CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 68340 RVU and Medicare Payment (2026)
Separate eyelid adhesions — 4.85 work RVU, about $622.26 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.85
- PE RVU (non-facility)
- 13.12
- PE RVU (facility)
- 5.16
- MP RVU
- 0.66
- Office payment
- $622.26
- Facility payment
- $356.39
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 68340 in a non-facility setting with national GPCI: (4.85 + 13.12 + 0.66) × $33.4009 ≈ $622.26. The same code in a facility setting pays about $356.39 because facility PE RVU (5.16) replaces office PE RVU.
What changes by locality
GPCI moves 68340 non-facility payment from $549.78 to $823.54 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 68340?
4.85. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 68340 in 2026?
About $622.26 non-facility ($356.39 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (4.85) and malpractice RVU stay fixed; only practice expense changes (13.12 office vs 5.16 facility). That is the entire office-vs-facility payment gap.