CPT code 67901: Ptosis repair, frontalis sling, nonautologous material2026 Medicare rate & RVUs in Vermont
Corrects upper eyelid drooping by suspending the lid from the frontalis muscle with suture or other nonautologous material.
In Vermont, Medicare pays $778.12 for 67901 in the office and $489.77 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $778.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$778.12
- Los Angeles, CA · California$892.99+$114.87
- Washington, DC area · District of Columbia$902.87+$124.75
- Miami, FL · Florida$846.82+$68.70
- Chicago, IL · Illinois$824.78+$46.66
- Manhattan, NY · New York$906.73+$128.61
- Alaska · Alaska$942.06+$163.94
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $838.67 | $519.45 |
| Merced, CACalifornia | $838.67 | $519.45 |
| Modesto, CACalifornia | $838.67 | $519.45 |
| Napa, CACalifornia | $966.17 | $582.30 |
| Oxnard, CACalifornia | $888.40 | $544.14 |
| Redding, CACalifornia | $838.67 | $519.45 |
| Rest of CaliforniaCalifornia | $838.67 | $519.45 |
| Riverside, CACalifornia | $845.48 | $526.26 |
| Sacramento, CACalifornia | $878.59 | $539.86 |
| Salinas, CACalifornia | $875.25 | $537.68 |
| San Diego, CACalifornia | $894.58 | $546.24 |
| Marin County, CACalifornia | $1,021.43 | $610.76 |
| San Francisco, CACalifornia | $1,020.73 | $610.06 |
| San Benito County, CACalifornia | $1,043.56 | $623.57 |
| Santa Clara County, CACalifornia | $1,040.68 | $620.69 |
| San Luis Obispo, CACalifornia | $861.27 | $529.53 |
| Santa Cruz, CACalifornia | $902.22 | $548.34 |
| Santa Maria, CACalifornia | $878.19 | $538.58 |
| Santa Rosa, CACalifornia | $911.28 | $553.62 |
| Stockton, CACalifornia | $838.67 | $519.45 |
| Vallejo, CACalifornia | $965.16 | $581.28 |
| Visalia, CACalifornia | $838.67 | $519.45 |
| Yuba City, CACalifornia | $838.67 | $519.45 |
| ColoradoColorado | $825.68 | $515.79 |
| ConnecticutConnecticut | $843.38 | $529.70 |
| DelawareDelaware | $786.44 | $498.68 |
| Fort Lauderdale, FLFlorida | $817.17 | $522.13 |
| Rest of FloridaFlorida | $780.89 | $502.45 |
| Atlanta, GAGeorgia | $806.92 | $511.01 |
| Rest of GeorgiaGeorgia | $740.80 | $481.00 |
| Hawaii, Guam, HIHawaii | $856.91 | $525.75 |
| IowaIowa | $736.43 | $469.93 |
| IdahoIdaho | $740.63 | $472.68 |
| East St. Louis, ILIllinois | $772.55 | $504.59 |
| Rest of IllinoisIllinois | $759.53 | $493.61 |
| Suburban Chicago, ILIllinois | $825.52 | $526.40 |
| IndianaIndiana | $744.58 | $474.59 |
| KansasKansas | $732.86 | $469.57 |
| KentuckyKentucky | $733.49 | $474.56 |
| New Orleans, LALouisiana | $765.40 | $491.33 |
| Rest of LouisianaLouisiana | $732.28 | $474.52 |
| Metropolitan Boston, MAMassachusetts | $903.45 | $555.69 |
| Rest of MassachusettsMassachusetts | $821.22 | $514.53 |
| Baltimore area, MDMaryland | $840.85 | $528.33 |
| Rest of MarylandMaryland | $800.69 | $505.94 |
| Rest of MaineMaine | $743.72 | $475.76 |
| Southern Maine, MEMaine | $781.23 | $492.60 |
| Detroit, MIMichigan | $789.41 | $508.35 |
| Rest of MichiganMichigan | $750.54 | $484.62 |
| MinnesotaMinnesota | $794.27 | $494.57 |
| Metropolitan Kansas City, MOMissouri | $761.06 | $487.57 |
| Metropolitan St. Louis, MOMissouri | $768.41 | $491.14 |
| Rest of MissouriMissouri | $720.52 | $469.45 |
| MississippiMississippi | $715.12 | $464.35 |
| MontanaMontana | $793.56 | $502.31 |
| North CarolinaNorth Carolina | $750.91 | $479.16 |
| North DakotaNorth Dakota | $781.30 | $490.05 |
| NebraskaNebraska | $740.24 | $471.41 |
| New HampshireNew Hampshire | $812.57 | $509.37 |
| Northern New JerseyNew Jersey | $894.70 | $556.85 |
| Rest of New JerseyNew Jersey | $853.87 | $535.82 |
| New MexicoNew Mexico | $754.13 | $487.05 |
| NevadaNevada | $790.67 | $499.13 |
| NYC suburbs and Long Island, NYNew York | $926.53 | $580.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $859.02 | $540.10 |
| Queens, NYNew York | $914.26 | $570.00 |
| Rest of New YorkNew York | $761.17 | $484.48 |
| OhioOhio | $748.03 | $482.12 |
| OklahomaOklahoma | $732.73 | $472.64 |
| Portland, OROregon | $850.61 | $527.03 |
| Rest of OregonOregon | $785.35 | $495.26 |
| Metropolitan Philadelphia, PAPennsylvania | $823.61 | $520.41 |
| Rest of PennsylvaniaPennsylvania | $749.36 | $481.98 |
| Puerto RicoPuerto Rico | $799.08 | $504.62 |
| Rhode IslandRhode Island | $813.41 | $512.55 |
| South CarolinaSouth Carolina | $750.54 | $481.42 |
| South DakotaSouth Dakota | $779.85 | $488.60 |
| TennesseeTennessee | $736.18 | $471.42 |
| Austin, TXTexas | $822.23 | $514.08 |
| Beaumont, TXTexas | $744.82 | $479.78 |
| Brazoria, TXTexas | $786.30 | $497.66 |
| Dallas, TXTexas | $790.79 | $500.70 |
| Fort Worth, TXTexas | $785.80 | $498.62 |
| Galveston, TXTexas | $788.34 | $499.12 |
| Houston, TXTexas | $799.69 | $510.47 |
| Rest of TexasTexas | $764.78 | $488.38 |
| UtahUtah | $759.95 | $486.17 |
| VirginiaVirginia | $778.58 | $492.28 |
| Virgin Islands, VIUnited States Virgin Islands | $799.08 | $504.62 |
| Rest of WashingtonWashington | $819.73 | $513.04 |
| King County, WAWashington | $921.51 | $564.14 |
| WisconsinWisconsin | $757.19 | $478.17 |
| West VirginiaWest Virginia | $733.66 | $480.56 |
| WyomingWyoming | $788.22 | $496.97 |
67901 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.
$709.43
$942.06
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $942.06 | 1 |
| AL | $718.90 | 1 |
| AR | $709.43 | 1 |
| AZ | $774.33 | 1 |
| CA | $838.67–$1,043.56 | 29 |
| CO | $825.68 | 1 |
| CT | $843.38 | 1 |
| DC | $902.87 | 1 |
| DE | $786.44 | 1 |
| FL | $780.89–$846.82 | 3 |
| GA | $740.80–$806.92 | 2 |
| GU | $856.91 | 1 |
| HI | $856.91 | 1 |
| IA | $736.43 | 1 |
| ID | $740.63 | 1 |
| IL | $759.53–$825.52 | 4 |
| IN | $744.58 | 1 |
| KS | $732.86 | 1 |
| KY | $733.49 | 1 |
| LA | $732.28–$765.40 | 2 |
| MA | $821.22–$903.45 | 2 |
| MD | $800.69–$902.87 | 3 |
| ME | $743.72–$781.23 | 2 |
| MI | $750.54–$789.41 | 2 |
| MN | $794.27 | 1 |
| MO | $720.52–$768.41 | 3 |
| MS | $715.12 | 1 |
| MT | $793.56 | 1 |
| NC | $750.91 | 1 |
| ND | $781.30 | 1 |
| NE | $740.24 | 1 |
| NH | $812.57 | 1 |
| NJ | $853.87–$894.70 | 2 |
| NM | $754.13 | 1 |
| NV | $790.67 | 1 |
| NY | $761.17–$926.53 | 5 |
| OH | $748.03 | 1 |
| OK | $732.73 | 1 |
| OR | $785.35–$850.61 | 2 |
| PA | $749.36–$823.61 | 2 |
| PR | $799.08 | 1 |
| RI | $813.41 | 1 |
| SC | $750.54 | 1 |
| SD | $779.85 | 1 |
| TN | $736.18 | 1 |
| TX | $744.82–$822.23 | 8 |
| UT | $759.95 | 1 |
| VA | $778.58–$902.87 | 2 |
| VI | $799.08 | 1 |
| VT | $778.12 | 1 |
| WA | $819.73–$921.51 | 2 |
| WI | $757.19 | 1 |
| WV | $733.66 | 1 |
| WY | $788.22 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.40 | × 1.000 | 7.4000 |
| Practice expense | 15.74 | × 0.990 | 15.5826 |
| Malpractice | 0.62 | × 0.506 | 0.3137 |
| Total RVUs | 23.2963 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$778.12
Office: (7.4 × 1 + 15.74 × 0.99 + 0.62 × 0.506) × $33.4009 = $778.12
Facility: (7.4 × 1 + 7.02 × 0.99 + 0.62 × 0.506) × $33.4009 = $489.77
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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).
How 67901 has changed in Vermont
67901 · Office / nonfacility
$778.12
Effective 2026-10-01
The base rate is $31.90 higher than on 2025-10-01, moving from $746.22 to $778.12 (4.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$746.22changed to$778.12
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$776.85changed to$746.22
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 15.53 changed to 15.26
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$764.17changed to$776.85
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$792.66changed to$764.17
- 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 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$804.87changed to$792.66
- 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 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$809.10changed to$804.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 15.23 changed to 15.30
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$793.33changed to$809.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 13.92 changed to 15.23
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$788.64changed to$793.33
- 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 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$774.62changed to$788.64
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 13.37 changed to 13.73
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$764.49changed to$774.62
- 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 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$759.83changed to$764.49
- 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 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$761.97changed to$759.83
- 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.
July 1, 2015
RVU15C
$758.18changed to$761.97
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$776.01changed to$758.18
- 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
- Practice expense GPCI 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$776.01
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $778.12 | $489.77 | RVU26D |
| 2026-07-01 | $778.12 | $489.77 | RVU26C |
| 2026-04-01 | $778.12 | $489.77 | RVU26B |
| 2026-01-01 | $778.12 | $489.77 | RVU26A |
| 2025-10-01 | $746.22 | $554.78 | RVU25D |
| 2025-07-01 | $746.22 | $554.78 | RVU25C |
| 2025-04-01 | $746.22 | $554.78 | RVU25B |
| 2025-01-01 | $746.22 | $554.78 | RVU25A |
| 2024-10-01 | $776.85 | $570.92 | RVU24D |
| 2024-07-01 | $776.85 | $570.92 | RVU24C |
| 2024-04-01 | $776.85 | $570.92 | RVU24B |
| 2024-03-09 | $776.85 | $570.92 | RVU24AR |
| 2024-01-01 | $764.17 | $561.60 | RVU24A |
| 2023-10-01 | $792.66 | $578.46 | RVU23D |
| 2023-07-01 | $792.66 | $578.46 | RVU23C |
| 2023-04-01 | $792.66 | $578.46 | RVU23B |
| 2023-01-01 | $792.66 | $578.46 | RVU23A |
| 2022-10-01 | $804.87 | $583.17 | RVU22D |
| 2022-07-01 | $804.87 | $583.17 | RVU22C |
| 2022-04-01 | $804.87 | $583.17 | RVU22B |
| 2022-01-01 | $804.87 | $583.17 | RVU22A |
| 2021-10-01 | $809.10 | $583.82 | RVU21D |
| 2021-07-01 | $809.10 | $583.82 | RVU21C |
| 2021-04-01 | $809.10 | $583.82 | RVU21B |
| 2021-01-01 | $809.10 | $583.82 | RVU21A |
| 2020-10-01 | $793.33 | $589.97 | RVU20D |
| 2020-07-01 | $793.33 | $589.97 | RVU20C |
| 2020-04-01 | $793.33 | $589.97 | RVU20B |
| 2020-01-01 | $793.33 | $589.97 | RVU20A |
| 2019-10-01 | $788.64 | $591.84 | RVU19D |
| 2019-07-01 | $788.64 | $591.84 | RVU19C |
| 2019-04-01 | $788.64 | $591.84 | RVU19B |
| 2019-01-01 | $788.64 | $591.84 | RVU19A |
| 2018-10-01 | $774.62 | $587.54 | RVU18D |
| 2018-07-01 | $774.62 | $587.54 | RVU18C |
| 2018-04-01 | $774.62 | $587.54 | RVU18B |
| 2018-01-01 | $774.62 | $587.54 | RVU18AR1 |
| 2017-10-01 | $764.49 | $582.53 | RVU17D |
| 2017-07-01 | $764.49 | $582.53 | RVU17C |
| 2017-04-01 | $764.49 | $582.53 | RVU17B |
| 2017-01-01 | $764.49 | $582.53 | RVU17A |
| 2016-10-01 | $759.83 | $579.74 | RVU16D |
| 2016-07-01 | $759.83 | $579.74 | RVU16C |
| 2016-04-01 | $759.83 | $579.74 | RVU16B |
| 2016-01-01 | $759.83 | $579.74 | RVU16A |
| 2015-10-01 | $761.97 | $581.22 | RVU15D |
| 2015-07-01 | $761.97 | $581.22 | RVU15C |
| 2015-04-01 | $758.18 | $578.33 | RVU15B |
| 2015-01-01 | $758.18 | $578.33 | RVU15A |
| 2014-10-01 | $776.01 | $597.62 | RVU14D |
| 2014-07-01 | $776.01 | $597.62 | RVU14C |
| 2014-04-01 | $776.01 | $597.62 | RVU14B |
| 2014-01-01 | $776.01 | $597.62 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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