Both address symblepharon repair, but 68335 includes a free conjunctival or buccal mucous membrane graft; 68330 is the repair without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
68330 in Delaware
Office / nonfacility
$618.34
Base rate per service
Facility setting
$394.60
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 68330: Symblepharon repair without graft
Repairs symblepharon by releasing conjunctival scar adhesions and restoring separation of the eyelid and eye surfaces without a graft.
Symblepharon is an adhesion between the conjunctiva lining the eyelid and the conjunctiva covering the eye, often following injury, inflammation, or prior surgery. For this repair, an ophthalmic surgeon releases the scar-related attachment and reshapes the involved tissue to restore separation, without placing a graft. The procedure may be performed in an office-based surgical setting or a facility, depending on the case and the surgeon’s approach.
Report 68330 when the operative work repairs symblepharon without a graft; a repair that uses a free conjunctival or buccal mucous membrane graft is represented by a different code. The operative note should identify the adhesion and describe its release and repair, including the side treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 68330
- 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 RVU5.64 · 30%
- Practice expense (office) RVU12.60 · 67%
- Malpractice RVU0.44 · 2%
515
Medicare services in 2024 · #3541 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.
68330 compared with similar codes
Office rates for Delaware, from the same CMS release.
68340 describes severing conjunctival or eyelid adhesions. Choose 68330 when the operative service repairs symblepharon, not merely releases adhesions.
68360 describes conjunctival fornix reconstruction using a conjunctival graft. 68330 is for symblepharon repair without a graft.
The same code, a different location
How does Delaware compare?
68330 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
$618.34
$85.39 higher than Delaware
$710.67
$92.33 higher than Delaware
$663.65
$45.31 higher than Delaware
$646.38
$28.04 higher than Delaware
$712.78
$94.44 higher than Delaware
$738.88
$120.54 higher than Delaware
Other payment areas listed in Delaware 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, 68330 ranges from $557.46 in Arkansas to $823.85 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
Alabama
Alabama · 68330
Office
$564.94
Facility
$366.79
$53.40 lower than Delaware for the office setting.
Arkansas
Arkansas · 68330
Office
$557.46
Facility
$362.93
$60.88 lower than Delaware for the office setting.
Arizona
Arizona · 68330
Office
$608.77
Facility
$389.33
$9.57 lower than Delaware for the office setting.
Bakersfield
California · 68330
Office
$662.16
Facility
$413.97
$43.82 higher than Delaware for the office setting.
Chico
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
El Centro
California · 68330
Office
$660.79
Facility
$412.59
$42.45 higher than Delaware for the office setting.
Fresno
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Hanford-Corcoran
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Madera
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Merced
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Modesto
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Napa
California · 68330
Office
$762.40
Facility
$463.93
$144.06 higher than Delaware for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 68330
Office
$700.26
Facility
$432.58
$81.92 higher than Delaware for the office setting.
Redding
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Rest Of California
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Riverside-San Bernardino-Ontario
California · 68330
Office
$665.56
Facility
$417.36
$47.22 higher than Delaware for the office setting.
Sacramento-Roseville-Folsom
California · 68330
Office
$692.49
Facility
$429.12
$74.15 higher than Delaware for the office setting.
Salinas
California · 68330
Office
$689.86
Facility
$427.40
$71.52 higher than Delaware for the office setting.
San Diego-Chula Vista-Carlsbad
California · 68330
Office
$705.34
Facility
$434.49
$87.00 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 68330
Office
$806.42
Facility
$487.12
$188.08 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 68330
Office
$805.92
Facility
$486.62
$187.58 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 68330
Office
$823.85
Facility
$497.30
$205.51 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 68330
Office
$821.81
Facility
$495.25
$203.47 higher than Delaware for the office setting.
San Luis Obispo-Paso Robles
California · 68330
Office
$678.81
Facility
$420.87
$60.47 higher than Delaware for the office setting.
Santa Cruz-Watsonville
California · 68330
Office
$711.55
Facility
$436.40
$93.21 higher than Delaware for the office setting.
Santa Maria-Santa Barbara
California · 68330
Office
$692.25
Facility
$428.20
$73.91 higher than Delaware for the office setting.
Santa Rosa-Petaluma
California · 68330
Office
$718.72
Facility
$440.62
$100.38 higher than Delaware for the office setting.
Stockton
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Vallejo
California · 68330
Office
$761.68
Facility
$463.21
$143.34 higher than Delaware for the office setting.
Visalia
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Yuba City
California · 68330
Office
$660.71
Facility
$412.52
$42.37 higher than Delaware for the office setting.
Colorado
Colorado · 68330
Office
$649.91
Facility
$408.95
$31.57 higher than Delaware for the office setting.
Connecticut
Connecticut · 68330
Office
$663.19
Facility
$419.29
$44.85 higher than Delaware for the office setting.
Fort Lauderdale
Florida · 68330
Office
$641.27
Facility
$411.87
$22.93 higher than Delaware for the office setting.
Rest Of Florida
Florida · 68330
Office
$612.80
Facility
$396.31
$5.54 lower than Delaware for the office setting.
Atlanta
Georgia · 68330
Office
$634.18
Facility
$404.10
$15.84 higher than Delaware for the office setting.
Rest Of Georgia
Georgia · 68330
Office
$581.30
Facility
$379.30
$37.04 lower than Delaware for the office setting.
Hawaii, Guam
Hawaii · 68330
Office
$675.40
Facility
$417.92
$57.06 higher than Delaware for the office setting.
Iowa
Iowa · 68330
Office
$579.29
Facility
$372.09
$39.05 lower than Delaware for the office setting.
Idaho
Idaho · 68330
Office
$582.52
Facility
$374.17
$35.82 lower than Delaware for the office setting.
East St. Louis
Illinois · 68330
Office
$605.16
Facility
$396.82
$13.18 lower than Delaware for the office setting.
Rest Of Illinois
Illinois · 68330
Office
$595.59
Facility
$388.83
$22.75 lower than Delaware for the office setting.
Suburban Chicago
Illinois · 68330
Office
$647.96
Facility
$415.38
$29.62 higher than Delaware for the office setting.
Indiana
Indiana · 68330
Office
$585.65
Facility
$375.73
$32.69 lower than Delaware for the office setting.
Kansas
Kansas · 68330
Office
$576.24
Facility
$371.52
$42.10 lower than Delaware for the office setting.
Kentucky
Kentucky · 68330
Office
$575.97
Facility
$374.64
$42.37 lower than Delaware for the office setting.
New Orleans
Louisiana · 68330
Office
$601.10
Facility
$388.00
$17.24 lower than Delaware for the office setting.
Rest Of Louisiana
Louisiana · 68330
Office
$574.91
Facility
$374.50
$43.43 lower than Delaware for the office setting.
Metropolitan Boston
Massachusetts · 68330
Office
$711.68
Facility
$441.29
$93.34 higher than Delaware for the office setting.
Rest Of Massachusetts
Massachusetts · 68330
Office
$646.26
Facility
$407.80
$27.92 higher than Delaware for the office setting.
Baltimore/Surr. Cntys
Maryland · 68330
Office
$661.15
Facility
$418.16
$42.81 higher than Delaware for the office setting.
Rest Of Maryland
Maryland · 68330
Office
$629.66
Facility
$400.48
$11.32 higher than Delaware for the office setting.
Rest Of Maine
Maine · 68330
Office
$584.71
Facility
$376.36
$33.63 lower than Delaware for the office setting.
Southern Maine
Maine · 68330
Office
$614.72
Facility
$390.30
$3.62 lower than Delaware for the office setting.
Detroit
Michigan · 68330
Office
$619.28
Facility
$400.75
$0.94 higher than Delaware for the office setting.
Rest Of Michigan
Michigan · 68330
Office
$589.21
Facility
$382.45
$29.13 lower than Delaware for the office setting.
Minnesota
Minnesota · 68330
Office
$625.79
Facility
$392.76
$7.45 higher than Delaware for the office setting.
Metropolitan Kansas City
Missouri · 68330
Office
$597.92
Facility
$385.27
$20.42 lower than Delaware for the office setting.
Metropolitan St. Louis
Missouri · 68330
Office
$603.76
Facility
$388.17
$14.58 lower than Delaware for the office setting.
Rest Of Missouri
Missouri · 68330
Office
$565.47
Facility
$370.26
$52.87 lower than Delaware for the office setting.
Mississippi
Mississippi · 68330
Office
$561.59
Facility
$366.61
$56.75 lower than Delaware for the office setting.
Montana**
Montana · 68330
Office
$623.90
Facility
$397.44
$5.56 higher than Delaware for the office setting.
North Carolina
North Carolina · 68330
Office
$590.43
Facility
$379.14
$27.91 lower than Delaware for the office setting.
North Dakota**
North Dakota · 68330
Office
$615.20
Facility
$388.74
$3.14 lower than Delaware for the office setting.
Nebraska
Nebraska · 68330
Office
$582.38
Facility
$373.36
$35.96 lower than Delaware for the office setting.
New Hampshire
New Hampshire · 68330
Office
$639.35
Facility
$403.60
$21.01 higher than Delaware for the office setting.
Northern Nj
New Jersey · 68330
Office
$704.13
Facility
$441.44
$85.79 higher than Delaware for the office setting.
Rest Of New Jersey
New Jersey · 68330
Office
$671.61
Facility
$424.32
$53.27 higher than Delaware for the office setting.
New Mexico
New Mexico · 68330
Office
$591.95
Facility
$384.29
$26.39 lower than Delaware for the office setting.
Nevada**
Nevada · 68330
Office
$621.90
Facility
$395.21
$3.56 higher than Delaware for the office setting.
Nyc Suburbs/Long Island
New York · 68330
Office
$728.12
Facility
$458.86
$109.78 higher than Delaware for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 68330
Office
$675.47
Facility
$427.50
$57.13 higher than Delaware for the office setting.
Queens
New York · 68330
Office
$719.08
Facility
$451.40
$100.74 higher than Delaware for the office setting.
Rest Of New York
New York · 68330
Office
$598.52
Facility
$383.39
$19.82 lower than Delaware for the office setting.
Ohio
Ohio · 68330
Office
$587.43
Facility
$380.68
$30.91 lower than Delaware for the office setting.
Oklahoma
Oklahoma · 68330
Office
$575.62
Facility
$373.39
$42.72 lower than Delaware for the office setting.
Portland
Oregon · 68330
Office
$669.90
Facility
$418.30
$51.56 higher than Delaware for the office setting.
Rest Of Oregon
Oregon · 68330
Office
$617.88
Facility
$392.33
$0.46 lower than Delaware for the office setting.
Metropolitan Philadelphia
Pennsylvania · 68330
Office
$647.41
Facility
$411.67
$29.07 higher than Delaware for the office setting.
Rest Of Pennsylvania
Pennsylvania · 68330
Office
$588.61
Facility
$380.72
$29.73 lower than Delaware for the office setting.
Puerto Rico
Puerto Rico · 68330
Office
$628.34
Facility
$399.39
$10.00 higher than Delaware for the office setting.
Rhode Island
Rhode Island · 68330
Office
$639.81
Facility
$405.88
$21.47 higher than Delaware for the office setting.
South Carolina
South Carolina · 68330
Office
$589.74
Facility
$380.49
$28.60 lower than Delaware for the office setting.
South Dakota**
South Dakota · 68330
Office
$614.17
Facility
$387.71
$4.17 lower than Delaware for the office setting.
Tennessee
Tennessee · 68330
Office
$578.83
Facility
$372.98
$39.51 lower than Delaware for the office setting.
Austin
Texas · 68330
Office
$647.04
Facility
$407.45
$28.70 higher than Delaware for the office setting.
Beaumont
Texas · 68330
Office
$585.01
Facility
$378.93
$33.33 lower than Delaware for the office setting.
Brazoria
Texas · 68330
Office
$618.41
Facility
$394.00
$0.07 higher than Delaware for the office setting.
Dallas
Texas · 68330
Office
$621.85
Facility
$396.30
$3.51 higher than Delaware for the office setting.
Fort Worth
Texas · 68330
Office
$617.84
Facility
$394.55
$0.50 lower than Delaware for the office setting.
Galveston
Texas · 68330
Office
$619.96
Facility
$395.09
$1.62 higher than Delaware for the office setting.
Houston
Texas · 68330
Office
$628.02
Facility
$403.14
$9.68 higher than Delaware for the office setting.
Rest Of Texas
Texas · 68330
Office
$601.04
Facility
$386.13
$17.30 lower than Delaware for the office setting.
Utah
Utah · 68330
Office
$597.18
Facility
$384.31
$21.16 lower than Delaware for the office setting.
Virginia
Virginia · 68330
Office
$612.45
Facility
$389.85
$5.89 lower than Delaware for the office setting.
Virgin Islands
United States Virgin Islands · 68330
Office
$628.34
Facility
$399.39
$10.00 higher than Delaware for the office setting.
Vermont
Vermont · 68330
Office
$612.46
Facility
$388.27
$5.88 lower than Delaware for the office setting.
Rest Of Washington
Washington · 68330
Office
$645.17
Facility
$406.71
$26.83 higher than Delaware for the office setting.
Seattle (King Cnty)
Washington · 68330
Office
$726.19
Facility
$448.33
$107.85 higher than Delaware for the office setting.
Wisconsin
Wisconsin · 68330
Office
$596.08
Facility
$379.14
$22.26 lower than Delaware for the office setting.
West Virginia
West Virginia · 68330
Office
$575.13
Facility
$378.34
$43.21 lower than Delaware for the office setting.
Wyoming**
Wyoming · 68330
Office
$620.11
Facility
$393.65
$1.77 higher than Delaware for the office setting.
See how rates vary across the country
68330 · 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.
$557.46
$742.28
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 | $738.88 | 1 |
| AL | $564.94 | 1 |
| AR | $557.46 | 1 |
| AZ | $608.77 | 1 |
| CA | $660.71–$823.85 | 29 |
| CO | $649.91 | 1 |
| CT | $663.19 | 1 |
| DC | $710.67 | 1 |
| DE | $618.34 | 1 |
| FL | $612.80–$663.65 | 3 |
| GA | $581.30–$634.18 | 2 |
| GU | $675.40 | 1 |
| HI | $675.40 | 1 |
| IA | $579.29 | 1 |
| ID | $582.52 | 1 |
| IL | $595.59–$647.96 | 4 |
| IN | $585.65 | 1 |
| KS | $576.24 | 1 |
| KY | $575.97 | 1 |
| LA | $574.91–$601.10 | 2 |
| MA | $646.26–$711.68 | 2 |
| MD | $629.66–$710.67 | 3 |
| ME | $584.71–$614.72 | 2 |
| MI | $589.21–$619.28 | 2 |
| MN | $625.79 | 1 |
| MO | $565.47–$603.76 | 3 |
| MS | $561.59 | 1 |
| MT | $623.90 | 1 |
| NC | $590.43 | 1 |
| ND | $615.20 | 1 |
| NE | $582.38 | 1 |
| NH | $639.35 | 1 |
| NJ | $671.61–$704.13 | 2 |
| NM | $591.95 | 1 |
| NV | $621.90 | 1 |
| NY | $598.52–$728.12 | 5 |
| OH | $587.43 | 1 |
| OK | $575.62 | 1 |
| OR | $617.88–$669.90 | 2 |
| PA | $588.61–$647.41 | 2 |
| PR | $628.34 | 1 |
| RI | $639.81 | 1 |
| SC | $589.74 | 1 |
| SD | $614.17 | 1 |
| TN | $578.83 | 1 |
| TX | $585.01–$647.04 | 8 |
| UT | $597.18 | 1 |
| VA | $612.45–$710.67 | 2 |
| VI | $628.34 | 1 |
| VT | $612.46 | 1 |
| WA | $645.17–$726.19 | 2 |
| WI | $596.08 | 1 |
| WV | $575.13 | 1 |
| WY | $620.11 | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Why are the office and facility amounts different?
For 68330 in Delaware, the physician’s office rate is $618.34 and the facility-setting rate is $394.60: a difference of $223.74.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 68330 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$680.17
$618.34 × 110% = $680.17
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.
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 68330 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,545
- Code
- 68330
- Physician work
- 5.64
- Practice expense
- 12.60
- Malpractice
- 0.44
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.64 | × 1.005 | 5.6682 |
| Practice expense | 12.60 | × 0.988 | 12.4488 |
| Malpractice | 0.44 | × 0.899 | 0.3956 |
| Total RVUs | 18.5126 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$618.34
Open 68330 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1.005 |
| Practice expense | 12.6 | 0.988 |
| Malpractice | 0.44 | 0.899 |
(5.64 × 1.005 + 12.6 × 0.988 + 0.44 × 0.899) × $33.4009 = $618.34
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1.005 |
| Practice expense | 5.82 | 0.988 |
| Malpractice | 0.44 | 0.899 |
(5.64 × 1.005 + 5.82 × 0.988 + 0.44 × 0.899) × $33.4009 = $394.60
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
68330 · Office / nonfacility
$618.34
Effective 2026-10-01
The base rate is $24.45 higher than on 2025-10-01, moving from $593.89 to $618.34 (4.1%).
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
$593.89changed to$618.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.78 changed to 5.64
- Practice expense RVU 12.17 changed to 12.60
- Malpractice RVU 0.48 changed to 0.44
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $593.89
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
68330 billing questions
When should 68330 be chosen instead of 68335?
Use 68330 for symblepharon repair without a graft. Use 68335 when the repair includes a free conjunctival or buccal mucous membrane graft.
Can conjunctival adhesion release be billed separately?
Release of the adhesion is part of repairing the symblepharon. Do not separately report 68340 for the same release when it is integral to the repair.
How is bilateral repair reported?
For bilateral surgery, report modifier 50. CMS pays bilateral procedures at 150%.
What documentation supports 68330?
Document the symblepharon, the affected side, and the operative work releasing and repairing the adhesion. The note should make clear that no graft was used.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
