$612.80–$663.65
Both address symblepharon, but 68335 includes graft reconstruction; 68330 is the repair without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
68335 Symblepharon repair Medicare reimbursement rates in Florida
Repair scar adhesions joining the eyelid and ocular conjunctiva with a graft to restore the conjunctival lining and fornix. Compare 68335 office and facility rates across CMS payment localities in Florida.
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 68335 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$553.47–$598.15
3 of 3 localities have a supported rate.
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.
Where 68335 pays more and less in Florida
Ophthalmology surgery
About 68335: Symblepharon repair with graft
Repair scar adhesions joining the eyelid and ocular conjunctiva with a graft to restore the conjunctival lining and fornix.
This procedure addresses symblepharon, in which scar tissue adheres the eyelid lining to the conjunctiva covering the eye. An ophthalmic surgeon releases the adhesion and uses a graft to reconstruct the affected conjunctival surface or fornix. It may be performed in an operating room when scarring limits eye movement, disrupts the ocular surface, or prevents normal lid position.
Report this code when the repair includes graft reconstruction, rather than adhesion release alone. The operative note should identify the affected side and site, describe the adhesions and their release, and document graft placement. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 68335
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.25 · 50%
- Practice expense (office) RVU7.65 · 46%
- Malpractice RVU0.67 · 4%
503
Medicare services in 2024 · #3559 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.
68335 compared with similar codes
Office rates for Florida, from the same CMS release.
$614.07–$673.93
68340 describes severing conjunctival or fornix adhesions. Choose 68335 when the repair includes graft reconstruction.
$733.13–$794.30
68320 is conjunctivoplasty involving a graft or extensive rearrangement. 68335 is the graft-based repair for symblepharon.
Compare 68335 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$574.86
Miami →
Office / nonfacility
Unavailable
Facility
$598.15
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$553.47
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68335 billing questions
When is 68335 used instead of 68330?
Use 68335 when the symblepharon repair includes a graft. Code 68330 describes repair without a graft.
Can adhesion release be reported separately?
The adhesion release that is part of the graft repair is integral to the service. A separate code may be considered only for a distinct, separately performed procedure supported by the operative note.
How is bilateral repair reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Does the global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery services are not paid for this code. Co-surgeons are paid only when supporting documentation is provided.
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.
7,54368326,,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
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