68320 Revise/graft eyelid lining
Also known as: mucous membrane graft, conjunctival reconstruction
Revision or grafting of conjunctival tissue (mucous membrane graft) for ocular surface reconstruction.
In Plain Language
replacing eye membrane with tissue graft; conjunctival repair with graft
Clinical Context
Used for reconstruction of conjunctival defects using graft material. Common indications include Stevens-Johnson syndrome, ocular cicatricial pemphigoid, chemical burns, or extensive conjunctival defects.
RVU Breakdown
| Work RVU | 6.47 |
| Total RVU | 6.47 |
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 6.47, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68320?
CPT 68320 (Revise/graft eyelid lining) is a Surgery code. Revision or grafting of conjunctival tissue (mucous membrane graft) for ocular surface reconstruction.
What is the wRVU value for CPT 68320?
The work RVU for CPT 68320 is 6.47. This code is primarily used by Ophthalmology. It has a 90-day global period.
When is CPT 68320 used?
Used for reconstruction of conjunctival defects using graft material. Common indications include Stevens-Johnson syndrome, ocular cicatricial pemphigoid, chemical burns, or extensive conjunctival defects.
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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.