.02

    Facility

    $39.95

    $2.27 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 68040

    Office

    $62.67

    Facility

    $40.27

    $3.92 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 68040

    Office

    $58.51

    Facility

    $38.85

    $0.24 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 68040

    Office

    $65.71

    Facility

    $40.65

    $6.96 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 68040

    Office

    $58.20

    Facility

    $38.03

    $0.55 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 68040

    Office

    $58.47

    Facility

    $38.19

    $0.28 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 68040

    Office

    $60.53

    Facility

    $40.25

    $1.78 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 68040

    Office

    $59.70

    Facility

    $39.57

    $0.95 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 68040

    Office

    $63.90

    Facility

    $41.26

    $5.15 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 68040

    Office

    $58.72

    Facility

    $38.28

    $0.03 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 68040

    Office

    $57.99

    Facility

    $38.06

    $0.76 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 68040

    Office

    $58.04

    Facility

    $38.45

    $0.71 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 68040

    Office

    $60.04

    Facility

    $39.30

    $1.29 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 68040

    Office

    $57.97

    Facility

    $38.46

    $0.78 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 68040

    Office

    $69.13

    Facility

    $42.81

    $10.38 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 68040

    Office

    $63.70

    Facility

    $40.49

    $4.95 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 68040

    Office

    $64.94

    Facility

    $41.29

    $6.19 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 68040

    Office

    $62.35

    Facility

    $40.04

    $3.60 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 68040

    Office

    $58.67

    Facility

    $38.39

    $0.08 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 68040

    Office

    $61.00

    Facility

    $39.16

    $2.25 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 68040

    Office

    $61.56

    Facility

    $40.29

    $2.81 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 68040

    Office

    $59.12

    Facility

    $38.99

    $0.37 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 68040

    Office

    $61.80

    Facility

    $39.12

    $3.05 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 68040

    Office

    $59.76

    Facility

    $39.06

    $1.01 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 68040

    Office

    $60.22

    Facility

    $39.24

    $1.47 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 68040

    Office

    $57.24

    Facility

    $38.24

    $1.51 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 68040

    Office

    $56.89

    Facility

    $37.91

    $1.86 lower than Beaumont for the office setting.

  • Montana**

    Montana · 68040

    Office

    $61.79

    Facility

    $39.74

    $3.04 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 68040

    Office

    $59.12

    Facility

    $38.55

    $0.37 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 68040

    Office

    $61.00

    Facility

    $38.95

    $2.25 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 68040

    Office

    $58.44

    Facility

    $38.09

    $0.31 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 68040

    Office

    $62.97

    Facility

    $40.02

    $4.22 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 68040

    Office

    $68.87

    Facility

    $43.29

    $10.12 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 68040

    Office

    $66.04

    Facility

    $41.97

    $7.29 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 68040

    Office

    $59.34

    Facility

    $39.13

    $0.59 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 68040

    Office

    $61.60

    Facility

    $39.53

    $2.85 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 68040

    Office

    $70.90

    Facility

    $44.69

    $12.15 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 68040

    Office

    $66.43

    Facility

    $42.29

    $7.68 higher than Beaumont for the office setting.

  • Queens

    New York · 68040

    Office

    $70.11

    Facility

    $44.06

    $11.36 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 68040

    Office

    $59.76

    Facility

    $38.82

    $1.01 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 68040

    Office

    $58.95

    Facility

    $38.83

    $0.20 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 68040

    Office

    $57.99

    Facility

    $38.31

    $0.76 lower than Beaumont for the office setting.

  • Portland

    Oregon · 68040

    Office

    $65.53

    Facility

    $41.04

    $6.78 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 68040

    Office

    $61.26

    Facility

    $39.31

    $2.51 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 68040

    Office

    $63.89

    Facility

    $40.94

    $5.14 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 68040

    Office

    $59.03

    Facility

    $38.80

    $0.28 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 68040

    Office

    $62.13

    Facility

    $39.84

    $3.38 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 68040

    Office

    $63.25

    Facility

    $40.48

    $4.50 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 68040

    Office

    $59.10

    Facility

    $38.73

    $0.35 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 68040

    Office

    $60.90

    Facility

    $38.86

    $2.15 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 68040

    Office

    $58.19

    Facility

    $38.16

    $0.56 lower than Beaumont for the office setting.

  • Utah

    Utah · 68040

    Office

    $59.69

    Facility

    $38.97

    $0.94 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 68040

    Office

    $60.84

    Facility

    $39.17

    $2.09 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 68040

    Office

    $62.13

    Facility

    $39.84

    $3.38 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 68040

    Office

    $60.80

    Facility

    $38.98

    $2.05 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 68040

    Office

    $63.57

    Facility

    $40.35

    $4.82 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 68040

    Office

    $70.36

    Facility

    $43.31

    $11.61 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 68040

    Office

    $59.49

    Facility

    $38.37

    $0.74 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 68040

    Office

    $58.08

    Facility

    $38.92

    $0.67 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 68040

    Office

    $61.44

    Facility

    $39.40

    $2.69 higher than Beaumont for the office setting.

See how rates vary across the country

68040 · 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.

$56.53

$77.18

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$77.181
AL$57.121
AR$56.531
AZ$60.581
CA$64.79–$78.6929
CO$63.931
CT$65.151
DC$69.271
DE$61.401
FL$61.02–$65.183
GA$58.51–$62.672
GU$65.711
HI$65.711
IA$58.201
ID$58.471
IL$59.70–$63.904
IN$58.721
KS$57.991
KY$58.041
LA$57.97–$60.042
MA$63.70–$69.132
MD$62.35–$69.273
ME$58.67–$61.002
MI$59.12–$61.562
MN$61.801
MO$57.24–$60.223
MS$56.891
MT$61.791
NC$59.121
ND$61.001
NE$58.441
NH$62.971
NJ$66.04–$68.872
NM$59.341
NV$61.601
NY$59.76–$70.905
OH$58.951
OK$57.991
OR$61.26–$65.532
PA$59.03–$63.892
PR$62.131
RI$63.251
SC$59.101
SD$60.901
TN$58.191
TX$58.75–$63.598
UT$59.691
VA$60.84–$69.272
VI$62.131
VT$60.801
WA$63.57–$70.362
WI$59.491
WV$58.081
WY$61.441

Explore 68040 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, 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 Texas →

Why are the office and facility amounts different?

For 68040 in Beaumont, the physician’s office rate is $58.75 and the facility-setting rate is $38.69: a difference of $20.06.

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 68040 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$64.63

$58.75 × 110% = $64.63

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 68040 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

7,534

Code
68040
Physician work
0.83
Practice expense
0.98
Malpractice
0.04

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 68040 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0000.8300
Practice expense0.98× 0.9100.8918
Malpractice0.04× 0.9290.0372
Total RVUs1.7590
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$58.75

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

Open 68040 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.831
Practice expense0.980.91
Malpractice0.040.929

(0.83 × 1 + 0.98 × 0.91 + 0.04 × 0.929) × $33.4009 = $58.75

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.831
Practice expense0.320.91
Malpractice0.040.929

(0.83 × 1 + 0.32 × 0.91 + 0.04 × 0.929) × $33.4009 = $38.69

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

68040 · Office / nonfacility

$58.75

Effective 2026-10-01

The base rate is $1.41 higher than on 2025-10-01, moving from $57.34 to $58.75 (2.5%).

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

    $57.34changed to$58.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $57.34

    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$58.75$38.69RVU26D
2026-07-01$58.75$38.69RVU26C
2026-04-01$58.75$38.69RVU26B
2026-01-01$58.75$38.69RVU26A
2025-10-01$57.34$44.49RVU25D
2025-07-01$57.34$44.49RVU25C
2025-04-01$57.34$44.49RVU25B
2025-01-01$57.34$44.49RVU25A

68040 billing questions

When should this code be chosen instead of an eyelid excision code?

Use it for treatment of an eyelid lesion without incision. If the clinician surgically removes the lesion, consider the excision code that matches the service instead.

Can this code be used for a chalazion?

No. Chalazion is excluded from this lesion-treatment service; use the chalazion-specific code when that is the condition treated.

What documentation supports reporting it?

Document the lesion’s location and clinical nature, that it was on the eyelid and was not a chalazion, and the nonincisional treatment performed.

How is bilateral treatment reported?

CMS pricing recognizes bilateral reporting with modifier 50 at 150%. Document treatment on both sides.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. CMS applies the multiple-procedure reduction when other procedures are performed in the same session.

Is an assistant or co-surgeon payable for this service?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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 68040PPRRVU2026_Oct_nonQPP.csv, line 7,534 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet