CPT code 67902: Ptosis repair, frontalis sling with fascia2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $610.98 for 67902 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67902 nationwide

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

What 67902 covers

This operation lifts a drooping upper eyelid by connecting the tarsus, the firm supporting plate of the lid, to the frontalis muscle with a fascial sling. The forehead muscle then helps raise the eyelid. Ophthalmologists, especially oculoplastic surgeons, commonly perform it for significant blepharoptosis with poor levator function, including cases where the lid obstructs vision. The sling may use the patient’s fascia or banked fascia.

Report this code when the operative technique uses a fascial sling routed to the frontalis, rather than a nonfascial sling or a levator-based repair. Documentation should identify the affected eyelid, ptosis findings, levator function, and the sling technique and material. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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 Delaware compares for 67902

Across 109 of 109 payment localities, the facility rate for 67902 runs from $564.60 in Arkansas to $780.89 in Alaska. Delaware pays $610.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67902 rates by state

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

See 67902 in every payment locality

How the 67902 rate is calculated

Each of 67902’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 67902

67902 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

Codes related to 67902

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

How 67902 has changed in Delaware

Price 67902 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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