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CMS RVU26D · Effective 2026-10-01

68110 in Madera

Office / nonfacility

$252.99

Base rate per service

Facility setting

$134.02

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 68110: Small conjunctival lesion excision

Reports surgical excision of a small conjunctival lesion, such as a localized growth, when the lesion measures less than one centimeter.

An ophthalmologist uses this service to remove a small, localized lesion from the conjunctiva, the membrane covering the white of the eye and lining the eyelids. Examples include a conjunctival nevus or papilloma selected for excision. The procedure may be performed in an office or an operating facility. When tissue is removed, it may be submitted for pathologic examination.

Choose this code when the excised conjunctival lesion measures less than one centimeter; document its size, site, and the excision performed. A biopsy code is a different choice when tissue is sampled rather than the lesion being excised. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 68110

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.77 · 25%
  • Practice expense (office) RVU5.20 · 73%
  • Malpractice RVU0.14 · 2%

3.3K

Medicare services in 2024 · #2112 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.

68110 compared with similar codes

Office rates for Madera, from the same CMS release.

68100

Conjunctival biopsy

Diagnostic tissue sampling

$191.41

68100 is for conjunctival tissue sampling by biopsy. Use 68110 when the small lesion itself is excised.

68115

Conjunctival excision

Lesion larger than 1 cm

$353.02

Both describe conjunctival lesion excision, but 68115 is the larger-lesion size category; 68110 is for lesions under one centimeter.

68130

Conjunctival excision

Adjacent sclera included

$587.09

68130 describes excision involving adjacent sclera. Use 68110 for a small conjunctival lesion without that stated extension.

68135

Lesion destruction

Conjunctiva

$167.32

68135 describes destruction of a conjunctival lesion. Choose 68110 when the lesion is surgically excised.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 68110 is $253.45—$0.46 higher than the $252.99 rate in Madera. Both use the same code, release and participation basis.

68110 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $252.99

  2. $0.46 higher than Madera

  3. Chico

    $252.99

    The same base rate than Madera

  4. El Centro

    $253.01

    $0.02 higher than Madera

  5. Fresno

    $252.99

    The same base rate than Madera

  6. The same base rate than Madera

  7. $17.13 higher than Madera

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, 68110 ranges from $210.72 in Arkansas to $318.58 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 · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Modesto

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Napa

    California · 68110

    Office

    $294.14

    Facility

    $151.06

    $41.15 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 68110

    Office

    $268.98

    Facility

    $140.67

    $15.99 higher than Madera for the office setting.

  • Redding

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 68110

    Office

    $254.53

    Facility

    $135.56

    $1.54 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 68110

    Office

    $265.75

    Facility

    $139.50

    $12.76 higher than Madera for the office setting.

  • Salinas

    California · 68110

    Office

    $264.76

    Facility

    $138.95

    $11.77 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 68110

    Office

    $271.15

    Facility

    $141.33

    $18.16 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 68110

    Office

    $311.78

    Facility

    $158.72

    $58.79 higher than Madera for the office setting.

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

    California · 68110

    Office

    $311.62

    Facility

    $158.56

    $58.63 higher than Madera for the office setting.

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

    California · 68110

    Office

    $318.58

    Facility

    $162.05

    $65.59 higher than Madera for the office setting.

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

    California · 68110

    Office

    $317.93

    Facility

    $161.40

    $64.94 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 68110

    Office

    $260.46

    Facility

    $136.82

    $7.47 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 68110

    Office

    $273.89

    Facility

    $142.00

    $20.90 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 68110

    Office

    $265.80

    Facility

    $139.22

    $12.81 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 68110

    Office

    $276.68

    Facility

    $143.38

    $23.69 higher than Madera for the office setting.

  • Stockton

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 68110

    Office

    $293.91

    Facility

    $150.83

    $40.92 higher than Madera for the office setting.

  • Visalia

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 68110

    Office

    $252.99

    Facility

    $134.02

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 68110

    Office

    $272.12

    Facility

    $144.24

    $19.13 higher than Madera for the office setting.

  • Miami

    Florida · 68110

    Office

    $251.75

    Facility

    $138.75

    $1.24 lower than Madera for the office setting.

  • Chicago

    Illinois · 68110

    Office

    $244.82

    Facility

    $135.72

    $8.17 lower than Madera for the office setting.

  • Manhattan

    New York · 68110

    Office

    $272.14

    Facility

    $146.00

    $19.15 higher than Madera for the office setting.

  • Alaska*

    Alaska · 68110

    Office

    $276.23

    Facility

    $160.62

    $23.24 higher than Madera for the office setting.

  • Alabama

    Alabama · 68110

    Office

    $213.74

    Facility

    $118.76

    $39.25 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 68110

    Office

    $210.72

    Facility

    $117.48

    $42.27 lower than Madera for the office setting.

  • Arizona

    Arizona · 68110

    Office

    $231.42

    Facility

    $126.24

    $21.57 lower than Madera for the office setting.

  • Colorado

    Colorado · 68110

    Office

    $248.28

    Facility

    $132.78

    $4.71 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 68110

    Office

    $253.02

    Facility

    $136.11

    $0.03 higher than Madera for the office setting.

  • Delaware

    Delaware · 68110

    Office

    $235.22

    Facility

    $127.97

    $17.77 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 68110

    Office

    $243.52

    Facility

    $133.55

    $9.47 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 68110

    Office

    $232.19

    Facility

    $128.41

    $20.80 lower than Madera for the office setting.

  • Atlanta

    Georgia · 68110

    Office

    $241.38

    Facility

    $131.09

    $11.61 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 68110

    Office

    $219.62

    Facility

    $122.79

    $33.37 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 68110

    Office

    $259.31

    Facility

    $135.88

    $6.32 higher than Madera for the office setting.

  • Iowa

    Iowa · 68110

    Office

    $219.90

    Facility

    $120.57

    $33.09 lower than Madera for the office setting.

  • Idaho

    Idaho · 68110

    Office

    $221.12

    Facility

    $121.25

    $31.87 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 68110

    Office

    $228.33

    Facility

    $128.46

    $24.66 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 68110

    Office

    $225.00

    Facility

    $125.89

    $27.99 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 68110

    Office

    $246.19

    Facility

    $134.71

    $6.80 lower than Madera for the office setting.

  • Indiana

    Indiana · 68110

    Office

    $222.40

    Facility

    $121.77

    $30.59 lower than Madera for the office setting.

  • Kansas

    Kansas · 68110

    Office

    $218.49

    Facility

    $120.36

    $34.50 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 68110

    Office

    $217.80

    Facility

    $121.30

    $35.19 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 68110

    Office

    $227.87

    Facility

    $125.72

    $25.12 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 68110

    Office

    $217.31

    Facility

    $121.24

    $35.68 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 68110

    Office

    $273.08

    Facility

    $143.47

    $20.09 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 68110

    Office

    $246.68

    Facility

    $132.38

    $6.31 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 68110

    Office

    $252.21

    Facility

    $135.74

    $0.78 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 68110

    Office

    $239.77

    Facility

    $129.92

    $13.22 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 68110

    Office

    $221.82

    Facility

    $121.95

    $31.17 lower than Madera for the office setting.

  • Southern Maine

    Maine · 68110

    Office

    $234.19

    Facility

    $126.62

    $18.80 lower than Madera for the office setting.

  • Detroit

    Michigan · 68110

    Office

    $234.61

    Facility

    $129.86

    $18.38 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 68110

    Office

    $222.97

    Facility

    $123.86

    $30.02 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 68110

    Office

    $239.23

    Facility

    $127.52

    $13.76 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 68110

    Office

    $226.78

    Facility

    $124.85

    $26.21 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 68110

    Office

    $229.15

    Facility

    $125.81

    $23.84 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 68110

    Office

    $213.39

    Facility

    $119.82

    $39.60 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 68110

    Office

    $212.12

    Facility

    $118.65

    $40.87 lower than Madera for the office setting.

  • Montana**

    Montana · 68110

    Office

    $237.47

    Facility

    $128.92

    $15.52 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 68110

    Office

    $224.16

    Facility

    $122.88

    $28.83 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 68110

    Office

    $234.70

    Facility

    $126.15

    $18.29 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 68110

    Office

    $221.20

    Facility

    $121.00

    $31.79 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 68110

    Office

    $244.02

    Facility

    $131.01

    $8.97 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 68110

    Office

    $269.31

    Facility

    $143.39

    $16.32 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 68110

    Office

    $256.28

    Facility

    $137.74

    $3.29 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 68110

    Office

    $224.00

    Facility

    $124.46

    $28.99 lower than Madera for the office setting.

  • Nevada**

    Nevada · 68110

    Office

    $236.87

    Facility

    $128.21

    $16.12 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 68110

    Office

    $278.10

    Facility

    $149.03

    $25.11 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 68110

    Office

    $257.62

    Facility

    $138.76

    $4.63 higher than Madera for the office setting.

  • Queens

    New York · 68110

    Office

    $274.94

    Facility

    $146.63

    $21.95 higher than Madera for the office setting.

  • Rest Of New York

    New York · 68110

    Office

    $227.41

    Facility

    $124.28

    $25.58 lower than Madera for the office setting.

  • Ohio

    Ohio · 68110

    Office

    $222.41

    Facility

    $123.30

    $30.58 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 68110

    Office

    $217.85

    Facility

    $120.92

    $35.14 lower than Madera for the office setting.

  • Portland

    Oregon · 68110

    Office

    $256.51

    Facility

    $135.91

    $3.52 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 68110

    Office

    $235.40

    Facility

    $127.28

    $17.59 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 68110

    Office

    $246.57

    Facility

    $133.56

    $6.42 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 68110

    Office

    $222.98

    Facility

    $123.33

    $30.01 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 68110

    Office

    $239.32

    Facility

    $129.57

    $13.67 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 68110

    Office

    $243.83

    Facility

    $131.70

    $9.16 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 68110

    Office

    $223.58

    Facility

    $123.28

    $29.41 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 68110

    Office

    $234.38

    Facility

    $125.82

    $18.61 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 68110

    Office

    $219.51

    Facility

    $120.84

    $33.48 lower than Madera for the office setting.

  • Austin

    Texas · 68110

    Office

    $247.14

    Facility

    $132.29

    $5.85 lower than Madera for the office setting.

  • Beaumont

    Texas · 68110

    Office

    $221.52

    Facility

    $122.73

    $31.47 lower than Madera for the office setting.

  • Brazoria

    Texas · 68110

    Office

    $235.36

    Facility

    $127.79

    $17.63 lower than Madera for the office setting.

  • Dallas

    Texas · 68110

    Office

    $236.65

    Facility

    $128.54

    $16.34 lower than Madera for the office setting.

  • Fort Worth

    Texas · 68110

    Office

    $234.98

    Facility

    $127.94

    $18.01 lower than Madera for the office setting.

  • Galveston

    Texas · 68110

    Office

    $235.93

    Facility

    $128.14

    $17.06 lower than Madera for the office setting.

  • Houston

    Texas · 68110

    Office

    $238.50

    Facility

    $130.70

    $14.49 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 68110

    Office

    $228.17

    Facility

    $125.15

    $24.82 lower than Madera for the office setting.

  • Utah

    Utah · 68110

    Office

    $226.58

    Facility

    $124.54

    $26.41 lower than Madera for the office setting.

  • Virginia

    Virginia · 68110

    Office

    $233.15

    Facility

    $126.45

    $19.84 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 68110

    Office

    $239.32

    Facility

    $129.57

    $13.67 lower than Madera for the office setting.

  • Vermont

    Vermont · 68110

    Office

    $233.43

    Facility

    $125.97

    $19.56 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 68110

    Office

    $246.34

    Facility

    $132.03

    $6.65 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 68110

    Office

    $279.01

    Facility

    $145.81

    $26.02 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 68110

    Office

    $226.95

    Facility

    $122.96

    $26.04 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 68110

    Office

    $216.74

    Facility

    $122.41

    $36.25 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 68110

    Office

    $236.26

    Facility

    $127.71

    $16.73 lower than Madera for the office setting.

See how rates vary across the country

68110 · 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.

$210.72

$285.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$276.231
AL$213.741
AR$210.721
AZ$231.421
CA$252.99–$318.5829
CO$248.281
CT$253.021
DC$272.121
DE$235.221
FL$232.19–$251.753
GA$219.62–$241.382
GU$259.311
HI$259.311
IA$219.901
ID$221.121
IL$225.00–$246.194
IN$222.401
KS$218.491
KY$217.801
LA$217.31–$227.872
MA$246.68–$273.082
MD$239.77–$272.123
ME$221.82–$234.192
MI$222.97–$234.612
MN$239.231
MO$213.39–$229.153
MS$212.121
MT$237.471
NC$224.161
ND$234.701
NE$221.201
NH$244.021
NJ$256.28–$269.312
NM$224.001
NV$236.871
NY$227.41–$278.105
OH$222.411
OK$217.851
OR$235.40–$256.512
PA$222.98–$246.572
PR$239.321
RI$243.831
SC$223.581
SD$234.381
TN$219.511
TX$221.52–$247.148
UT$226.581
VA$233.15–$272.122
VI$239.321
VT$233.431
WA$246.34–$279.012
WI$226.951
WV$216.741
WY$236.261

Explore 68110 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Why are the office and facility amounts different?

For 68110 in Madera, the physician’s office rate is $252.99 and the facility-setting rate is $134.02: a difference of $118.97.

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 68110 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$278.29

$252.99 × 110% = $278.29

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 68110 in Madera.

PPRRVU2026_Oct_nonQPP.csv

7,536

Code
68110
Physician work
1.77
Practice expense
5.20
Malpractice
0.14

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 68110 in Madera
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0171.8001
Practice expense5.20× 1.0965.6992
Malpractice0.14× 0.5360.0750
Total RVUs7.5743
Conversion factor× 33.4009

Office / nonfacility rate, Madera$252.99

Open 68110 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense5.21.096
Malpractice0.140.536

(1.77 × 1.017 + 5.2 × 1.096 + 0.14 × 0.536) × $33.4009 = $252.99

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense1.951.096
Malpractice0.140.536

(1.77 × 1.017 + 1.95 × 1.096 + 0.14 × 0.536) × $33.4009 = $134.02

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

68110 · Office / nonfacility

$252.99

Effective 2026-10-01

The base rate is $13.80 higher than on 2025-10-01, moving from $239.19 to $252.99 (5.8%).

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

    $239.19changed to$252.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 5.00 changed to 5.20
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $239.19

    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$252.99$134.02RVU26D
2026-07-01$252.99$134.02RVU26C
2026-04-01$252.99$134.02RVU26B
2026-01-01$252.99$134.02RVU26A
2025-10-01$239.19$149.74RVU25D
2025-07-01$239.19$149.74RVU25C
2025-04-01$239.19$149.74RVU25B
2025-01-01$239.19$149.74RVU25A

68110 billing questions

How is this code distinguished from 68115?

Use 68110 for excision of a conjunctival lesion measuring less than one centimeter. Code 68115 describes the larger-lesion size category; document the lesion measurement.

When should 68100 be used instead?

68100 describes conjunctival biopsy, where tissue is sampled for examination. Use 68110 when the service is excision of the small lesion rather than sampling alone.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in this procedure's payment.

How is bilateral excision reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or 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 68110PPRRVU2026_Oct_nonQPP.csv, line 7,536 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)