No office rate
Both address symblepharon repair, but 68335 includes a free conjunctival or buccal mucous membrane graft; 68330 is the repair without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
68330 Symblepharon repair Medicare reimbursement rates in Alabama
Repairs symblepharon by releasing conjunctival scar adhesions and restoring separation of the eyelid and eye surfaces without a graft. Compare 68330 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 68330 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$564.94
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$366.79
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmic surgery
About 68330: Symblepharon repair without graft
Repairs symblepharon by releasing conjunctival scar adhesions and restoring separation of the eyelid and eye surfaces without a graft.
Symblepharon is an adhesion between the conjunctiva lining the eyelid and the conjunctiva covering the eye, often following injury, inflammation, or prior surgery. For this repair, an ophthalmic surgeon releases the scar-related attachment and reshapes the involved tissue to restore separation, without placing a graft. The procedure may be performed in an office-based surgical setting or a facility, depending on the case and the surgeon’s approach.
Report 68330 when the operative work repairs symblepharon without a graft; a repair that uses a free conjunctival or buccal mucous membrane graft is represented by a different code. The operative note should identify the adhesion and describe its release and repair, including the side treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 68330
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.64 · 30%
- Practice expense (office) RVU12.60 · 67%
- Malpractice RVU0.44 · 2%
515
Medicare services in 2024 · #3541 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
68330 compared with similar codes
Office rates for Alabama, from the same CMS release.
$557.91
68340 describes severing conjunctival or eyelid adhesions. Choose 68330 when the operative service repairs symblepharon, not merely releases adhesions.
$495.05
68360 describes conjunctival fornix reconstruction using a conjunctival graft. 68330 is for symblepharon repair without a graft.
Compare 68330 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$564.94
Facility
$366.79
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 68330 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
7,545
- Code
- 68330
- Physician work
- 5.64
- Practice expense
- 12.60
- Malpractice
- 0.44
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.64 | × 1.000 | 5.6400 |
| Practice expense | 12.60 | × 0.875 | 11.0250 |
| Malpractice | 0.44 | × 0.566 | 0.2490 |
| Total RVUs | 16.9140 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$564.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1 |
| Practice expense | 12.6 | 0.875 |
| Malpractice | 0.44 | 0.566 |
(5.64 × 1 + 12.6 × 0.875 + 0.44 × 0.566) × $33.4009 = $564.94
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1 |
| Practice expense | 5.82 | 0.875 |
| Malpractice | 0.44 | 0.566 |
(5.64 × 1 + 5.82 × 0.875 + 0.44 × 0.566) × $33.4009 = $366.79
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.
68330 billing questions
When should 68330 be chosen instead of 68335?
Use 68330 for symblepharon repair without a graft. Use 68335 when the repair includes a free conjunctival or buccal mucous membrane graft.
Can conjunctival adhesion release be billed separately?
Release of the adhesion is part of repairing the symblepharon. Do not separately report 68340 for the same release when it is integral to the repair.
How is bilateral repair reported?
For bilateral surgery, report modifier 50. CMS pays bilateral procedures at 150%.
What documentation supports 68330?
Document the symblepharon, the affected side, and the operative work releasing and repairing the adhesion. The note should make clear that no graft was used.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,54268325,,Revise/graft eyelid lining,A,,8.41,7.71,NA,7.71,,0.66,16.78,16.78,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54368326,,Revise/graft eyelid lining,A,,8.21,7.65,NA,7.65,,0.67,16.53,16.53,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54468328,,Revise/graft eyelid lining,A,,9.21,7.99,NA,7.99,,0.73,17.93,17.93,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54568330,,Revise eyelid lining,A,,5.64,12.60,,5.82,,0.44,18.68,11.90,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54668335,,Revise/graft eyelid lining,A,,8.25,7.65,NA,7.65,,0.67,16.57,16.57,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54768340,,Separate eyelid adhesions,A,,4.85,13.12,,5.16,,0.66,18.63,10.67,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,54868360,,Revise eyelid lining,A,,5.04,10.92,,5.19,,0.40,16.36,10.63,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515