# CPT 68761: Closure of lacrimal punctum, by plug

Medicare CPT 68761 pays $143.29 in a non-facility setting and $103.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $128.73 in Arkansas to $171.31 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/68761-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $143.29 |
| National facility | $103.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $171.31 | $128.98 |
| District of Columbia | $162.97 | $116.15 |
| California | $161.30 | $114.27 |
| New Jersey | $157.83 | $113.08 |
| Washington | $157.57 | $112.26 |
| New York | $157.30 | $112.96 |
| Massachusetts | $155.99 | $111.33 |
| Hawaii | $155.35 | $110.15 |
| Connecticut | $152.03 | $109.22 |
| Colorado | $149.42 | $107.13 |
| Maryland | $148.12 | $106.68 |
| Oregon | $148.10 | $106.23 |
| Rhode Island | $147.05 | $105.99 |
| New Hampshire | $146.90 | $105.52 |
| Florida | $145.82 | $105.94 |
| Minnesota | $144.40 | $103.50 |
| Puerto Rico | $144.30 | $104.12 |
| Virgin Islands | $144.30 | $104.12 |
| Montana | $143.29 | $103.54 |
| Nevada | $142.99 | $103.21 |
| Wyoming | $142.68 | $102.93 |
| Illinois | $142.37 | $103.97 |
| Delaware | $142.14 | $102.87 |
| Pennsylvania | $141.92 | $102.98 |
| North Dakota | $141.90 | $102.15 |
| Texas | $141.90 | $102.77 |
| South Dakota | $141.74 | $101.99 |
| Vermont | $141.18 | $101.83 |
| Virginia | $140.98 | $101.91 |
| Arizona | $140.00 | $101.49 |
| Georgia | $139.44 | $101.52 |
| Michigan | $138.44 | $101.12 |
| Maine | $138.18 | $100.20 |
| Wisconsin | $137.67 | $99.60 |
| Utah | $137.34 | $99.98 |
| North Carolina | $136.07 | $98.98 |
| New Mexico | $135.86 | $99.41 |
| South Carolina | $135.70 | $98.98 |
| Missouri | $135.42 | $98.94 |
| Indiana | $135.14 | $98.29 |
| Louisiana | $135.12 | $98.83 |
| Ohio | $135.03 | $98.74 |
| Nebraska | $134.51 | $97.82 |
| Idaho | $134.44 | $97.87 |
| Iowa | $133.79 | $97.42 |
| Tennessee | $133.54 | $97.41 |
| Kansas | $132.99 | $97.06 |
| Oklahoma | $132.58 | $97.09 |
| Kentucky | $132.52 | $97.19 |
| West Virginia | $131.83 | $97.29 |
| Alabama | $130.38 | $95.60 |
| Mississippi | $129.45 | $95.23 |
| Arkansas | $128.73 | $94.59 |

## Related codes

- 65091: Evisceration of ocular contents — https://www.med-reveal.com/rates/65091-cpt-fee-schedule
- 65205: Removal of foreign body, external eye, conjunctival superficial — https://www.med-reveal.com/rates/65205-cpt-fee-schedule
- 65222: Removal of foreign body, external eye, corneal with slit lamp — https://www.med-reveal.com/rates/65222-cpt-fee-schedule
- 65400: Excision/transposition of pterygium — https://www.med-reveal.com/rates/65400-cpt-fee-schedule
- 65426: Excision/transposition of pterygium with graft — https://www.med-reveal.com/rates/65426-cpt-fee-schedule
- 65710: Keratoplasty (corneal transplant), anterior lamellar — https://www.med-reveal.com/rates/65710-cpt-fee-schedule
- 65730: Keratoplasty, penetrating, in aphakia — https://www.med-reveal.com/rates/65730-cpt-fee-schedule
- 65750: Keratoplasty, penetrating, in pseudophakia — https://www.med-reveal.com/rates/65750-cpt-fee-schedule

Commercial negotiated rates for 68761 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules