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CPT code 67900: Brow repair, brow ptosis2026 Medicare rate & RVUs in Puerto Rico

Surgical elevation of a drooping brow is reported when the brow itself contributes to upper visual obstruction, asymmetry, or another documented functional problem.

CMS RVU26DEffective Oct 1, 2026One payment locality24.5K Medicare services in 2024

In Puerto Rico, Medicare pays $661.93 for 67900 in the office and $434.67 when it’s performed in a hospital or facility.

$661.93Office (non-facility)
$434.67Hospital or facility
+0.6%vs the national office rate ($657.66)

Check a contract rate as a % of Medicare · 67900 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 67900 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 67900 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 67900 covers

This operation raises a descended eyebrow when brow position itself contributes to upper-field obstruction or another documented functional problem. An ophthalmic plastic or reconstructive surgeon typically performs it in an operating room or ambulatory surgery setting. The operative route may use an incision near the brow, across the forehead, or through the scalp; the approach depends on the patient’s anatomy and the planned repair.

Report the service for correction of brow descent, not for repair of drooping eyelid tissue alone. Documentation should identify the affected side or sides, brow position and functional effect, and the operative approach and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Puerto Rico compares for 67900

Across 109 of 109 payment localities, the office rate for 67900 runs from $589.36 in Arkansas to $856.45 in San Benito County, CA. Puerto Rico pays $661.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

67900 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$661.93
  2. Los Angeles, CA · California$736.07+$74.14
  3. Washington, DC area · District of Columbia$745.88+$83.95
  4. Miami, FL · Florida$705.34+$43.41
  5. Chicago, IL · Illinois$687.25+$25.32
  6. Manhattan, NY · New York$750.94+$89.01
  7. Alaska · Alaska$786.73+$124.80

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

Every other payment area

67900 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$597.03$400.34
ArkansasArkansas$589.36$396.26
ArizonaArizona$641.90$424.08
Bakersfield, CACalifornia$693.94$447.57
Chico, CACalifornia$692.03$445.66
El Centro, CACalifornia$692.13$445.76
Fresno, CACalifornia$692.03$445.66
Hanford, CACalifornia$692.03$445.66

67900 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.

$589.36

$786.73

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

View every state and territory as a table
67900 office rate range by state
State / territoryOffice rate rangeLocalities
AK$786.731
AL$597.031
AR$589.361
AZ$641.901
CA$692.03–$856.4529
CO$682.531
CT$698.311
DC$745.881
DE$651.761
FL$649.46–$705.343
GA$616.64–$669.012
GU$706.151
HI$706.151
IA$610.261
ID$613.861
IL$632.80–$687.254
IN$617.031
KS$607.831
KY$609.841
LA$609.04–$635.872
MA$679.17–$745.172
MD$663.23–$745.883
ME$616.85–$646.532
MI$624.10–$656.872
MN$655.601
MO$599.80–$637.763
MS$594.681
MT$657.621
NC$622.591
ND$645.761
NE$613.201
NH$672.191
NJ$706.72–$739.502
NM$627.201
NV$654.731
NY$630.94–$767.585
OH$621.671
OK$608.741
OR$650.05–$702.212
PA$622.49–$682.572
PR$661.931
RI$673.431
SC$623.081
SD$644.361
TN$610.571
TX$618.85–$679.928
UT$630.691
VA$644.71–$745.882
VI$661.931
VT$643.611
WA$677.78–$759.422
WI$626.341
WV$611.871
WY$652.451

See 67900 in every payment locality

How the 67900 rate is calculated

Each of 67900’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 · 67900

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.65

6.65 RVUs× 1.000 GPCI

Practice expense12.44

12.44 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

19.6900

Conversion factor

$33.4009

Medicare rate

$657.66

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,504

Code
67900
Physician work
6.65
Practice expense
12.44
Malpractice
0.60

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 67900 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work6.65× 1.0006.6500
Practice expense12.44× 1.01112.5768
Malpractice0.60× 0.9850.5910
Total RVUs19.8178
Conversion factor× 33.4009

Office rate, Puerto Rico$661.93

Office: (6.65 × 1 + 12.44 × 1.011 + 0.6 × 0.985) × $33.4009 = $661.93

Facility: (6.65 × 1 + 5.71 × 1.011 + 0.6 × 0.985) × $33.4009 = $434.67

Open 67900 in the RVU calculator

Payment rules and modifiers for 67900

67900 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67900

Brow repair, brow ptosis

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 · 67900

Brow repair, brow ptosis

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

67900 without 50 · national office

$657.66

Brow repair, brow ptosis

67900-50 · Bilateral: 150%

$986.49

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 67900

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

Codes related to 67900
CodeHow it relatesOffice range, Puerto Rico
Used instead
67901Ptosis repair, frontalis sling, nonautologous materialAddresses eyelid ptosis with a frontalis-based repair rather than elevating the brow itself.$799.08
67903Ptosis repair, internal approachAn eyelid ptosis repair option when the drooping structure is the upper lid.$610.13
67904Ptosis repair, external levator approachRepairs upper eyelid ptosis rather than correcting brow descent.$749.61
15823Upper eyelid surgery, excess skin affects lid functionAddresses excess upper eyelid skin, a different cause of upper-field obstruction.$636.97

How 67900 has changed in Puerto Rico

67900 · Office / nonfacility

$661.93

Effective 2026-10-01

The base rate is $34.01 higher than on 2025-10-01, moving from $627.92 to $661.93 (5.4%).

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

    $627.92changed to$661.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.82 changed to 6.65
    • Practice expense RVU 11.91 changed to 12.44
    • Malpractice RVU 0.61 changed to 0.60
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $650.54changed to$627.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.03 changed to 11.91
    • Malpractice RVU 0.62 changed to 0.61

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $639.92changed to$650.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $657.94changed to$639.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.91 changed to 12.03
    • Malpractice RVU 0.60 changed to 0.62
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $655.04changed to$657.94

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $664.61changed to$655.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.69 changed to 11.91
    • Malpractice RVU 0.61 changed to 0.60
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $670.81changed to$664.61

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.63 changed to 0.61

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $663.32changed to$670.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.88 changed to 11.69
    • Malpractice RVU 0.60 changed to 0.63
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $661.32changed to$663.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.87 changed to 10.88
    • Malpractice RVU 0.59 changed to 0.60
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $659.15changed to$661.32

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.83 changed to 10.87

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $586.99changed to$659.15

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.69 changed to 10.83
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $519.81changed to$586.99

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.67 changed to 10.69
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $521.33changed to$519.81

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.66 changed to 10.67
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $518.74changed to$521.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $519.43changed to$518.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.64 changed to 10.66
    • Malpractice RVU 1.17 changed to 0.59
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $511.80changed to$519.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.68 changed to 10.64
    • Malpractice RVU 1.22 changed to 1.17
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $511.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$661.93$434.67RVU26D
2026-07-01$661.93$434.67RVU26C
2026-04-01$661.93$434.67RVU26B
2026-01-01$661.93$434.67RVU26A
2025-10-01$627.92$488.19RVU25D
2025-07-01$627.92$488.19RVU25C
2025-04-01$627.92$488.19RVU25B
2025-01-01$627.92$488.19RVU25A
2024-10-01$650.54$501.37RVU24D
2024-07-01$650.54$501.37RVU24C
2024-04-01$650.54$501.37RVU24B
2024-03-09$650.54$501.37RVU24AR
2024-01-01$639.92$493.19RVU24A
2023-10-01$657.94$505.60RVU23D
2023-07-01$655.04$503.90RVU23C
2023-04-01$655.04$503.90RVU23B
2023-01-01$655.04$503.90RVU23A
2022-10-01$664.61$508.34RVU22D
2022-07-01$664.61$508.34RVU22C
2022-04-01$664.61$508.34RVU22B
2022-01-01$664.61$508.34RVU22A
2021-10-01$670.81$512.53RVU21D
2021-07-01$670.81$512.53RVU21C
2021-04-01$670.81$512.53RVU21B
2021-01-01$670.81$512.53RVU21A
2020-10-01$663.32$520.72RVU20D
2020-07-01$663.32$520.72RVU20C
2020-04-01$663.32$520.72RVU20B
2020-01-01$663.32$520.72RVU20A
2019-10-01$661.32$522.69RVU19D
2019-07-01$661.32$522.69RVU19C
2019-04-01$661.32$522.69RVU19B
2019-01-01$661.32$522.69RVU19A
2018-10-01$659.15$524.29RVU18D
2018-07-01$659.15$524.29RVU18C
2018-04-01$659.15$524.29RVU18B
2018-01-01$659.15$524.29RVU18AR1
2017-10-01$586.99$475.17RVU17D
2017-07-01$586.99$475.17RVU17C
2017-04-01$586.99$475.17RVU17B
2017-01-01$586.99$475.17RVU17A
2016-10-01$519.81$427.93RVU16D
2016-07-01$519.81$427.93RVU16C
2016-04-01$519.81$427.93RVU16B
2016-01-01$519.81$427.93RVU16A
2015-10-01$521.33$428.61RVU15D
2015-07-01$521.33$428.61RVU15C
2015-04-01$518.74$426.48RVU15B
2015-01-01$518.74$426.48RVU15A
2014-10-01$519.43$430.19RVU14D
2014-07-01$519.43$430.19RVU14C
2014-04-01$519.43$430.19RVU14B
2014-01-01$519.43$430.19RVU14A
2013-10-01$511.80$418.84RVU13D
2013-07-01$511.80$418.84RVU13C
2013-04-01$511.80$418.84RVU13B
2013-01-01$511.80$418.84RVU13AR

Price 67900 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

67900 billing questions

How is brow ptosis different from eyelid ptosis?

This repair elevates a low brow. Eyelid ptosis repair addresses a drooping upper eyelid; documentation should show which structure is being corrected.

Can this be reported with an eyelid procedure?

A separate eyelid operation may be reported when it is independently performed and documented. The brow and eyelid corrections should be distinguishable in the operative record.

How is bilateral repair reported?

Medicare recognizes modifier 50 for a bilateral procedure and pays this code at 150%.

What postoperative care is included?

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

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens if another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 67900PPRRVU2026_Oct_nonQPP.csv, line 7,504 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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