CPT code 67901: Ptosis repair, frontalis sling, nonautologous material2026 Medicare rate & RVUs

Medicare pays $793.61 for 67901 nationally in the office and $502.35 in a hospital or facility. Local office rates run $709.43–$1,043.56.

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

What 67901 covers

This operation treats blepharoptosis, or a drooping upper eyelid, by linking the eyelid to the frontalis muscle so brow movement helps elevate it. An ophthalmologist, commonly an oculoplastic surgeon, may use a suture or another nonautologous sling material. The technique is distinct from harvesting the patient’s own fascia for the suspension and from shortening or advancing the eyelid elevator muscle.

Report the code for the frontalis suspension technique, with the operative note identifying the method and material used, the treated eyelid, and the ptosis being corrected. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; 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.

Where 67901 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67901 rates by state

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

How the 67901 rate is calculated

Each of 67901’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.

Payment rules and modifiers for 67901

67901 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

67901 compared with similar codes

How to choose

67902Ptosis repairFrontalis sling with fascia

Both use a frontalis suspension approach, but 67902 is for a sling made from the patient’s own fascia; 67901 uses suture or other nonautologous material.

67903Ptosis repairInternal approach

67903 repairs ptosis by external levator resection or advancement. Choose 67901 when the operative technique suspends the eyelid from the frontalis muscle.

67904Ptosis repairExternal levator approach

67904 is an internal levator resection or advancement, rather than a frontalis suspension.

67900Brow repairBrow ptosis

67900 addresses a brow defect. Code 67901 corrects upper eyelid ptosis with a frontalis suspension.

Codes related to 67901

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

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

Open CMS sourceHow we calculate rates