68020 Incise/drainage eyelid lining
Also known as: eyelid cyst drainage, conjunctival incision and drainage
Incision and drainage of eyelid cyst, mass, or abscess involving the conjunctival surface or tissue layers.
In Plain Language
draining eyelid cyst; opening and draining eyelid fluid
Clinical Context
Used for treatment of eyelid abscesses, chalazion with infection, conjunctival cysts, or other drainable lesions. Common indications include infected meibomian gland cysts, conjunctival cysts, or inflammatory lesions.
RVU Breakdown
| Work RVU | 1.38 |
| Total RVU | 1.38 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.38, this code ranks in the 8th percentile among Surgery codes — 5.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68020?
CPT 68020 (Incise/drainage eyelid lining) is a Surgery code. Incision and drainage of eyelid cyst, mass, or abscess involving the conjunctival surface or tissue layers.
What is the wRVU value for CPT 68020?
The work RVU for CPT 68020 is 1.38. This code is primarily used by Ophthalmology. It has a 10-day global period.
When is CPT 68020 used?
Used for treatment of eyelid abscesses, chalazion with infection, conjunctival cysts, or other drainable lesions. Common indications include infected meibomian gland cysts, conjunctival cysts, or inflammatory lesions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.