Billing code 68371: Eye tissue harvestMedicare rate & RVUs in Utah

Reports surgical recovery of eye tissue intended for allograft use, distinct from reconstructive surgery that places graft material at a recipient site.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 68371 in Utah.

—Office (non-facility)
$346.58Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 68371 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 68371 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 68371 covers

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.

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 in Utah

68371 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$346.58

How the 68371 rate is calculated

Each of 68371’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 · 68371

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 4.96Practice expense 5.38Malpractice 0.40

10.7400 adjusted RVUs×$33.4009 conversion factor=$358.73

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 68371

68371 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 68371

Eye tissue harvest

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 68371

Eye tissue harvest

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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

68371 without 50 · national facility

$358.73

Eye tissue harvest

68371-50 · Bilateral: 150%

$538.10

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).

When to use modifier 50

68371 compared with similar codes

Compare codes

68371 vs 68320 vs 68325 vs 68328: national Medicare rates

Swap in your local Medicare rate.

  • 68371
    Eye tissue harvest · 4.96 wRVU
    —
  • 68320
    Conjunctivoplasty · 6.47 wRVU
    $747.18
  • 68325
    Conjunctivoplasty · 8.41 wRVU
    —
  • 68328
    Eyelid lining repair · 9.21 wRVU
    —

How to choose

68320Conjunctivoplasty
Use 68371 for recovering eye tissue for allograft use. Code 68320 describes reconstructive work at the recipient site.
68325Conjunctivoplasty
Code 68325 concerns recipient-site conjunctival reconstruction; 68371 is the separate tissue-recovery service.
68328Eyelid lining repair
Code 68328 describes ocular-surface reconstruction using graft-related treatment, while 68371 reports recovery of tissue for allograft use.

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 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
RVUs for 68371PPRRVU2026_Oct_nonQPP.csv, line 7,550 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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