No office rate
68520 represents removal of the lacrimal sac itself. Use 68550 when the operation targets a focal lesion involving the sac.
On this page
CMS RVU26D · Effective 2026-10-01
68550 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1043.13
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 68550: Excision of a lacrimal sac lesion
Reports surgical removal of a focal lesion involving the lacrimal sac, the tear-drainage structure at the inner corner of the eye.
This service removes a focal abnormal growth involving the lacrimal sac, which collects tears near the inner corner of the eye before they drain into the nose. An ophthalmologist, often an oculoplastic surgeon, performs the operation when the lesion requires excision rather than diagnostic sampling alone. The removed tissue may be sent for pathology. The operative report should identify the affected side, the lesion’s location and extent, and what tissue was removed.
Choose this code for excision of a lesion of the lacrimal sac, not removal of the entire sac or treatment of a lesion in the lacrimal gland. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 68550
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.78 · 47%
- Practice expense (office) RVU15.57 · 49%
- Malpractice RVU1.19 · 4%
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.
68550 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
68525 is for diagnostic tissue sampling from the lacrimal sac. Use 68550 when the operative intent is to excise a focal sac lesion.
No office rate
68540 concerns a lesion of the lacrimal gland, which produces tears. Code 68550 concerns a lesion of the tear-drainage sac.
The same code, a different location
How does Wyoming** compare?
68550 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 68550
Office
Unavailable
Facility
$971.21
No comparable office rate is available.
Arkansas
Arkansas · 68550
Office
Unavailable
Facility
$960.86
No comparable office rate is available.
Arizona
Arizona · 68550
Office
Unavailable
Facility
$1031.62
No comparable office rate is available.
Bakersfield
California · 68550
Office
Unavailable
Facility
$1097.23
No comparable office rate is available.
Chico
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
El Centro
California · 68550
Office
Unavailable
Facility
$1093.54
No comparable office rate is available.
Fresno
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Hanford-Corcoran
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Madera
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Merced
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Modesto
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Napa
California · 68550
Office
Unavailable
Facility
$1230.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 68550
Office
Unavailable
Facility
$1146.95
No comparable office rate is available.
Redding
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Rest Of California
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 68550
Office
Unavailable
Facility
$1106.43
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 68550
Office
Unavailable
Facility
$1137.56
No comparable office rate is available.
Salinas
California · 68550
Office
Unavailable
Facility
$1133.01
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 68550
Office
Unavailable
Facility
$1152.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 68550
Office
Unavailable
Facility
$1292.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 68550
Office
Unavailable
Facility
$1290.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 68550
Office
Unavailable
Facility
$1319.19
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 68550
Office
Unavailable
Facility
$1313.66
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 68550
Office
Unavailable
Facility
$1115.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 68550
Office
Unavailable
Facility
$1157.20
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 68550
Office
Unavailable
Facility
$1135.17
No comparable office rate is available.
Santa Rosa-Petaluma
California · 68550
Office
Unavailable
Facility
$1168.40
No comparable office rate is available.
Stockton
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Vallejo
California · 68550
Office
Unavailable
Facility
$1228.44
No comparable office rate is available.
Visalia
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Yuba City
California · 68550
Office
Unavailable
Facility
$1093.34
No comparable office rate is available.
Colorado
Colorado · 68550
Office
Unavailable
Facility
$1083.97
No comparable office rate is available.
Connecticut
Connecticut · 68550
Office
Unavailable
Facility
$1111.73
No comparable office rate is available.
Delaware
Delaware · 68550
Office
Unavailable
Facility
$1045.68
No comparable office rate is available.
Fort Lauderdale
Florida · 68550
Office
Unavailable
Facility
$1092.34
No comparable office rate is available.
Rest Of Florida
Florida · 68550
Office
Unavailable
Facility
$1050.57
No comparable office rate is available.
Atlanta
Georgia · 68550
Office
Unavailable
Facility
$1071.26
No comparable office rate is available.
Rest Of Georgia
Georgia · 68550
Office
Unavailable
Facility
$1004.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 68550
Office
Unavailable
Facility
$1107.98
No comparable office rate is available.
Iowa
Iowa · 68550
Office
Unavailable
Facility
$985.29
No comparable office rate is available.
Idaho
Idaho · 68550
Office
Unavailable
Facility
$990.91
No comparable office rate is available.
East St. Louis
Illinois · 68550
Office
Unavailable
Facility
$1052.16
No comparable office rate is available.
Rest Of Illinois
Illinois · 68550
Office
Unavailable
Facility
$1030.60
No comparable office rate is available.
Suburban Chicago
Illinois · 68550
Office
Unavailable
Facility
$1101.65
No comparable office rate is available.
Indiana
Indiana · 68550
Office
Unavailable
Facility
$995.07
No comparable office rate is available.
Kansas
Kansas · 68550
Office
Unavailable
Facility
$983.82
No comparable office rate is available.
Kentucky
Kentucky · 68550
Office
Unavailable
Facility
$992.36
No comparable office rate is available.
New Orleans
Louisiana · 68550
Office
Unavailable
Facility
$1028.19
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 68550
Office
Unavailable
Facility
$991.99
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 68550
Office
Unavailable
Facility
$1170.22
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 68550
Office
Unavailable
Facility
$1080.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 68550
Office
Unavailable
Facility
$1108.75
No comparable office rate is available.
Rest Of Maryland
Maryland · 68550
Office
Unavailable
Facility
$1061.38
No comparable office rate is available.
Rest Of Maine
Maine · 68550
Office
Unavailable
Facility
$996.84
No comparable office rate is available.
Southern Maine
Maine · 68550
Office
Unavailable
Facility
$1034.12
No comparable office rate is available.
Detroit
Michigan · 68550
Office
Unavailable
Facility
$1062.53
No comparable office rate is available.
Rest Of Michigan
Michigan · 68550
Office
Unavailable
Facility
$1013.35
No comparable office rate is available.
Minnesota
Minnesota · 68550
Office
Unavailable
Facility
$1040.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 68550
Office
Unavailable
Facility
$1020.83
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 68550
Office
Unavailable
Facility
$1028.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 68550
Office
Unavailable
Facility
$980.66
No comparable office rate is available.
Mississippi
Mississippi · 68550
Office
Unavailable
Facility
$970.80
No comparable office rate is available.
Montana**
Montana · 68550
Office
Unavailable
Facility
$1053.38
No comparable office rate is available.
North Carolina
North Carolina · 68550
Office
Unavailable
Facility
$1004.27
No comparable office rate is available.
North Dakota**
North Dakota · 68550
Office
Unavailable
Facility
$1029.85
No comparable office rate is available.
Nebraska
Nebraska · 68550
Office
Unavailable
Facility
$988.70
No comparable office rate is available.
New Hampshire
New Hampshire · 68550
Office
Unavailable
Facility
$1069.82
No comparable office rate is available.
Northern Nj
New Jersey · 68550
Office
Unavailable
Facility
$1170.48
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 68550
Office
Unavailable
Facility
$1124.91
No comparable office rate is available.
New Mexico
New Mexico · 68550
Office
Unavailable
Facility
$1018.29
No comparable office rate is available.
Nevada**
Nevada · 68550
Office
Unavailable
Facility
$1047.35
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 68550
Office
Unavailable
Facility
$1217.41
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 68550
Office
Unavailable
Facility
$1133.43
No comparable office rate is available.
Queens
New York · 68550
Office
Unavailable
Facility
$1197.28
No comparable office rate is available.
Rest Of New York
New York · 68550
Office
Unavailable
Facility
$1015.66
No comparable office rate is available.
Ohio
Ohio · 68550
Office
Unavailable
Facility
$1008.54
No comparable office rate is available.
Oklahoma
Oklahoma · 68550
Office
Unavailable
Facility
$988.96
No comparable office rate is available.
Portland
Oregon · 68550
Office
Unavailable
Facility
$1108.91
No comparable office rate is available.
Rest Of Oregon
Oregon · 68550
Office
Unavailable
Facility
$1039.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 68550
Office
Unavailable
Facility
$1091.34
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 68550
Office
Unavailable
Facility
$1008.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 68550
Office
Unavailable
Facility
$1058.59
No comparable office rate is available.
Rhode Island
Rhode Island · 68550
Office
Unavailable
Facility
$1075.71
No comparable office rate is available.
South Carolina
South Carolina · 68550
Office
Unavailable
Facility
$1007.98
No comparable office rate is available.
South Dakota**
South Dakota · 68550
Office
Unavailable
Facility
$1027.07
No comparable office rate is available.
Tennessee
Tennessee · 68550
Office
Unavailable
Facility
$987.74
No comparable office rate is available.
Austin
Texas · 68550
Office
Unavailable
Facility
$1080.08
No comparable office rate is available.
Beaumont
Texas · 68550
Office
Unavailable
Facility
$1003.84
No comparable office rate is available.
Brazoria
Texas · 68550
Office
Unavailable
Facility
$1043.99
No comparable office rate is available.
Dallas
Texas · 68550
Office
Unavailable
Facility
$1050.18
No comparable office rate is available.
Fort Worth
Texas · 68550
Office
Unavailable
Facility
$1045.50
No comparable office rate is available.
Galveston
Texas · 68550
Office
Unavailable
Facility
$1046.94
No comparable office rate is available.
Houston
Texas · 68550
Office
Unavailable
Facility
$1068.72
No comparable office rate is available.
Rest Of Texas
Texas · 68550
Office
Unavailable
Facility
$1023.09
No comparable office rate is available.
Utah
Utah · 68550
Office
Unavailable
Facility
$1018.21
No comparable office rate is available.
Virginia
Virginia · 68550
Office
Unavailable
Facility
$1032.94
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 68550
Office
Unavailable
Facility
$1058.59
No comparable office rate is available.
Vermont
Vermont · 68550
Office
Unavailable
Facility
$1028.63
No comparable office rate is available.
Rest Of Washington
Washington · 68550
Office
Unavailable
Facility
$1077.95
No comparable office rate is available.
Seattle (King Cnty)
Washington · 68550
Office
Unavailable
Facility
$1188.93
No comparable office rate is available.
Wisconsin
Wisconsin · 68550
Office
Unavailable
Facility
$1004.12
No comparable office rate is available.
West Virginia
West Virginia · 68550
Office
Unavailable
Facility
$1002.47
No comparable office rate is available.
See how rates vary across the country
68550 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 68550 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1147.44
$1043.13 × 110% = $1147.44
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 68550 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,562
- Code
- 68550
- Physician work
- 14.78
- Practice expense
- 15.57
- Malpractice
- 1.19
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.78 | × 1.000 | 14.7800 |
| Practice expense | 15.57 | × 1.000 | 15.5700 |
| Malpractice | 1.19 | × 0.740 | 0.8806 |
| Total RVUs | 31.2306 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1043.13
Open 68550 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.78 | 1 |
| Practice expense | 15.57 | 1 |
| Malpractice | 1.19 | 0.74 |
(14.78 × 1 + 15.57 × 1 + 1.19 × 0.74) × $33.4009 = $1043.13
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
68550 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1043.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $1043.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $1043.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $1043.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $1160.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $1160.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $1160.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $1160.10 | RVU25A |
68550 billing questions
How is this different from excision of the lacrimal sac?
This code is for removing a focal lesion involving the sac. Choose the whole-sac excision code when the operation removes the lacrimal sac itself.
When would a lacrimal sac biopsy code be more appropriate?
Use the biopsy code when tissue is sampled for diagnosis without an operation intended to excise the lesion. The operative note should make the procedure’s intent and extent clear.
Can modifier 50 be used when lesions are excised on both sides?
CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%. Document the work performed on each side.
Is an assistant surgeon payable for this procedure?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
What postoperative care is included in the global period?
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.
7,55968525,,Biopsy of tear sac,A,,4.31,1.51,NA,1.51,,0.36,6.18,6.18,0,000,0.00,0.00,0.00,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56068530,,Clearance of tear duct,A,,3.61,9.09,,2.48,,0.28,12.98,6.37,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56168540,,Remove tear gland lesion,A,,11.88,12.54,NA,12.54,,0.95,25.37,25.37,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56268550,,Remove tear gland lesion,A,,14.78,15.57,NA,15.57,,1.19,31.54,31.54,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56368700,,Repair tear ducts,A,,7.67,7.17,NA,7.17,,0.62,15.46,15.46,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56468705,,Revise tear duct opening,A,,2.06,5.55,,2.06,,0.17,7.78,4.29,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,56568720,,Create tear sac drain,A,,9.71,10.51,NA,10.51,,0.82,21.04,21.04,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,