$774.42–$853.89
Use 68371 for recovering eye tissue for allograft use. Code 68320 describes reconstructive work at the recipient site.
On this page
CMS RVU26D · Effective 2026-10-01
68371 Eye tissue harvest Medicare reimbursement rates in Massachusetts
Reports surgical recovery of eye tissue intended for allograft use, distinct from reconstructive surgery that places graft material at a recipient site. Compare 68371 office and facility rates across CMS payment localities in Massachusetts.
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 68371 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$368.19–$398.91
2 of 2 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.
Ophthalmic surgery
About 68371: Ocular tissue recovery for allograft
Reports surgical recovery of eye tissue intended for allograft use, distinct from reconstructive surgery that places graft material at a recipient site.
An ophthalmic surgeon surgically recovers ocular tissue for use as an allograft. The service is the tissue-recovery step, not the later operation that repairs the recipient eye or places graft material. Documentation should identify the donor eye, tissue recovered, laterality, and the allograft purpose of the recovery.
Report the code for the tissue-harvest service itself, rather than for recipient-site reconstruction. The CMS global period is 10 days, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 68371
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU4.96 · 46%
- Practice expense (office) RVU5.38 · 50%
- Malpractice RVU0.40 · 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.
68371 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Code 68325 concerns recipient-site conjunctival reconstruction; 68371 is the separate tissue-recovery service.
No office rate
Code 68328 describes ocular-surface reconstruction using graft-related treatment, while 68371 reports recovery of tissue for allograft use.
Compare 68371 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$398.91
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$368.19
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68371 billing questions
Is this code for harvesting tissue or placing a graft?
It covers surgical recovery of ocular tissue for allograft use. Codes for recipient-site repair or graft placement describe a different service.
What documentation supports reporting the service?
Document the donor eye, tissue recovered, laterality, and that the tissue was recovered for allograft use.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this service.
How is bilateral reporting handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
7,54768340,,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
7,55168399,,Unlisted px conjunctiva,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,55268400,,I&d lacrimal gland,A,,1.70,7.02,,1.54,,0.14,8.86,3.38,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,55368420,,I&d lacrimal sac,A,,2.29,7.43,,1.75,,0.18,9.90,4.22,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00