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CMS RVU26D · Effective 2026-10-01

68810 in Redding

Office / nonfacility

$169.88

Base rate per service

Facility setting

$116.80

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 68810: Nasolacrimal duct probing without stent

Reports probing a blocked nasolacrimal duct, with or without irrigation, when treatment does not require general anesthesia, a stent, or balloon dilation.

An ophthalmologist passes a probe through the tear drainage pathway to open or assess an obstruction in the nasolacrimal duct. Irrigation may be used to check or restore flow. A common situation is treatment of persistent tear-duct blockage in an infant; the procedure may also be performed for duct obstruction in other patients. The service is commonly furnished in an office or outpatient setting.

Report 68810 for simple probing, with or without irrigation, when the service does not require general anesthesia and does not include tube or stent placement or balloon catheter dilation. The note should identify the treated side, the obstruction or reason for probing, the instruments and technique used, and whether irrigation was performed. This minor procedure has a 10-day global period, which includes related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 68810

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 RVU1.50 · 31%
  • Practice expense (office) RVU3.19 · 66%
  • Malpractice RVU0.12 · 2%

14.3K

Medicare services in 2024 · #1282 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.

68810 compared with similar codes

Office rates for Redding, from the same CMS release.

68811

Tear duct probing

General anesthesia

No office rate

Choose 68811 when nasolacrimal duct probing requires general anesthesia; 68810 describes simple probing without that requirement.

68815

Duct probing

With tube or stent

$398.04

Choose 68815 when a tube or stent is inserted during probing. Simple probing, with or without irrigation, is 68810.

68816

Tear duct dilation

Balloon catheter

$903.12

Choose 68816 when probing includes balloon catheter dilation; 68810 is for probing without that balloon technique.

68840

Tear duct probing

Lacrimal canaliculi

$142.13

68840 addresses probing of the lacrimal canaliculi. Use 68810 when the treated obstruction is in the nasolacrimal duct.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 68810 is $170.27—$0.39 higher than the $169.88 rate in Redding. Both use the same code, release and participation basis.

68810 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $169.88

  2. Bakersfield

    $170.27

    $0.39 higher than Redding

  3. Chico

    $169.88

    The same base rate than Redding

  4. El Centro

    $169.90

    $0.02 higher than Redding

  5. Fresno

    $169.88

    The same base rate than Redding

  6. Hanford-Corcoran

    $169.88

    The same base rate than Redding

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

    $180.86

    $10.98 higher than Redding

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, 68810 ranges from $143.69 in Arkansas to $211.40 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

  • Madera

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Merced

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Modesto

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Napa

    California · 68810

    Office

    $195.73

    Facility

    $131.89

    $25.85 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 68810

    Office

    $179.94

    Facility

    $122.70

    $10.06 higher than Redding for the office setting.

  • Rest Of California

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 68810

    Office

    $171.20

    Facility

    $118.12

    $1.32 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 68810

    Office

    $177.97

    Facility

    $121.64

    $8.09 higher than Redding for the office setting.

  • Salinas

    California · 68810

    Office

    $177.29

    Facility

    $121.16

    $7.41 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 68810

    Office

    $181.21

    Facility

    $123.29

    $11.33 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 68810

    Office

    $206.93

    Facility

    $138.65

    $37.05 higher than Redding for the office setting.

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

    California · 68810

    Office

    $206.80

    Facility

    $138.51

    $36.92 higher than Redding for the office setting.

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

    California · 68810

    Office

    $211.40

    Facility

    $141.57

    $41.52 higher than Redding for the office setting.

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

    California · 68810

    Office

    $210.85

    Facility

    $141.01

    $40.97 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 68810

    Office

    $174.46

    Facility

    $119.30

    $4.58 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 68810

    Office

    $182.76

    Facility

    $123.91

    $12.88 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 68810

    Office

    $177.89

    Facility

    $121.42

    $8.01 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 68810

    Office

    $184.59

    Facility

    $125.12

    $14.71 higher than Redding for the office setting.

  • Stockton

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 68810

    Office

    $195.53

    Facility

    $131.70

    $25.65 higher than Redding for the office setting.

  • Visalia

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 68810

    Office

    $169.88

    Facility

    $116.80

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 68810

    Office

    $182.78

    Facility

    $125.73

    $12.90 higher than Redding for the office setting.

  • Miami

    Florida · 68810

    Office

    $171.16

    Facility

    $120.74

    $1.28 higher than Redding for the office setting.

  • Chicago

    Illinois · 68810

    Office

    $166.73

    Facility

    $118.06

    $3.15 lower than Redding for the office setting.

  • Manhattan

    New York · 68810

    Office

    $183.47

    Facility

    $127.20

    $13.59 higher than Redding for the office setting.

  • Alaska*

    Alaska · 68810

    Office

    $190.84

    Facility

    $139.26

    $20.96 higher than Redding for the office setting.

  • Alabama

    Alabama · 68810

    Office

    $145.60

    Facility

    $103.22

    $24.28 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 68810

    Office

    $143.69

    Facility

    $102.09

    $26.19 lower than Redding for the office setting.

  • Arizona

    Arizona · 68810

    Office

    $156.78

    Facility

    $109.85

    $13.10 lower than Redding for the office setting.

  • Colorado

    Colorado · 68810

    Office

    $167.20

    Facility

    $115.67

    $2.68 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 68810

    Office

    $170.71

    Facility

    $118.55

    $0.83 higher than Redding for the office setting.

  • Delaware

    Delaware · 68810

    Office

    $159.23

    Facility

    $111.38

    $10.65 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 68810

    Office

    $165.28

    Facility

    $116.22

    $4.60 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 68810

    Office

    $157.99

    Facility

    $111.69

    $11.89 lower than Redding for the office setting.

  • Atlanta

    Georgia · 68810

    Office

    $163.32

    Facility

    $114.11

    $6.56 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 68810

    Office

    $149.92

    Facility

    $106.72

    $19.96 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 68810

    Office

    $173.57

    Facility

    $118.50

    $3.69 higher than Redding for the office setting.

  • Iowa

    Iowa · 68810

    Office

    $149.18

    Facility

    $104.87

    $20.70 lower than Redding for the office setting.

  • Idaho

    Idaho · 68810

    Office

    $150.02

    Facility

    $105.47

    $19.86 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 68810

    Office

    $156.20

    Facility

    $111.64

    $13.68 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 68810

    Office

    $153.65

    Facility

    $109.43

    $16.23 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 68810

    Office

    $166.98

    Facility

    $117.24

    $2.90 lower than Redding for the office setting.

  • Indiana

    Indiana · 68810

    Office

    $150.82

    Facility

    $105.92

    $19.06 lower than Redding for the office setting.

  • Kansas

    Kansas · 68810

    Office

    $148.44

    Facility

    $104.66

    $21.44 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 68810

    Office

    $148.49

    Facility

    $105.44

    $21.39 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 68810

    Office

    $154.92

    Facility

    $109.34

    $14.96 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 68810

    Office

    $148.24

    Facility

    $105.38

    $21.64 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 68810

    Office

    $182.94

    Facility

    $125.12

    $13.06 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 68810

    Office

    $166.29

    Facility

    $115.30

    $3.59 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 68810

    Office

    $170.19

    Facility

    $118.22

    $0.31 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 68810

    Office

    $162.11

    Facility

    $113.10

    $7.77 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 68810

    Office

    $150.62

    Facility

    $106.06

    $19.26 lower than Redding for the office setting.

  • Southern Maine

    Maine · 68810

    Office

    $158.22

    Facility

    $110.22

    $11.66 lower than Redding for the office setting.

  • Detroit

    Michigan · 68810

    Office

    $159.68

    Facility

    $112.94

    $10.20 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 68810

    Office

    $151.91

    Facility

    $107.69

    $17.97 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 68810

    Office

    $160.93

    Facility

    $111.09

    $8.95 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 68810

    Office

    $154.07

    Facility

    $108.59

    $15.81 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 68810

    Office

    $155.55

    Facility

    $109.45

    $14.33 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 68810

    Office

    $145.85

    Facility

    $104.10

    $24.03 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 68810

    Office

    $144.80

    Facility

    $103.10

    $25.08 lower than Redding for the office setting.

  • Montana**

    Montana · 68810

    Office

    $160.65

    Facility

    $112.22

    $9.23 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 68810

    Office

    $152.07

    Facility

    $106.89

    $17.81 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 68810

    Office

    $158.28

    Facility

    $109.85

    $11.60 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 68810

    Office

    $149.96

    Facility

    $105.26

    $19.92 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 68810

    Office

    $164.53

    Facility

    $114.11

    $5.35 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 68810

    Office

    $181.14

    Facility

    $124.95

    $11.26 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 68810

    Office

    $172.85

    Facility

    $119.97

    $2.97 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 68810

    Office

    $152.62

    Facility

    $108.21

    $17.26 lower than Redding for the office setting.

  • Nevada**

    Nevada · 68810

    Office

    $160.10

    Facility

    $111.62

    $9.78 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 68810

    Office

    $187.44

    Facility

    $129.85

    $17.56 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 68810

    Office

    $173.88

    Facility

    $120.84

    $4.00 higher than Redding for the office setting.

  • Queens

    New York · 68810

    Office

    $185.03

    Facility

    $127.78

    $15.15 higher than Redding for the office setting.

  • Rest Of New York

    New York · 68810

    Office

    $154.14

    Facility

    $108.13

    $15.74 lower than Redding for the office setting.

  • Ohio

    Ohio · 68810

    Office

    $151.42

    Facility

    $107.20

    $18.46 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 68810

    Office

    $148.36

    Facility

    $105.11

    $21.52 lower than Redding for the office setting.

  • Portland

    Oregon · 68810

    Office

    $172.26

    Facility

    $118.45

    $2.38 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 68810

    Office

    $159.04

    Facility

    $110.80

    $10.84 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 68810

    Office

    $166.70

    Facility

    $116.29

    $3.18 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 68810

    Office

    $151.70

    Facility

    $107.24

    $18.18 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 68810

    Office

    $161.77

    Facility

    $112.81

    $8.11 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 68810

    Office

    $164.69

    Facility

    $114.66

    $5.19 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 68810

    Office

    $151.96

    Facility

    $107.21

    $17.92 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 68810

    Office

    $158.00

    Facility

    $109.57

    $11.88 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 68810

    Office

    $149.11

    Facility

    $105.08

    $20.77 lower than Redding for the office setting.

  • Austin

    Texas · 68810

    Office

    $166.48

    Facility

    $115.24

    $3.40 lower than Redding for the office setting.

  • Beaumont

    Texas · 68810

    Office

    $150.78

    Facility

    $106.71

    $19.10 lower than Redding for the office setting.

  • Brazoria

    Texas · 68810

    Office

    $159.22

    Facility

    $111.22

    $10.66 lower than Redding for the office setting.

  • Dallas

    Texas · 68810

    Office

    $160.11

    Facility

    $111.88

    $9.77 lower than Redding for the office setting.

  • Fort Worth

    Texas · 68810

    Office

    $159.10

    Facility

    $111.35

    $10.78 lower than Redding for the office setting.

  • Galveston

    Texas · 68810

    Office

    $159.62

    Facility

    $111.53

    $10.26 lower than Redding for the office setting.

  • Houston

    Texas · 68810

    Office

    $161.82

    Facility

    $113.73

    $8.06 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 68810

    Office

    $154.84

    Facility

    $108.87

    $15.04 lower than Redding for the office setting.

  • Utah

    Utah · 68810

    Office

    $153.86

    Facility

    $108.33

    $16.02 lower than Redding for the office setting.

  • Virginia

    Virginia · 68810

    Office

    $157.67

    Facility

    $110.06

    $12.21 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 68810

    Office

    $161.77

    Facility

    $112.81

    $8.11 lower than Redding for the office setting.

  • Vermont

    Vermont · 68810

    Office

    $157.61

    Facility

    $109.67

    $12.27 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 68810

    Office

    $166.00

    Facility

    $115.00

    $3.88 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 68810

    Office

    $186.62

    Facility

    $127.19

    $16.74 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 68810

    Office

    $153.41

    Facility

    $107.01

    $16.47 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 68810

    Office

    $148.43

    Facility

    $106.34

    $21.45 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 68810

    Office

    $159.62

    Facility

    $111.18

    $10.26 lower than Redding for the office setting.

See how rates vary across the country

68810 · 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.

$143.69

$190.84

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$190.841
AL$145.601
AR$143.691
AZ$156.781
CA$169.88–$211.4029
CO$167.201
CT$170.711
DC$182.781
DE$159.231
FL$157.99–$171.163
GA$149.92–$163.322
GU$173.571
HI$173.571
IA$149.181
ID$150.021
IL$153.65–$166.984
IN$150.821
KS$148.441
KY$148.491
LA$148.24–$154.922
MA$166.29–$182.942
MD$162.11–$182.783
ME$150.62–$158.222
MI$151.91–$159.682
MN$160.931
MO$145.85–$155.553
MS$144.801
MT$160.651
NC$152.071
ND$158.281
NE$149.961
NH$164.531
NJ$172.85–$181.142
NM$152.621
NV$160.101
NY$154.14–$187.445
OH$151.421
OK$148.361
OR$159.04–$172.262
PA$151.70–$166.702
PR$161.771
RI$164.691
SC$151.961
SD$158.001
TN$149.111
TX$150.78–$166.488
UT$153.861
VA$157.67–$182.782
VI$161.771
VT$157.611
WA$166.00–$186.622
WI$153.411
WV$148.431
WY$159.621

Explore 68810 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 68810 in Redding, the physician’s office rate is $169.88 and the facility-setting rate is $116.80: a difference of $53.08.

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 68810 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$186.87

$169.88 × 110% = $186.87

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 68810 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,572

Code
68810
Physician work
1.50
Practice expense
3.19
Malpractice
0.12

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 68810 in Redding
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0171.5255
Practice expense3.19× 1.0963.4962
Malpractice0.12× 0.5360.0643
Total RVUs5.0861
Conversion factor× 33.4009

Office / nonfacility rate, Redding$169.88

Open 68810 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense3.191.096
Malpractice0.120.536

(1.5 × 1.017 + 3.19 × 1.096 + 0.12 × 0.536) × $33.4009 = $169.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense1.741.096
Malpractice0.120.536

(1.5 × 1.017 + 1.74 × 1.096 + 0.12 × 0.536) × $33.4009 = $116.80

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

68810 · Office / nonfacility

$169.88

Effective 2026-10-01

The base rate is $7.06 higher than on 2025-10-01, moving from $162.82 to $169.88 (4.3%).

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

    $162.82changed to$169.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.54 changed to 1.50
    • Practice expense RVU 3.11 changed to 3.19
    • Malpractice RVU 0.13 changed to 0.12
    • 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: $162.82

    Held through RVU25B, RVU25C, RVU25D.

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

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

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$169.88$116.80RVU26D
2026-07-01$169.88$116.80RVU26C
2026-04-01$169.88$116.80RVU26B
2026-01-01$169.88$116.80RVU26A
2025-10-01$162.82$129.23RVU25D
2025-07-01$162.82$129.23RVU25C
2025-04-01$162.82$129.23RVU25B
2025-01-01$162.82$129.23RVU25A

68810 billing questions

When should 68810 be used instead of 68811?

Use 68810 for simple nasolacrimal duct probing when the service does not require general anesthesia. Use 68811 when the probing requires general anesthesia.

Does 68810 include irrigation?

Yes. Irrigation may be performed with the probing and is included in this service.

Can 68810 be reported when a stent or balloon catheter is used?

No. Tube or stent placement is represented by 68815, and probing with balloon catheter dilation is represented by 68816.

How is bilateral probing reported?

Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.

Are postoperative visits separately billable during the global period?

Related postoperative visits during the 10-day global period are included in 68810.

Can an assistant or co-surgeon be billed for 68810?

Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.

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 68810PPRRVU2026_Oct_nonQPP.csv, line 7,572 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet