68100 Biopsy conjunctiva
Also known as: conjunctival biopsy, conjunctiva punch biopsy
Biopsy of conjunctiva using punch or excision technique to obtain tissue for histopathologic examination.
In Plain Language
taking tissue sample from eye membrane; conjunctival tissue sample
Clinical Context
Used for diagnosis of conjunctival lesions, suspected malignancy, or inflammatory conditions. Common indications include conjunctival neoplasia, chronic conjunctivitis, surface squamous neoplasia, or inflammatory lesions.
RVU Breakdown
| Work RVU | 1.32 |
| Total RVU | 1.32 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.32, this code ranks in the 7th percentile among Surgery codes — 6.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68100?
CPT 68100 (Biopsy conjunctiva) is a Surgery code. Biopsy of conjunctiva using punch or excision technique to obtain tissue for histopathologic examination.
What is the wRVU value for CPT 68100?
The work RVU for CPT 68100 is 1.32. This code is primarily used by Ophthalmology.
When is CPT 68100 used?
Used for diagnosis of conjunctival lesions, suspected malignancy, or inflammatory conditions. Common indications include conjunctival neoplasia, chronic conjunctivitis, surface squamous neoplasia, 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.