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CPT code 67715: Canthotomy, orbital pressure relief2026 Medicare rate & RVUs in North Carolina

Canthotomy opens the eyelid corner, typically to relieve acute orbital pressure, such as pressure associated with retrobulbar bleeding after trauma.

CMS RVU26DEffective Oct 1, 2026One payment locality341 Medicare services in 2024

In North Carolina, Medicare pays $257.17 for 67715 in the office and $96.37 when it’s performed in a hospital or facility.

$257.17Office (non-facility)
$96.37Hospital or facility
−6.3%vs the national office rate ($274.56)

Check a contract rate as a % of Medicare · 67715 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 67715 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 67715 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 67715 covers

A canthotomy is an incision at the corner of the eyelids, usually the outer corner, to release constriction and allow urgent orbital decompression. It is most often performed for acute orbital pressure, including after facial or eye trauma with retrobulbar bleeding. Ophthalmologists commonly perform it, though emergency physicians and other qualified clinicians may perform the procedure in an emergency department, operating room, or other acute-care setting.

Report 67715 when the documented service is a canthotomy, rather than an eyelid abscess incision or release of a tarsorrhaphy. The record should identify the side, clinical indication, and procedure performed. The 10-day global period includes related postoperative visits during that period. For bilateral work, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Carolina compares for 67715

Across 109 of 109 payment localities, the office rate for 67715 runs from $239.61 in Arkansas to $376.71 in San Benito County, CA. North Carolina pays $257.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

67715 in North Carolina vs other payment areas
  1. North Carolina · this page$257.17
  2. Los Angeles, CA · California$315.80+$58.63
  3. Washington, DC area · District of Columbia$317.90+$60.73
  4. Miami, FL · Florida$293.06+$35.89
  5. Chicago, IL · Illinois$283.77+$26.60
  6. Manhattan, NY · New York$317.52+$60.35
  7. Alaska · Alaska$307.33+$50.16

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

67715 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$243.56$92.75
ArkansasArkansas$239.61$91.57
ArizonaArizona$266.65$99.64
Bakersfield, CACalifornia$294.80$105.90
Chico, CACalifornia$294.27$105.38
El Centro, CACalifornia$294.30$105.41
Fresno, CACalifornia$294.27$105.38
Hanford, CACalifornia$294.27$105.38

67715 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$239.61

$335.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
67715 office rate range by state
State / territoryOffice rate rangeLocalities
AK$307.331
AL$243.561
AR$239.611
AZ$266.651
CA$294.27–$376.7129
CO$288.271
CT$294.141
DC$317.901
DE$271.431
FL$267.59–$293.063
GA$251.18–$279.522
GU$303.141
HI$303.141
IA$251.621
ID$253.221
IL$258.18–$285.624
IN$254.881
KS$249.771
KY$248.831
LA$248.18–$261.972
MA$286.04–$319.652
MD$277.20–$317.903
ME$254.11–$270.292
MI$255.57–$270.732
MN$276.911
MO$243.06–$263.673
MS$241.421
MT$274.541
NC$257.171
ND$270.981
NE$253.331
NH$283.121
NJ$297.69–$313.912
NM$256.911
NV$273.781
NY$261.41–$325.295
OH$254.841
OK$248.911
OR$271.86–$298.892
PA$255.60–$285.772
PR$276.961
RI$282.191
SC$256.391
SD$270.561
TN$251.101
TX$253.69–$287.138
UT$260.311
VA$268.93–$317.902
VI$276.961
VT$269.311
WA$285.69–$327.082
WI$260.861
WV$247.391
WY$272.991

See 67715 in every payment locality

How the 67715 rate is calculated

Each of 67715’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 67715

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense6.80

6.80 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

8.2200

Conversion factor

$33.4009

Medicare rate

$274.56

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,489

Code
67715
Physician work
1.24
Practice expense
6.80
Malpractice
0.18

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 67715 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0001.2400
Practice expense6.80× 0.9336.3444
Malpractice0.18× 0.6390.1150
Total RVUs7.6994
Conversion factor× 33.4009

Office rate, North Carolina$257.17

Office: (1.24 × 1 + 6.8 × 0.933 + 0.18 × 0.639) × $33.4009 = $257.17

Facility: (1.24 × 1 + 1.64 × 0.933 + 0.18 × 0.639) × $33.4009 = $96.37

Open 67715 in the RVU calculator

Payment rules and modifiers for 67715

67715 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67715

Canthotomy, orbital pressure relief

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67715

Canthotomy, orbital pressure relief

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67715 without 50 · national office

$274.56

Canthotomy, orbital pressure relief

67715-50 · Bilateral: 150%

$411.84

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 67715

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 67715
CodeHow it relatesOffice range, North Carolina
Used instead
67700Eyelid abscess drainage, abscess of the eyelidUse for incision and drainage of an eyelid abscess rather than orbital decompression.$263.76
67710Tarsorrhaphy release, severing prior lid closureUse to sever a tarsorrhaphy when reopening the eyelids is the procedure performed.$224.98

How 67715 has changed in North Carolina

67715 · Office / nonfacility

$257.17

Effective 2026-10-01

The base rate is $24.63 higher than on 2025-10-01, moving from $232.54 to $257.17 (10.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $232.54changed to$257.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.27 changed to 1.24
    • Practice expense RVU 6.27 changed to 6.80
    • Malpractice RVU 0.17 changed to 0.18
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $242.17changed to$232.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.37 changed to 6.27
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $238.21changed to$242.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $251.75changed to$238.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.50 changed to 6.37
    • Malpractice RVU 0.18 changed to 0.16
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $257.83changed to$251.75

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.51 changed to 6.50
    • Malpractice RVU 0.17 changed to 0.18
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $261.34changed to$257.83

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.57 changed to 6.51
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $243.72changed to$261.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.79 changed to 6.57
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $239.18changed to$243.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.66 changed to 5.79
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $232.30changed to$239.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.47 changed to 5.66
    • Malpractice RVU 0.13 changed to 0.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $227.75changed to$232.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.35 changed to 5.47
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $226.25changed to$227.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.33 changed to 5.35
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $226.46changed to$226.25

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.32 changed to 5.33
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $225.33changed to$226.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $227.10changed to$225.33

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.26 changed to 5.32
    • Malpractice RVU 0.25 changed to 0.11
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $233.86changed to$227.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.85 changed to 5.26
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $233.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$257.17$96.37RVU26D
2026-07-01$257.17$96.37RVU26C
2026-04-01$257.17$96.37RVU26B
2026-01-01$257.17$96.37RVU26A
2025-10-01$232.54$98.65RVU25D
2025-07-01$232.54$98.65RVU25C
2025-04-01$232.54$98.65RVU25B
2025-01-01$232.54$98.65RVU25A
2024-10-01$242.17$100.68RVU24D
2024-07-01$242.17$100.68RVU24C
2024-04-01$242.17$100.68RVU24B
2024-03-09$242.17$100.68RVU24AR
2024-01-01$238.21$99.04RVU24A
2023-10-01$251.75$102.85RVU23D
2023-07-01$251.75$102.85RVU23C
2023-04-01$251.75$102.85RVU23B
2023-01-01$251.75$102.85RVU23A
2022-10-01$257.83$103.36RVU22D
2022-07-01$257.83$103.36RVU22C
2022-04-01$257.83$103.36RVU22B
2022-01-01$257.83$103.36RVU22A
2021-10-01$261.34$103.65RVU21D
2021-07-01$261.34$103.65RVU21C
2021-04-01$261.34$103.65RVU21B
2021-01-01$261.34$103.65RVU21A
2020-10-01$243.72$104.09RVU20D
2020-07-01$243.72$104.09RVU20C
2020-04-01$243.72$104.09RVU20B
2020-01-01$243.72$104.09RVU20A
2019-10-01$239.18$105.31RVU19D
2019-07-01$239.18$105.31RVU19C
2019-04-01$239.18$105.31RVU19B
2019-01-01$239.18$105.31RVU19A
2018-10-01$232.30$105.61RVU18D
2018-07-01$232.30$105.61RVU18C
2018-04-01$232.30$105.61RVU18B
2018-01-01$232.30$105.61RVU18AR1
2017-10-01$227.75$104.79RVU17D
2017-07-01$227.75$104.79RVU17C
2017-04-01$227.75$104.79RVU17B
2017-01-01$227.75$104.79RVU17A
2016-10-01$226.25$105.04RVU16D
2016-07-01$226.25$105.04RVU16C
2016-04-01$226.25$105.04RVU16B
2016-01-01$226.25$105.04RVU16A
2015-10-01$226.46$105.15RVU15D
2015-07-01$226.46$105.15RVU15C
2015-04-01$225.33$104.62RVU15B
2015-01-01$225.33$104.62RVU15A
2014-10-01$227.10$108.63RVU14D
2014-07-01$227.10$108.63RVU14C
2014-04-01$227.10$108.63RVU14B
2014-01-01$227.10$108.63RVU14A
2013-10-01$233.86$108.02RVU13D
2013-07-01$233.86$108.02RVU13C
2013-04-01$233.86$108.02RVU13B
2013-01-01$233.86$108.02RVU13AR

Price 67715 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

67715 billing questions

When should 67715 be chosen instead of 67700?

Use 67715 for an incision at the canthus to release eyelid constriction, commonly for orbital decompression. Use 67700 when the procedure is incision and drainage of an eyelid abscess.

How does 67715 differ from 67710?

67715 describes a canthotomy, commonly performed to relieve orbital pressure. 67710 is used to sever a prior tarsorrhaphy when the purpose is to reopen the eyelids.

How is bilateral canthotomy reported?

Report modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.

Are related postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the minor-procedure global period.

Can an assistant or co-surgeon be reported for 67715?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted.

What happens when 67715 is performed with another procedure in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 67715PPRRVU2026_Oct_nonQPP.csv, line 7,489 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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