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

Corrects upper eyelid drooping by suspending the lid from the frontalis muscle with suture or other nonautologous material.

CMS RVU26DEffective Oct 1, 2026One payment locality514 Medicare services in 2024

In Kentucky, Medicare pays $733.49 for 67901 in the office and $474.56 when it’s performed in a hospital or facility.

$733.49Office (non-facility)
$474.56Hospital or facility
−7.6%vs the national office rate ($793.61)

Check a contract rate as a % of Medicare · 67901 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 67901 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 67901 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 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.

How Kentucky compares for 67901

Across 109 of 109 payment localities, the office rate for 67901 runs from $709.43 in Arkansas to $1,043.56 in San Benito County, CA. Kentucky pays $733.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

67901 in Kentucky vs other payment areas
  1. Kentucky · this page$733.49
  2. Los Angeles, CA · California$892.99+$159.50
  3. Washington, DC area · District of Columbia$902.87+$169.38
  4. Miami, FL · Florida$846.82+$113.33
  5. Chicago, IL · Illinois$824.78+$91.29
  6. Manhattan, NY · New York$906.73+$173.24
  7. Alaska · Alaska$942.06+$208.57

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

Every other payment area

67901 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$718.90$464.05
ArkansasArkansas$709.43$459.25
ArizonaArizona$774.33$492.10
Bakersfield, CACalifornia$840.67$521.46
Chico, CACalifornia$838.67$519.45
El Centro, CACalifornia$838.77$519.56
Fresno, CACalifornia$838.67$519.45
Hanford, CACalifornia$838.67$519.45

67901 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.

$709.43

$942.06

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

View every state and territory as a table
67901 office rate range by state
State / territoryOffice rate rangeLocalities
AK$942.061
AL$718.901
AR$709.431
AZ$774.331
CA$838.67–$1,043.5629
CO$825.681
CT$843.381
DC$902.871
DE$786.441
FL$780.89–$846.823
GA$740.80–$806.922
GU$856.911
HI$856.911
IA$736.431
ID$740.631
IL$759.53–$825.524
IN$744.581
KS$732.861
KY$733.491
LA$732.28–$765.402
MA$821.22–$903.452
MD$800.69–$902.873
ME$743.72–$781.232
MI$750.54–$789.412
MN$794.271
MO$720.52–$768.413
MS$715.121
MT$793.561
NC$750.911
ND$781.301
NE$740.241
NH$812.571
NJ$853.87–$894.702
NM$754.131
NV$790.671
NY$761.17–$926.535
OH$748.031
OK$732.731
OR$785.35–$850.612
PA$749.36–$823.612
PR$799.081
RI$813.411
SC$750.541
SD$779.851
TN$736.181
TX$744.82–$822.238
UT$759.951
VA$778.58–$902.872
VI$799.081
VT$778.121
WA$819.73–$921.512
WI$757.191
WV$733.661
WY$788.221

See 67901 in every payment locality

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.

How the rate is built · 67901

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.40

7.40 RVUs× 1.000 GPCI

Practice expense15.74

15.74 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

23.7600

Conversion factor

$33.4009

Medicare rate

$793.61

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

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,505

Code
67901
Physician work
7.40
Practice expense
15.74
Malpractice
0.62

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 67901 in Kentucky
ComponentRVULocality factorAdjusted
Physician work7.40× 1.0007.4000
Practice expense15.74× 0.88913.9929
Malpractice0.62× 0.9150.5673
Total RVUs21.9602
Conversion factor× 33.4009

Office rate, Kentucky$733.49

Office: (7.4 × 1 + 15.74 × 0.889 + 0.62 × 0.915) × $33.4009 = $733.49

Facility: (7.4 × 1 + 7.02 × 0.889 + 0.62 × 0.915) × $33.4009 = $474.56

Open 67901 in the RVU calculator

Payment rules and modifiers for 67901

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

CMS payment indicators · 67901

Ptosis repair, frontalis sling, nonautologous material

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 · 67901

Ptosis repair, frontalis sling, nonautologous material

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

67901 without 50 · national office

$793.61

Ptosis repair, frontalis sling, nonautologous material

67901-50 · Bilateral: 150%

$1,190.42

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 67901

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

Codes related to 67901
CodeHow it relatesOffice range, Kentucky
Same family
67902Ptosis repair, frontalis sling with fasciaFrontalis suspension using the patient’s autologous fascia.No office rate
67903Ptosis repair, internal approachPtosis repair by levator resection or advancement through an external approach.$562.91
67904Ptosis repair, external levator approachPtosis repair by levator resection or advancement through an internal approach.$691.53
67906Ptosis repair, superior rectus slingPtosis repair using a superior rectus fascial sling technique.No office rate
67908Ptosis repair, müller muscle-conjunctival resectionPtosis repair using a conjunctival and Müller muscle technique.$505.32

How 67901 has changed in Kentucky

67901 · Office / nonfacility

$733.49

Effective 2026-10-01

The base rate is $36.48 higher than on 2025-10-01, moving from $697.01 to $733.49 (5.2%).

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

    $697.01changed to$733.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.59 changed to 7.40
    • Practice expense RVU 15.26 changed to 15.74
    • Malpractice RVU 0.63 changed to 0.62
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $725.17changed to$697.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.53 changed to 15.26

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $713.33changed to$725.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $734.62changed to$713.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 15.50 changed to 15.53
    • Malpractice RVU 0.64 changed to 0.63
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913

  5. January 1, 2023

    RVU23A

    $740.52changed to$734.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 15.30 changed to 15.50
    • Malpractice RVU 0.62 changed to 0.64
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $744.54changed to$740.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 15.23 changed to 15.30

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $731.40changed to$744.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.92 changed to 15.23
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $726.69changed to$731.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.73 changed to 13.92
    • Malpractice RVU 0.60 changed to 0.62
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $714.48changed to$726.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.37 changed to 13.73

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $704.74changed to$714.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.19 changed to 13.37
    • Malpractice RVU 0.61 changed to 0.60
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $700.02changed to$704.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.17 changed to 13.19
    • Malpractice RVU 0.60 changed to 0.61
    • Practice expense GPCI 0.872 changed to 0.876
    • Malpractice GPCI 0.795 changed to 0.807

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $701.95changed to$700.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.16 changed to 13.17
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $698.45changed to$701.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $721.07changed to$698.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.11 changed to 13.16
    • Malpractice RVU 1.43 changed to 0.59
    • Malpractice GPCI 0.774 changed to 0.795

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $723.64changed to$721.07

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.41 changed to 13.11
    • Malpractice RVU 1.50 changed to 1.43
    • Practice expense GPCI 0.871 changed to 0.872
    • Malpractice GPCI 0.752 changed to 0.774

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $723.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$733.49$474.56RVU26D
2026-07-01$733.49$474.56RVU26C
2026-04-01$733.49$474.56RVU26B
2026-01-01$733.49$474.56RVU26A
2025-10-01$697.01$527.94RVU25D
2025-07-01$697.01$527.94RVU25C
2025-04-01$697.01$527.94RVU25B
2025-01-01$697.01$527.94RVU25A
2024-10-01$725.17$543.29RVU24D
2024-07-01$725.17$543.29RVU24C
2024-04-01$725.17$543.29RVU24B
2024-03-09$725.17$543.29RVU24AR
2024-01-01$713.33$534.43RVU24A
2023-10-01$734.62$547.06RVU23D
2023-07-01$734.62$547.06RVU23C
2023-04-01$734.62$547.06RVU23B
2023-01-01$734.62$547.06RVU23A
2022-10-01$740.52$548.05RVU22D
2022-07-01$740.52$548.05RVU22C
2022-04-01$740.52$548.05RVU22B
2022-01-01$740.52$548.05RVU22A
2021-10-01$744.54$548.96RVU21D
2021-07-01$744.54$548.96RVU21C
2021-04-01$744.54$548.96RVU21B
2021-01-01$744.54$548.96RVU21A
2020-10-01$731.40$555.08RVU20D
2020-07-01$731.40$555.08RVU20C
2020-04-01$731.40$555.08RVU20B
2020-01-01$731.40$555.08RVU20A
2019-10-01$726.69$556.06RVU19D
2019-07-01$726.69$556.06RVU19C
2019-04-01$726.69$556.06RVU19B
2019-01-01$726.69$556.06RVU19A
2018-10-01$714.48$552.28RVU18D
2018-07-01$714.48$552.28RVU18C
2018-04-01$714.48$552.28RVU18B
2018-01-01$714.48$552.28RVU18AR1
2017-10-01$704.74$546.91RVU17D
2017-07-01$704.74$546.91RVU17C
2017-04-01$704.74$546.91RVU17B
2017-01-01$704.74$546.91RVU17A
2016-10-01$700.02$543.60RVU16D
2016-07-01$700.02$543.60RVU16C
2016-04-01$700.02$543.60RVU16B
2016-01-01$700.02$543.60RVU16A
2015-10-01$701.95$544.96RVU15D
2015-07-01$701.95$544.96RVU15C
2015-04-01$698.45$542.25RVU15B
2015-01-01$698.45$542.25RVU15A
2014-10-01$721.07$566.44RVU14D
2014-07-01$721.07$566.44RVU14C
2014-04-01$721.07$566.44RVU14B
2014-01-01$721.07$566.44RVU14A
2013-10-01$723.64$559.17RVU13D
2013-07-01$723.64$559.17RVU13C
2013-04-01$723.64$559.17RVU13B
2013-01-01$723.64$559.17RVU13AR

Price 67901 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

67901 billing questions

When is 67901 selected instead of 67902?

Use 67901 for a frontalis suspension using suture or other nonautologous material. Code 67902 describes the frontalis technique using the patient’s own fascia.

How does this differ from levator repair?

This code represents a sling connecting the eyelid to the frontalis muscle. Codes 67903 and 67904 describe levator resection or advancement by external and internal approaches, respectively.

What should the operative note identify?

Document the ptosis treated, eyelid laterality, frontalis suspension technique, and material used. The note should make clear that the repair is not an autologous fascia sling or a levator procedure.

How is bilateral surgery reported?

Report bilateral surgery with modifier 50; CMS pays the procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. Services unrelated to the operation should be distinguished from care related to the repair.

Can an assistant or co-surgeon be paid?

Medicare does not pay an assistant at surgery for this code. 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 67901PPRRVU2026_Oct_nonQPP.csv, line 7,505 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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