68130 excision lesion conjunctiva adj scl
Also known as: conjunctival-scleral lesion excision, scleral involved lesion removal
Excision of conjunctival lesion with adjacent scleral tissue when lesion involves or requires scleral removal.
In Plain Language
removing growth involving white of eye; conjunctival lesion with white part
Clinical Context
Used for lesions that extend to or require removal of scleral tissue. Common indications include limbal tumors, conjunctival lesions extending to sclera, or scleral involvement.
RVU Breakdown
| Work RVU | 4.97 |
| Total RVU | 4.97 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.97, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68130?
CPT 68130 (excision lesion conjunctiva adj scl) is a Surgery code. Excision of conjunctival lesion with adjacent scleral tissue when lesion involves or requires scleral removal.
What is the wRVU value for CPT 68130?
The work RVU for CPT 68130 is 4.97. This code is primarily used by Ophthalmology, Oculoplastics. It has a 90-day global period.
When is CPT 68130 used?
Used for lesions that extend to or require removal of scleral tissue. Common indications include limbal tumors, conjunctival lesions extending to sclera, or scleral involvement.
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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.