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CPT code 67880: Eyelid revision, without skin graft2026 Medicare rate & RVUs in Virginia

Reports reconstructive revision involving the eyelid margin, canthus, or tarsus when the repair is performed without a skin graft.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In Virginia, Medicare pays $461.98 for 67880 in the office and $313.25 when it’s performed in a hospital or facility.

$461.98Office (non-facility)
$313.25Hospital or facility
−1.9%vs the national office rate ($470.95)

Check a contract rate as a % of Medicare · 67880 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 67880 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 67880 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 67880 covers

An ophthalmologist, commonly an oculoplastic surgeon, revises eyelid structures such as the lid margin, canthus, or tarsal plate to correct a structural deformity. Examples include scar-related eyelid malposition or a defect after trauma or prior surgery when the repair does not use a skin graft. This is reconstructive work, rather than removal of a localized lesion or correction of misdirected eyelashes.

The operative report should identify the affected side and structures, the deformity being corrected, the reconstructive work performed, and whether a skin graft was used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. 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 Virginia compares for 67880

Across 109 of 109 payment localities, the office rate for 67880 runs from $421.33 in Arkansas to $617.82 in San Benito County, CA. Virginia pays $461.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

67880 in Virginia vs other payment areas
  1. Virginia · this page$461.98
  2. Los Angeles, CA · California$529.25+$67.27
  3. Washington, DC area · District of Columbia$535.36+$73.38
  4. Miami, FL · Florida$503.00+$41.02
  5. Chicago, IL · Illinois$489.98+$28.00
  6. Manhattan, NY · New York$537.93+$75.95
  7. Alaska · Alaska$560.28+$98.30

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

Every other payment area

67880 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$426.91$294.52
ArkansasArkansas$421.33$291.36
ArizonaArizona$459.57$312.95
Bakersfield, CACalifornia$498.44$332.60
Chico, CACalifornia$497.21$331.38
El Centro, CACalifornia$497.27$331.44
Fresno, CACalifornia$497.21$331.38
Hanford, CACalifornia$497.21$331.38

67880 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.

$421.33

$560.28

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

View every state and territory as a table
67880 office rate range by state
State / territoryOffice rate rangeLocalities
AK$560.281
AL$426.911
AR$421.331
AZ$459.571
CA$497.21–$617.8229
CO$489.701
CT$500.361
DC$535.361
DE$466.721
FL$463.77–$503.003
GA$440.09–$478.892
GU$507.841
HI$507.841
IA$437.091
ID$439.601
IL$451.28–$490.124
IN$441.921
KS$435.061
KY$435.651
LA$434.97–$454.492
MA$487.12–$535.512
MD$475.11–$535.363
ME$441.49–$463.492
MI$445.77–$468.872
MN$470.961
MO$428.08–$456.183
MS$424.791
MT$470.931
NC$445.721
ND$463.411
NE$439.321
NH$482.011
NJ$506.55–$530.592
NM$447.921
NV$469.141
NY$451.77–$549.695
OH$444.231
OK$435.141
OR$465.95–$504.322
PA$444.97–$488.742
PR$474.151
RI$482.601
SC$445.621
SD$462.521
TN$437.021
TX$442.31–$487.698
UT$451.161
VA$461.98–$535.362
VI$474.151
VT$461.601
WA$486.21–$546.112
WI$449.221
WV$436.041
WY$467.651

See 67880 in every payment locality

How the 67880 rate is calculated

Each of 67880’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 · 67880

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.49

4.49 RVUs× 1.000 GPCI

Practice expense9.23

9.23 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

14.1000

Conversion factor

$33.4009

Medicare rate

$470.95

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,502

Code
67880
Physician work
4.49
Practice expense
9.23
Malpractice
0.38

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67880 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.49× 1.0004.4900
Practice expense9.23× 0.9839.0731
Malpractice0.38× 0.7060.2683
Total RVUs13.8314
Conversion factor× 33.4009

Office rate, Virginia$461.98

Office: (4.49 × 1 + 9.23 × 0.983 + 0.38 × 0.706) × $33.4009 = $461.98

Facility: (4.49 × 1 + 4.7 × 0.983 + 0.38 × 0.706) × $33.4009 = $313.25

Open 67880 in the RVU calculator

Payment rules and modifiers for 67880

67880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67880

Eyelid revision, without skin graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67880

Eyelid revision, without skin graft

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67880 without 50 · national office

$470.95

Eyelid revision, without skin graft

67880-50 · Bilateral: 150%

$706.43

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 67880

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

Codes related to 67880
CodeHow it relatesOffice range, Virginia
Same family
67882Eyelid revision, other than sutureSibling eyelid revision code when the reconstruction uses a skin graft.$563.81
Used instead
67917Eyelid repair, extensive entropion correctionSpecific ectropion repair option when the documented operation is an extensive ectropion repair.$613.80
67924Entropion repair, extensive repairSpecific entropion repair option when the documented operation is an extensive entropion repair.$638.85
67840Eyelid lesion excision, excludes chalazionFor excision of an eyelid lesion rather than reconstructive revision.$272.76

How 67880 has changed in Virginia

67880 · Office / nonfacility

$461.98

Effective 2026-10-01

The base rate is $20.40 higher than on 2025-10-01, moving from $441.58 to $461.98 (4.6%).

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

    $441.58changed to$461.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.60 changed to 4.49
    • Practice expense RVU 8.89 changed to 9.23
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $458.10changed to$441.58

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.01 changed to 8.89
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $450.62changed to$458.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $465.82changed to$450.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.93 changed to 9.01
    • Malpractice RVU 0.37 changed to 0.38
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $473.34changed to$465.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.79 changed to 8.93
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $478.34changed to$473.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.83 changed to 8.79
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $468.90changed to$478.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.15 changed to 8.83
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $467.55changed to$468.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.17 changed to 8.15
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $465.65changed to$467.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.14 changed to 8.17
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $458.77changed to$465.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.00 changed to 8.14
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $456.59changed to$458.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $457.59changed to$456.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.99 changed to 8.00
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $455.31changed to$457.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $466.32changed to$455.31

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.97 changed to 7.99
    • Malpractice RVU 0.78 changed to 0.34
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $468.09changed to$466.32

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.76 changed to 7.97
    • Malpractice RVU 0.82 changed to 0.78
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $468.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$461.98$313.25RVU26D
2026-07-01$461.98$313.25RVU26C
2026-04-01$461.98$313.25RVU26B
2026-01-01$461.98$313.25RVU26A
2025-10-01$441.58$349.59RVU25D
2025-07-01$441.58$349.59RVU25C
2025-04-01$441.58$349.59RVU25B
2025-01-01$441.58$349.59RVU25A
2024-10-01$458.10$358.85RVU24D
2024-07-01$458.10$358.85RVU24C
2024-04-01$458.10$358.85RVU24B
2024-03-09$458.10$358.85RVU24AR
2024-01-01$450.62$353.00RVU24A
2023-10-01$465.82$362.83RVU23D
2023-07-01$465.82$362.83RVU23C
2023-04-01$465.82$362.83RVU23B
2023-01-01$465.82$362.83RVU23A
2022-10-01$473.34$365.91RVU22D
2022-07-01$473.34$365.91RVU22C
2022-04-01$473.34$365.91RVU22B
2022-01-01$473.34$365.91RVU22A
2021-10-01$478.34$367.94RVU21D
2021-07-01$478.34$367.94RVU21C
2021-04-01$478.34$367.94RVU21B
2021-01-01$478.34$367.94RVU21A
2020-10-01$468.90$371.98RVU20D
2020-07-01$468.90$371.98RVU20C
2020-04-01$468.90$371.98RVU20B
2020-01-01$468.90$371.98RVU20A
2019-10-01$467.55$373.38RVU19D
2019-07-01$467.55$373.38RVU19C
2019-04-01$467.55$373.38RVU19B
2019-01-01$467.55$373.38RVU19A
2018-10-01$465.65$374.07RVU18D
2018-07-01$465.65$374.07RVU18C
2018-04-01$465.65$374.07RVU18B
2018-01-01$465.65$374.07RVU18AR1
2017-10-01$458.77$370.39RVU17D
2017-07-01$458.77$370.39RVU17C
2017-04-01$458.77$370.39RVU17B
2017-01-01$458.77$370.39RVU17A
2016-10-01$456.59$368.25RVU16D
2016-07-01$456.59$368.25RVU16C
2016-04-01$456.59$368.25RVU16B
2016-01-01$456.59$368.25RVU16A
2015-10-01$457.59$368.58RVU15D
2015-07-01$457.59$368.58RVU15C
2015-04-01$455.31$366.74RVU15B
2015-01-01$455.31$366.74RVU15A
2014-10-01$466.32$378.91RVU14D
2014-07-01$466.32$378.91RVU14C
2014-04-01$466.32$378.91RVU14B
2014-01-01$466.32$378.91RVU14A
2013-10-01$468.09$376.01RVU13D
2013-07-01$468.09$376.01RVU13C
2013-04-01$468.09$376.01RVU13B
2013-01-01$468.09$376.01RVU13AR

Price 67880 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

67880 billing questions

How do I distinguish 67880 from 67882?

The distinction is whether the eyelid revision uses a skin graft. Report 67880 for the reconstructive revision without a graft; 67882 is the sibling code for revision with a skin graft.

Is this the right code for removing an eyelid lesion?

Use a lesion-removal code when the service is excision of a localized eyelid lesion. This code describes reconstructive revision involving the eyelid margin, canthus, or tarsus, not lesion removal alone.

What should the operative note support?

Document the eyelid side, involved structures, the deformity or defect, the reconstructive steps, and whether a skin graft was used. These details distinguish this service from a grafted revision or a more specific malposition repair.

How is bilateral surgery reported?

For a bilateral procedure reported with modifier 50, CMS pays 150%. The record should support treatment of both sides.

Is related postoperative care separately included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

CMS specifies a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 67880PPRRVU2026_Oct_nonQPP.csv, line 7,502 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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