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CMS RVU26D · Effective 2026-10-01

68320 in El Centro

Office / nonfacility

$792.38

Base rate per service

Facility setting

$486.71

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 68320: Conjunctival reconstruction with graft

Report this service when an ophthalmic surgeon reconstructs the conjunctival lining using a conjunctival graft or extensive tissue rearrangement.

An ophthalmic surgeon uses this code to repair or reconstruct the conjunctival lining when a graft of conjunctival tissue or extensive rearrangement is needed. The work may address scarred or contracted tissue that interferes with the lining’s function, including changes associated with adhesions or ocular surface injury. It is performed in an ophthalmic surgical setting by a surgeon managing the affected eye and surrounding tissues.

Choose the code based on the documented reconstruction method and extent, distinguishing graft-based or extensive rearrangement from a procedure without grafting or a different graft type. The operative report should identify the affected area, the tissue used or rearranged, and the reconstructive work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, CMS pays 150%. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 68320

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.47 · 29%
  • Practice expense (office) RVU15.39 · 69%
  • Malpractice RVU0.51 · 2%

5.6K

Medicare services in 2024 · #1798 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.

68320 compared with similar codes

Office rates for El Centro, from the same CMS release.

68330

Symblepharon repair

Without graft

$660.79

Use 68320 for conjunctival grafting or extensive tissue rearrangement; 68330 describes conjunctivoplasty without a graft.

68325

Conjunctivoplasty

Mucous membrane graft

No office rate

Use 68325 when the reconstruction uses a buccal mucous membrane graft. This code covers a conjunctival graft or extensive rearrangement.

68340

Adhesion release

Eyelid adhesions

$656.96

Use 68340 for separating eyelid adhesions. Choose 68320 when the documented service reconstructs the conjunctival lining with a graft or extensive rearrangement.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 68320 is $793.97—$1.59 higher than the $792.38 rate in El Centro. Both use the same code, release and participation basis.

68320 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $792.38

  2. Bakersfield

    $793.97

    $1.59 higher than El Centro

  3. Chico

    $792.30

    $0.08 lower than El Centro

  4. Fresno

    $792.30

    $0.08 lower than El Centro

  5. Hanford-Corcoran

    $792.30

    $0.08 lower than El Centro

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

    $844.38

    $52.00 higher than El Centro

  7. Madera

    $792.30

    $0.08 lower than El Centro

Other payment areas listed in California 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, 68320 ranges from $666.44 in Arkansas to $990.25 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

  • Merced

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Modesto

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Napa

    California · 68320

    Office

    $915.88

    Facility

    $548.29

    $123.50 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 68320

    Office

    $840.36

    Facility

    $510.71

    $47.98 higher than El Centro for the office setting.

  • Redding

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Rest Of California

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 68320

    Office

    $797.91

    Facility

    $492.24

    $5.53 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 68320

    Office

    $830.84

    Facility

    $506.48

    $38.46 higher than El Centro for the office setting.

  • Salinas

    California · 68320

    Office

    $827.71

    Facility

    $504.46

    $35.33 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 68320

    Office

    $846.61

    Facility

    $513.05

    $54.23 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 68320

    Office

    $969.25

    Facility

    $576.00

    $176.87 higher than El Centro for the office setting.

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

    California · 68320

    Office

    $968.67

    Facility

    $575.42

    $176.29 higher than El Centro for the office setting.

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

    California · 68320

    Office

    $990.25

    Facility

    $588.08

    $197.87 higher than El Centro for the office setting.

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

    California · 68320

    Office

    $987.88

    Facility

    $585.71

    $195.50 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 68320

    Office

    $814.40

    Facility

    $496.74

    $22.02 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 68320

    Office

    $854.33

    Facility

    $515.47

    $61.95 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 68320

    Office

    $830.66

    Facility

    $505.46

    $38.28 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 68320

    Office

    $862.96

    Facility

    $520.47

    $70.58 higher than El Centro for the office setting.

  • Stockton

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Vallejo

    California · 68320

    Office

    $915.04

    Facility

    $547.45

    $122.66 higher than El Centro for the office setting.

  • Visalia

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Yuba City

    California · 68320

    Office

    $792.30

    Facility

    $486.62

    $0.08 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 68320

    Office

    $852.27

    Facility

    $523.73

    $59.89 higher than El Centro for the office setting.

  • Miami

    Florida · 68320

    Office

    $794.30

    Facility

    $503.97

    $1.92 higher than El Centro for the office setting.

  • Chicago

    Illinois · 68320

    Office

    $773.32

    Facility

    $493.03

    $19.06 lower than El Centro for the office setting.

  • Manhattan

    New York · 68320

    Office

    $854.27

    Facility

    $530.19

    $61.89 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 68320

    Office

    $880.99

    Facility

    $583.97

    $88.61 higher than El Centro for the office setting.

  • Alabama

    Alabama · 68320

    Office

    $675.53

    Facility

    $431.49

    $116.85 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 68320

    Office

    $666.44

    Facility

    $426.86

    $125.94 lower than El Centro for the office setting.

  • Arizona

    Arizona · 68320

    Office

    $728.79

    Facility

    $458.54

    $63.59 lower than El Centro for the office setting.

  • Colorado

    Colorado · 68320

    Office

    $778.94

    Facility

    $482.19

    $13.44 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 68320

    Office

    $794.66

    Facility

    $494.29

    $2.28 higher than El Centro for the office setting.

  • Delaware

    Delaware · 68320

    Office

    $740.37

    Facility

    $464.82

    $52.01 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 68320

    Office

    $767.62

    Facility

    $485.10

    $24.76 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 68320

    Office

    $733.13

    Facility

    $466.50

    $59.25 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 68320

    Office

    $759.48

    Facility

    $476.12

    $32.90 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 68320

    Office

    $694.93

    Facility

    $446.16

    $97.45 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 68320

    Office

    $810.43

    Facility

    $493.32

    $18.05 higher than El Centro for the office setting.

  • Iowa

    Iowa · 68320

    Office

    $693.21

    Facility

    $438.02

    $99.17 lower than El Centro for the office setting.

  • Idaho

    Idaho · 68320

    Office

    $697.08

    Facility

    $440.49

    $95.30 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 68320

    Office

    $723.33

    Facility

    $466.74

    $69.05 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 68320

    Office

    $712.05

    Facility

    $457.41

    $80.33 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 68320

    Office

    $775.72

    Facility

    $489.29

    $16.66 lower than El Centro for the office setting.

  • Indiana

    Indiana · 68320

    Office

    $700.90

    Facility

    $442.36

    $91.48 lower than El Centro for the office setting.

  • Kansas

    Kansas · 68320

    Office

    $689.38

    Facility

    $437.26

    $103.00 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 68320

    Office

    $688.67

    Facility

    $440.73

    $103.71 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 68320

    Office

    $719.17

    Facility

    $456.72

    $73.21 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 68320

    Office

    $687.35

    Facility

    $440.52

    $105.03 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 68320

    Office

    $853.89

    Facility

    $520.88

    $61.51 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 68320

    Office

    $774.42

    Facility

    $480.74

    $17.96 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 68320

    Office

    $792.20

    Facility

    $492.94

    $0.18 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 68320

    Office

    $754.11

    Facility

    $471.87

    $38.27 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 68320

    Office

    $699.62

    Facility

    $443.03

    $92.76 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 68320

    Office

    $736.27

    Facility

    $459.88

    $56.11 lower than El Centro for the office setting.

  • Detroit

    Michigan · 68320

    Office

    $740.87

    Facility

    $471.74

    $51.51 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 68320

    Office

    $704.65

    Facility

    $450.02

    $87.73 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 68320

    Office

    $750.09

    Facility

    $463.11

    $42.29 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 68320

    Office

    $715.43

    Facility

    $453.55

    $76.95 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 68320

    Office

    $722.54

    Facility

    $457.03

    $69.84 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 68320

    Office

    $675.80

    Facility

    $435.39

    $116.58 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 68320

    Office

    $671.28

    Facility

    $431.15

    $121.10 lower than El Centro for the office setting.

  • Montana**

    Montana · 68320

    Office

    $747.14

    Facility

    $468.25

    $45.24 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 68320

    Office

    $706.59

    Facility

    $446.38

    $85.79 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 68320

    Office

    $737.06

    Facility

    $458.16

    $55.32 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 68320

    Office

    $697.00

    Facility

    $439.58

    $95.38 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 68320

    Office

    $766.12

    Facility

    $475.79

    $26.26 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 68320

    Office

    $844.20

    Facility

    $520.68

    $51.82 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 68320

    Office

    $804.77

    Facility

    $500.21

    $12.39 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 68320

    Office

    $707.94

    Facility

    $452.19

    $84.44 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 68320

    Office

    $744.85

    Facility

    $465.67

    $47.53 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 68320

    Office

    $872.76

    Facility

    $541.15

    $80.38 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 68320

    Office

    $809.31

    Facility

    $503.92

    $16.93 higher than El Centro for the office setting.

  • Queens

    New York · 68320

    Office

    $862.09

    Facility

    $532.44

    $69.71 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 68320

    Office

    $716.42

    Facility

    $451.46

    $75.96 lower than El Centro for the office setting.

  • Ohio

    Ohio · 68320

    Office

    $702.59

    Facility

    $447.96

    $89.79 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 68320

    Office

    $688.38

    Facility

    $439.32

    $104.00 lower than El Centro for the office setting.

  • Portland

    Oregon · 68320

    Office

    $803.33

    Facility

    $493.48

    $10.95 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 68320

    Office

    $740.06

    Facility

    $462.28

    $52.32 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 68320

    Office

    $775.43

    Facility

    $485.10

    $16.95 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 68320

    Office

    $704.09

    Facility

    $448.06

    $88.29 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 68320

    Office

    $752.58

    Facility

    $470.61

    $39.80 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 68320

    Office

    $766.41

    Facility

    $478.31

    $25.97 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 68320

    Office

    $705.56

    Facility

    $447.85

    $86.82 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 68320

    Office

    $735.87

    Facility

    $456.97

    $56.51 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 68320

    Office

    $692.51

    Facility

    $439.00

    $99.87 lower than El Centro for the office setting.

  • Austin

    Texas · 68320

    Office

    $775.48

    Facility

    $480.41

    $16.90 lower than El Centro for the office setting.

  • Beaumont

    Texas · 68320

    Office

    $699.71

    Facility

    $445.91

    $92.67 lower than El Centro for the office setting.

  • Brazoria

    Texas · 68320

    Office

    $740.53

    Facility

    $464.15

    $51.85 lower than El Centro for the office setting.

  • Dallas

    Texas · 68320

    Office

    $744.65

    Facility

    $466.87

    $47.73 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 68320

    Office

    $739.73

    Facility

    $464.74

    $52.65 lower than El Centro for the office setting.

  • Galveston

    Texas · 68320

    Office

    $742.38

    Facility

    $465.43

    $50.00 lower than El Centro for the office setting.

  • Houston

    Texas · 68320

    Office

    $751.71

    Facility

    $474.77

    $40.67 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 68320

    Office

    $719.31

    Facility

    $454.64

    $73.07 lower than El Centro for the office setting.

  • Utah

    Utah · 68320

    Office

    $714.60

    Facility

    $452.43

    $77.78 lower than El Centro for the office setting.

  • Virginia

    Virginia · 68320

    Office

    $733.43

    Facility

    $459.28

    $58.95 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 68320

    Office

    $752.58

    Facility

    $470.61

    $39.80 lower than El Centro for the office setting.

  • Vermont

    Vermont · 68320

    Office

    $733.62

    Facility

    $457.51

    $58.76 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 68320

    Office

    $773.16

    Facility

    $479.48

    $19.22 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 68320

    Office

    $871.55

    Facility

    $529.35

    $79.17 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 68320

    Office

    $713.80

    Facility

    $446.62

    $78.58 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 68320

    Office

    $687.18

    Facility

    $444.82

    $105.20 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 68320

    Office

    $742.75

    Facility

    $463.85

    $49.63 lower than El Centro for the office setting.

See how rates vary across the country

68320 · 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.

$666.44

$891.28

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$880.991
AL$675.531
AR$666.441
AZ$728.791
CA$792.30–$990.2529
CO$778.941
CT$794.661
DC$852.271
DE$740.371
FL$733.13–$794.303
GA$694.93–$759.482
GU$810.431
HI$810.431
IA$693.211
ID$697.081
IL$712.05–$775.724
IN$700.901
KS$689.381
KY$688.671
LA$687.35–$719.172
MA$774.42–$853.892
MD$754.11–$852.273
ME$699.62–$736.272
MI$704.65–$740.872
MN$750.091
MO$675.80–$722.543
MS$671.281
MT$747.141
NC$706.591
ND$737.061
NE$697.001
NH$766.121
NJ$804.77–$844.202
NM$707.941
NV$744.851
NY$716.42–$872.765
OH$702.591
OK$688.381
OR$740.06–$803.332
PA$704.09–$775.432
PR$752.581
RI$766.411
SC$705.561
SD$735.871
TN$692.511
TX$699.71–$775.488
UT$714.601
VA$733.43–$852.272
VI$752.581
VT$733.621
WA$773.16–$871.552
WI$713.801
WV$687.181
WY$742.751

Explore 68320 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 68320 in El Centro, the physician’s office rate is $792.38 and the facility-setting rate is $486.71: a difference of $305.67.

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 68320 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$871.62

$792.38 × 110% = $871.62

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 68320 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

7,541

Code
68320
Physician work
6.47
Practice expense
15.39
Malpractice
0.51

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 68320 in El Centro
ComponentRVULocality factorAdjusted
Physician work6.47× 1.0176.5800
Practice expense15.39× 1.09616.8674
Malpractice0.51× 0.5410.2759
Total RVUs23.7233
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$792.38

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

Open 68320 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.471.017
Practice expense15.391.096
Malpractice0.510.541

(6.47 × 1.017 + 15.39 × 1.096 + 0.51 × 0.541) × $33.4009 = $792.38

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.471.017
Practice expense7.041.096
Malpractice0.510.541

(6.47 × 1.017 + 7.04 × 1.096 + 0.51 × 0.541) × $33.4009 = $486.71

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

68320 · Office / nonfacility

$792.38

Effective 2026-10-01

The base rate is $41.57 higher than on 2025-10-01, moving from $750.81 to $792.38 (5.5%).

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

    $750.81changed to$792.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.64 changed to 6.47
    • Practice expense RVU 14.80 changed to 15.39
    • Malpractice RVU 0.53 changed to 0.51
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $750.81

    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$792.38$486.71RVU26D
2026-07-01$792.38$486.71RVU26C
2026-04-01$792.38$486.71RVU26B
2026-01-01$792.38$486.71RVU26A
2025-10-01$750.81$542.57RVU25D
2025-07-01$750.81$542.57RVU25C
2025-04-01$750.81$542.57RVU25B
2025-01-01$750.81$542.57RVU25A

68320 billing questions

When should I report this instead of 68330?

Report 68320 when the reconstruction uses a conjunctival graft or extensive tissue rearrangement. Code 68330 is for conjunctivoplasty without a graft.

What operative details support 68320?

Document the affected conjunctival area, the graft or rearrangement performed, and the extent of the reconstruction. The record should make the method distinguishable from a procedure without grafting.

How does CMS treat bilateral reporting?

For a bilateral procedure reported with modifier 50, CMS pays 150%.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.

Does the surgical assistant receive payment?

CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

What postoperative care is included?

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

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 68320PPRRVU2026_Oct_nonQPP.csv, line 7,541 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet