Billing code 68340: Adhesion releaseMedicare rate & RVUs in Connecticut
Reports surgical division of adhesions involving the eyelid, such as lid-margin fusion that limits normal separation or movement of the lids.
Medicare pays $663.87 for 68340 in the office in Connecticut (Connecticut). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 68340 covers
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.
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 in Connecticut
| Payment locality | Office | Facility |
|---|---|---|
| Connecticut | $663.87 | $377.53 |
How the 68340 rate is calculated
Each of 68340’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 68340
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.85Practice expense 13.12Malpractice 0.66
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 68340
68340 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68340
Adhesion release
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 68340
Adhesion release
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
68340 without 50 · national office
$622.26
Adhesion release
68340-50 · Bilateral: 150%
$933.39
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
68340 compared with similar codes
Compare codes
68340 vs 68320 vs 68325 vs 68330: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 68320Conjunctivoplasty
- Choose 68340 for division of eyelid adhesions. Choose 68320 when the principal work is revision or reconstruction of eyelid lining.
- 68325Conjunctivoplasty
- 68340 addresses adhesion release; 68325 is associated with eyelid-lining revision or graft work. Base selection on the work actually performed.
- 68330Symblepharon repair
- Use 68330 for eyelid-lining revision rather than a procedure whose primary purpose is separating an eyelid adhesion.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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