CPT code 67875: Temporary tarsorrhaphy, suture closure2026 Medicare rate & RVUs in Washington, DC area

Temporary tarsorrhaphy brings the eyelids together with sutures to protect the ocular surface, commonly for exposure-related corneal injury or impaired healing.

CMS RVU26DEffective Oct 1, 2026One payment locality7.7K Medicare services in 2024

In Washington, DC area, Medicare pays $207.16 for 67875 in the office and $89.91 when it’s performed in a hospital or facility.

$207.16Office (non-facility)
$89.91Hospital or facility
+14.6%vs the national office rate ($180.70)

Check a contract rate as a % of Medicare · 67875 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 67875 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 67875 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 67875 covers

An ophthalmologist, including a cornea or oculoplastic specialist, uses sutures to temporarily bring the eyelids together when the exposed ocular surface needs protection or support for healing. Common situations include exposure keratopathy from facial nerve palsy, a persistent corneal epithelial defect, or a corneal ulcer. The service may be performed in an office or facility setting.

Report 67875 for the temporary suture closure itself; document the clinical reason, the eyelid or eyelids treated, and the temporary closure performed. The same-day preoperative and postoperative care is included in this minor procedure’s 0-day global period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 Washington, DC area compares for 67875

Across 109 of 109 payment localities, the office rate for 67875 runs from $160.17 in Arkansas to $242.60 in San Benito County, CA. Washington, DC area pays $207.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

67875 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$207.16
  2. Los Angeles, CA · California$205.60−$1.56
  3. Miami, FL · Florida$191.77−$15.39
  4. Chicago, IL · Illinois$186.43−$20.73
  5. Manhattan, NY · New York$207.21+$0.05
  6. Alaska · Alaska$209.73+$2.57
  7. Alabama · Alabama$162.49−$44.67

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

67875 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$160.17$74.67
ArizonaArizona$176.05$79.60
Bakersfield, CACalifornia$192.86$83.77
Chico, CACalifornia$192.51$83.42
El Centro, CACalifornia$192.52$83.43
Fresno, CACalifornia$192.51$83.42
Hanford, CACalifornia$192.51$83.42
Madera, CACalifornia$192.51$83.42

67875 rates by state

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

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.

$160.17

$217.56

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

View every state and territory as a table
67875 office rate range by state
State / territoryOffice rate rangeLocalities
AK$209.731
AL$162.491
AR$160.171
AZ$176.051
CA$192.51–$242.6029
CO$188.931
CT$192.591
DC$207.161
DE$178.951
FL$176.70–$191.773
GA$167.05–$183.702
GU$197.361
HI$197.361
IA$167.181
ID$168.131
IL$171.20–$187.434
IN$169.111
KS$166.111
KY$165.631
LA$165.26–$173.362
MA$187.70–$207.892
MD$182.43–$207.163
ME$168.68–$178.152
MI$169.61–$178.572
MN$181.971
MO$162.26–$174.333
MS$161.261
MT$180.691
NC$170.471
ND$178.521
NE$168.181
NH$185.691
NJ$195.05–$205.002
NM$170.401
NV$180.221
NY$172.96–$211.795
OH$169.161
OK$165.661
OR$179.08–$195.222
PA$169.60–$187.652
PR$182.111
RI$185.531
SC$170.041
SD$178.261
TN$166.901
TX$168.47–$188.088
UT$172.351
VA$177.36–$207.162
VI$182.111
VT$177.551
WA$187.44–$212.412
WI$172.571
WV$164.871
WY$179.741

See 67875 in every payment locality

How the 67875 rate is calculated

Each of 67875’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 · 67875

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.32

1.32 RVUs× 1.000 GPCI

Practice expense3.98

3.98 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

5.4100

Conversion factor

$33.4009

Medicare rate

$180.70

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,501

Code
67875
Physician work
1.32
Practice expense
3.98
Malpractice
0.11

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 67875 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.32× 1.0541.3913
Practice expense3.98× 1.1784.6884
Malpractice0.11× 1.1130.1224
Total RVUs6.2021
Conversion factor× 33.4009

Office rate, Washington, DC area$207.16

Office: (1.32 × 1.054 + 3.98 × 1.178 + 0.11 × 1.113) × $33.4009 = $207.16

Facility: (1.32 × 1.054 + 1 × 1.178 + 0.11 × 1.113) × $33.4009 = $89.91

Open 67875 in the RVU calculator

Payment rules and modifiers for 67875

The CMS indicators that decide how 67875 is paid alongside other services.

CMS payment indicators · 67875

Temporary tarsorrhaphy, suture closure

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67875 without 50 · national office

$180.70

Temporary tarsorrhaphy, suture closure

67875-50 · Bilateral: 150%

$271.05

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

How 67875 has changed in Washington, DC area

67875 · Office / nonfacility

$207.16

Effective 2026-10-01

The base rate is $6.88 higher than on 2025-10-01, moving from $200.28 to $207.16 (3.4%).

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

    $200.28changed to$207.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.35 changed to 1.32
    • Practice expense RVU 3.87 changed to 3.98
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $209.69changed to$200.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.97 changed to 3.87
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $206.27changed to$209.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $217.05changed to$206.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.98 changed to 3.97
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $223.98changed to$217.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.97 changed to 3.98
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $228.46changed to$223.98

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.01 changed to 3.97
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $212.61changed to$228.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.55 changed to 4.01
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $207.84changed to$212.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.50 changed to 3.55
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $206.31changed to$207.84

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.47 changed to 3.50

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $201.96changed to$206.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.38 changed to 3.47
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $201.67changed to$201.96

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $201.50changed to$201.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.37 changed to 3.38
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $200.50changed to$201.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $204.95changed to$200.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.35 changed to 3.37
    • Malpractice RVU 0.23 changed to 0.10
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $208.63changed to$204.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.71 changed to 3.35
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $208.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$207.16$89.91RVU26D
2026-07-01$207.16$89.91RVU26C
2026-04-01$207.16$89.91RVU26B
2026-01-01$207.16$89.91RVU26A
2025-10-01$200.28$104.28RVU25D
2025-07-01$200.28$104.28RVU25C
2025-04-01$200.28$104.28RVU25B
2025-01-01$200.28$104.28RVU25A
2024-10-01$209.69$106.52RVU24D
2024-07-01$209.69$106.52RVU24C
2024-04-01$209.69$106.52RVU24B
2024-03-09$209.69$106.52RVU24AR
2024-01-01$206.27$104.79RVU24A
2023-10-01$217.05$108.03RVU23D
2023-07-01$217.05$108.03RVU23C
2023-04-01$217.05$108.03RVU23B
2023-01-01$217.05$108.03RVU23A
2022-10-01$223.98$109.34RVU22D
2022-07-01$223.98$109.34RVU22C
2022-04-01$223.98$109.34RVU22B
2022-01-01$223.98$109.34RVU22A
2021-10-01$228.46$111.15RVU21D
2021-07-01$228.46$111.15RVU21C
2021-04-01$228.46$111.15RVU21B
2021-01-01$228.46$111.15RVU21A
2020-10-01$212.61$111.70RVU20D
2020-07-01$212.61$111.70RVU20C
2020-04-01$212.61$111.70RVU20B
2020-01-01$212.61$111.70RVU20A
2019-10-01$207.84$111.86RVU19D
2019-07-01$207.84$111.86RVU19C
2019-04-01$207.84$111.86RVU19B
2019-01-01$207.84$111.86RVU19A
2018-10-01$206.31$113.04RVU18D
2018-07-01$206.31$113.04RVU18C
2018-04-01$206.31$113.04RVU18B
2018-01-01$206.31$113.04RVU18AR1
2017-10-01$201.96$112.45RVU17D
2017-07-01$201.96$112.45RVU17C
2017-04-01$201.96$112.45RVU17B
2017-01-01$201.96$112.45RVU17A
2016-10-01$201.67$111.93RVU16D
2016-07-01$201.67$111.93RVU16C
2016-04-01$201.67$111.93RVU16B
2016-01-01$201.67$111.93RVU16A
2015-10-01$201.50$112.31RVU15D
2015-07-01$201.50$112.31RVU15C
2015-04-01$200.50$111.75RVU15B
2015-01-01$200.50$111.75RVU15A
2014-10-01$204.95$117.11RVU14D
2014-07-01$204.95$117.11RVU14C
2014-04-01$204.95$117.11RVU14B
2014-01-01$204.95$117.11RVU14A
2013-10-01$208.63$115.29RVU13D
2013-07-01$208.63$115.29RVU13C
2013-04-01$208.63$115.29RVU13B
2013-01-01$208.63$115.29RVU13AR

Price 67875 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

67875 billing questions

How does 67875 differ from 67880 or 67882?

67875 describes temporary eyelid closure with sutures. Codes 67880 and 67882 describe construction of intermarginal adhesions for median or more extensive tarsorrhaphy.

What documentation supports reporting 67875?

Document the ocular-surface problem prompting protection, the temporary suture closure performed, and the side treated. Examples include exposure keratopathy or a persistent corneal epithelial defect.

Can the preoperative or postoperative visit be billed separately?

The 0-day global period includes same-day preoperative and postoperative care for this procedure.

How is bilateral treatment reported?

Use modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.

How does the multiple-procedure rule affect payment?

When procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Is assistant-at-surgery or team-surgery payment available?

CMS lists a statutory restriction on assistant-at-surgery payment for 67875. Co-surgeons and team surgery are not permitted.

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 67875PPRRVU2026_Oct_nonQPP.csv, line 7,501 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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