$666.44
Choose 68340 for division of eyelid adhesions. Choose 68320 when the principal work is revision or reconstruction of eyelid lining.
On this page
CMS RVU26D · Effective 2026-10-01
68340 Adhesion release Medicare reimbursement rates in Arkansas
Reports surgical division of adhesions involving the eyelid, such as lid-margin fusion that limits normal separation or movement of the lids. Compare 68340 office and facility rates across CMS payment localities in Arkansas.
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 68340 in Arkansas?
Arkansas 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
$549.78
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$321.39
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 68340: Eyelid adhesion release
Reports surgical division of adhesions involving the eyelid, such as lid-margin fusion that limits normal separation or movement of the lids.
This procedure releases abnormal scar tissue or other adhesions that bind eyelid structures together, including fusion at the lid margins. A typical clinical situation is acquired or congenital ankyloblepharon, where adhesions restrict opening or separation of the lids. An ophthalmologist, often an oculoplastic surgeon, performs the release in an operative setting; Medicare records services in both office and facility settings.
Report the code when the operative work is directed at separating eyelid adhesions, rather than reconstructing damaged eyelid lining. The note should identify the affected eyelid or lids, the location and extent of the adhesion, the functional or anatomic problem, and the release performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 68340
- 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 RVU4.85 · 26%
- Practice expense (office) RVU13.12 · 70%
- Malpractice RVU0.66 · 4%
371
Medicare services in 2024 · #3795 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.
68340 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
68340 addresses adhesion release; 68325 is associated with eyelid-lining revision or graft work. Base selection on the work actually performed.
$557.46
Use 68330 for eyelid-lining revision rather than a procedure whose primary purpose is separating an eyelid adhesion.
Compare 68340 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
Arkansas →
Office / nonfacility
$549.78
Facility
$321.39
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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 68340 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,547
- Code
- 68340
- Physician work
- 4.85
- Practice expense
- 13.12
- Malpractice
- 0.66
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.85 | × 1.000 | 4.8500 |
| Practice expense | 13.12 | × 0.859 | 11.2701 |
| Malpractice | 0.66 | × 0.515 | 0.3399 |
| Total RVUs | 16.4600 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$549.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.85 | 1 |
| Practice expense | 13.12 | 0.859 |
| Malpractice | 0.66 | 0.515 |
(4.85 × 1 + 13.12 × 0.859 + 0.66 × 0.515) × $33.4009 = $549.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.85 | 1 |
| Practice expense | 5.16 | 0.859 |
| Malpractice | 0.66 | 0.515 |
(4.85 × 1 + 5.16 × 0.859 + 0.66 × 0.515) × $33.4009 = $321.39
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.
68340 billing questions
When should this code be chosen instead of an eyelid-lining reconstruction code?
Use this code when the operative objective is dividing an adhesion that binds eyelid structures. A lining reconstruction code describes work to revise or rebuild the eyelid lining.
What should the operative note document?
Document the adhesion's location and extent, which eyelid or lids are involved, the resulting functional or anatomic problem, and how the adhesion was released.
Does the code have a postoperative global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS identifies the procedure as bilateral when modifier 50 is used and pays it at 150%. The operative record should support treatment of both sides.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules provided for this code.
What happens when another procedure is performed in the same session?
The standard multiple procedure reduction applies: the highest-valued procedure is paid in full, and other 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.
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
7,54968362,,Revise eyelid lining,A,,8.39,7.70,NA,7.70,,0.66,16.75,16.75,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,55068371,,Harvest eye tissue alograft,A,,4.96,5.38,NA,5.38,,0.40,10.74,10.74,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541