$278.55–$306.02
This code is for a conjunctival cyst. Code 67700 addresses incision and drainage of an abscess in the eyelid.
On this page
CMS RVU26D · Effective 2026-10-01
68020 Conjunctival cyst drainage Medicare reimbursement rates in Oregon
Report this service when an ophthalmologist opens and drains a cyst of the conjunctiva, rather than excising a conjunctival lesion or treating an eyelid lesion. Compare 68020 office and facility rates across CMS payment localities in Oregon.
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 68020 in Oregon?
Oregon 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
$120.06–$129.22
2 of 2 localities have a supported rate.
Facility setting
$93.78–$99.91
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.
Ophthalmology
About 68020: Conjunctival cyst incision and drainage
Report this service when an ophthalmologist opens and drains a cyst of the conjunctiva, rather than excising a conjunctival lesion or treating an eyelid lesion.
This service involves making an incision in a conjunctival cyst and draining its contents. Ophthalmologists typically perform it as a minor procedure in an office or facility setting, often after examining the eye and identifying the cyst on the conjunctival surface. The code is for a cyst of the conjunctiva, not an abscess in the eyelid or a chalazion treated by excision.
Report the service when the documented treatment is incision and drainage; documentation should identify the conjunctival cyst and the procedure performed. 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 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 68020
- 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 RVU1.38 · 38%
- Practice expense (office) RVU2.16 · 60%
- Malpractice RVU0.09 · 2%
2.5K
Medicare services in 2024 · #2309 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.
68020 compared with similar codes
Office rates for Oregon, from the same CMS release.
$61.26–$65.53
This code drains a conjunctival cyst; 68040 is treatment of eyelid lesions, such as molluscum contagiosum or milia.
$235.40–$256.51
Use this code for incision and drainage of a conjunctival cyst. Code 68110 describes excision of a conjunctival lesion up to 1 cm.
Compare 68020 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
Portland →
Office / nonfacility
$129.22
Facility
$99.91
Rest Of Oregon →
Office / nonfacility
$120.06
Facility
$93.78
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68020 billing questions
When is this code used instead of an eyelid drainage code?
Use this code for incision and drainage of a cyst in the conjunctiva. A collection in the eyelid itself is a different anatomic service.
Is this the code for excising a conjunctival cyst?
No. This code describes opening and draining the cyst. When the service is excision of a conjunctival lesion, select the code that matches the excision and lesion size.
Are related postoperative visits separately reportable?
Related postoperative visits within the 10-day global period are included in the procedure.
How is bilateral treatment reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
How does payment work when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted 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.
7,53067974,,Reconstruction of eyelid,A,,12.77,9.38,NA,9.38,,1.06,23.21,23.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53167975,,Reconstruction of eyelid,A,,9.12,7.41,NA,7.41,,0.79,17.32,17.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53267999,,Unlisted procedure eyelids,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
7,53368020,,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