CPT 68110: Conjunctival excisionMedicare rate & RVUs in Utah
Reports surgical excision of a small conjunctival lesion, such as a localized growth, when the lesion measures less than one centimeter.
Medicare pays $226.58 for 68110 in the office in Utah (Utah). 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 68110 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $226.58 | $124.54 |
How the 68110 rate is calculated
Each of 68110’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 · 68110
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.77Practice expense 5.20Malpractice 0.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 68110
68110 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 68110
Conjunctival excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 68110
Conjunctival excision
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
68110 without 50 · national office
$237.48
Conjunctival excision
68110-50 · Bilateral: 150%
$356.22
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).
68110 compared with similar codes
Compare codes
68110 vs 68100 vs 68115 vs 68130 vs 68135: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 68100Conjunctival biopsy
- 68100 is for conjunctival tissue sampling by biopsy. Use 68110 when the small lesion itself is excised.
- 68115Conjunctival excision
- Both describe conjunctival lesion excision, but 68115 is the larger-lesion size category; 68110 is for lesions under one centimeter.
- 68130Conjunctival excision
- 68130 describes excision involving adjacent sclera. Use 68110 for a small conjunctival lesion without that stated extension.
- 68135Lesion destruction
- 68135 describes destruction of a conjunctival lesion. Choose 68110 when the lesion is surgically excised.
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 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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