$169.48
68100 is for conjunctival tissue sampling by biopsy. Use 68110 when the small lesion itself is excised.
On this page
CMS RVU26D · Effective 2026-10-01
68110 Conjunctival excision Medicare reimbursement rates in New Mexico
Reports surgical excision of a small conjunctival lesion, such as a localized growth, when the lesion measures less than one centimeter. Compare 68110 office and facility rates across CMS payment localities in New Mexico.
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 68110 in New Mexico?
New Mexico 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
$224.00
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$124.46
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 68110: Small conjunctival lesion excision
Reports surgical excision of a small conjunctival lesion, such as a localized growth, when the lesion measures less than one centimeter.
An ophthalmologist uses this service to remove a small, localized lesion from the conjunctiva, the membrane covering the white of the eye and lining the eyelids. Examples include a conjunctival nevus or papilloma selected for excision. The procedure may be performed in an office or an operating facility. When tissue is removed, it may be submitted for pathologic examination.
Choose this code when the excised conjunctival lesion measures less than one centimeter; document its size, site, and the excision performed. A biopsy code is a different choice when tissue is sampled rather than the lesion being excised. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 68110
- 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 RVU1.77 · 25%
- Practice expense (office) RVU5.20 · 73%
- Malpractice RVU0.14 · 2%
3.3K
Medicare services in 2024 · #2112 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.
68110 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$311.85
Both describe conjunctival lesion excision, but 68115 is the larger-lesion size category; 68110 is for lesions under one centimeter.
$526.01
68130 describes excision involving adjacent sclera. Use 68110 for a small conjunctival lesion without that stated extension.
$152.93
68135 describes destruction of a conjunctival lesion. Choose 68110 when the lesion is surgically excised.
Compare 68110 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
New Mexico →
Office / nonfacility
$224.00
Facility
$124.46
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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 68110 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
7,536
- Code
- 68110
- Physician work
- 1.77
- Practice expense
- 5.20
- Malpractice
- 0.14
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.000 | 1.7700 |
| Practice expense | 5.20 | × 0.917 | 4.7684 |
| Malpractice | 0.14 | × 1.201 | 0.1681 |
| Total RVUs | 6.7065 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$224.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 5.2 | 0.917 |
| Malpractice | 0.14 | 1.201 |
(1.77 × 1 + 5.2 × 0.917 + 0.14 × 1.201) × $33.4009 = $224.00
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 1.95 | 0.917 |
| Malpractice | 0.14 | 1.201 |
(1.77 × 1 + 1.95 × 0.917 + 0.14 × 1.201) × $33.4009 = $124.46
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.
68110 billing questions
How is this code distinguished from 68115?
Use 68110 for excision of a conjunctival lesion measuring less than one centimeter. Code 68115 describes the larger-lesion size category; document the lesion measurement.
When should 68100 be used instead?
68100 describes conjunctival biopsy, where tissue is sampled for examination. Use 68110 when the service is excision of the small lesion rather than sampling alone.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this procedure's payment.
How is bilateral excision reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or 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.
7,53368020,,Incise/drain eyelid lining,A,,1.38,2.16,,1.37,,0.09,3.63,2.84,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53468040,,Treatment of eyelid lesions,A,,0.83,0.98,,0.32,,0.04,1.85,1.19,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53568100,,Biopsy conjunctiva,A,,1.32,3.95,,1.00,,0.11,5.38,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53668110,,Exc les conjunctiva <1 cm,A,,1.77,5.20,,1.95,,0.14,7.11,3.86,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53768115,,Exc les conjunctiva >1 cm,A,,2.35,7.37,,2.16,,0.19,9.91,4.70,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53868130,,Exc les conjunctiva adj scl,A,,4.97,11.23,,5.34,,0.40,16.60,10.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53968135,,Destruction les conjunctiva,A,,1.84,2.79,,1.90,,0.15,4.78,3.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210