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CPT code 67908: Ptosis repair, müller muscle-conjunctival resection2026 Medicare rate & RVUs in Alaska

Reports surgical elevation of a drooping upper eyelid by resecting conjunctiva and Müller muscle, sometimes with tarsus, using a posterior approach.

CMS RVU26DEffective Oct 1, 2026One payment locality10.8K Medicare services in 2024

In Alaska, Medicare pays $649.86 for 67908 in the office and $467.38 when it’s performed in a hospital or facility.

$649.86Office (non-facility)
$467.38Hospital or facility
+18.9%vs the national office rate ($546.44)

Check a contract rate as a % of Medicare · 67908 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 67908 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 67908 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 67908 covers

This code describes repair of upper eyelid ptosis through a posterior approach. The surgeon removes a portion of conjunctiva and Müller muscle to elevate the lid; tarsus may also be resected. Oculoplastic ophthalmologists typically perform the procedure in an operating room, often for a patient whose upper lid droops enough to obstruct vision or impair visual function. It is distinct from repairs using a frontalis sling or an external levator approach.

Select the code when the operative report supports the posterior conjunctiva-and-Müller-muscle technique, with or without tarsal resection. Document the affected lid, the ptosis and its functional impact, and the tissue and approach used. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral reporting, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; 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 Alaska compares for 67908

Across 109 of 109 payment localities, the office rate for 67908 runs from $488.91 in Arkansas to $717.92 in San Benito County, CA. Alaska pays $649.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

67908 in Alaska vs other payment areas
  1. Alaska · this page$649.86
  2. Los Angeles, CA · California$614.64−$35.22
  3. Washington, DC area · District of Columbia$621.38−$28.48
  4. Miami, FL · Florida$582.64−$67.22
  5. Chicago, IL · Illinois$567.61−$82.25
  6. Manhattan, NY · New York$623.99−$25.87
  7. Alabama · Alabama$495.38−$154.48

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

Every other payment area

67908 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$488.91$341.73
ArizonaArizona$533.27$367.23
Bakersfield, CACalifornia$578.77$390.97
Chico, CACalifornia$577.40$389.60
El Centro, CACalifornia$577.47$389.67
Fresno, CACalifornia$577.40$389.60
Hanford, CACalifornia$577.40$389.60
Madera, CACalifornia$577.40$389.60

67908 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.

$488.91

$649.86

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

View every state and territory as a table
67908 office rate range by state
State / territoryOffice rate rangeLocalities
AK$649.861
AL$495.381
AR$488.911
AZ$533.271
CA$577.40–$717.9229
CO$568.461
CT$580.541
DC$621.381
DE$541.571
FL$537.67–$582.643
GA$510.28–$555.532
GU$589.821
HI$589.821
IA$507.401
ID$510.271
IL$523.04–$568.194
IN$512.971
KS$504.951
KY$505.321
LA$504.48–$527.122
MA$565.42–$621.762
MD$551.33–$621.383
ME$512.36–$538.022
MI$516.95–$543.472
MN$546.991
MO$496.43–$529.203
MS$492.781
MT$546.411
NC$517.271
ND$538.111
NE$510.011
NH$559.431
NJ$587.80–$615.832
NM$519.401
NV$544.461
NY$524.29–$637.505
OH$515.251
OK$504.821
OR$540.83–$585.542
PA$516.17–$567.002
PR$550.191
RI$560.081
SC$517.001
SD$537.121
TN$507.211
TX$513.07–$566.058
UT$523.421
VA$536.20–$621.382
VI$550.191
VT$535.911
WA$564.40–$634.162
WI$521.621
WV$505.361
WY$542.791

See 67908 in every payment locality

How the 67908 rate is calculated

Each of 67908’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 · 67908

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.17

5.17 RVUs× 1.000 GPCI

Practice expense10.77

10.77 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

16.3600

Conversion factor

$33.4009

Medicare rate

$546.44

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,510

Code
67908
Physician work
5.17
Practice expense
10.77
Malpractice
0.42

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 67908 in Alaska
ComponentRVULocality factorAdjusted
Physician work5.17× 1.5007.7550
Practice expense10.77× 1.06511.4700
Malpractice0.42× 0.5510.2314
Total RVUs19.4565
Conversion factor× 33.4009

Office rate, Alaska$649.86

Office: (5.17 × 1.5 + 10.77 × 1.065 + 0.42 × 0.551) × $33.4009 = $649.86

Facility: (5.17 × 1.5 + 5.64 × 1.065 + 0.42 × 0.551) × $33.4009 = $467.38

Open 67908 in the RVU calculator

Payment rules and modifiers for 67908

67908 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67908

Ptosis repair, müller muscle-conjunctival resection

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 · 67908

Ptosis repair, müller muscle-conjunctival resection

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

67908 without 50 · national office

$546.44

Ptosis repair, müller muscle-conjunctival resection

67908-50 · Bilateral: 150%

$819.66

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 67908

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

Codes related to 67908
CodeHow it relatesOffice range, Alaska
Same family
67901Ptosis repair, frontalis sling, nonautologous materialFrontalis muscle ptosis repair using suture or other material rather than posterior tissue resection.$942.06
67902Ptosis repair, frontalis sling with fasciaFrontalis sling approach using fascial material for ptosis repair.No office rate
67903Ptosis repair, internal approachPtosis repair using a different levator resection or advancement approach.$729.31
67904Ptosis repair, external levator approachPtosis repair using an external levator approach.$894.99
67906Ptosis repair, superior rectus slingAnother surgical approach within the eyelid ptosis repair family.No office rate
Often billed with
67900Brow repair, brow ptosisBrow ptosis repair may be performed in the same session when brow droop is separately addressed.$786.73

How 67908 has changed in Alaska

67908 · Office / nonfacility

$649.86

Effective 2026-10-01

The base rate is $23.46 higher than on 2025-10-01, moving from $626.40 to $649.86 (3.7%).

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

    $626.40changed to$649.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.30 changed to 5.17
    • Practice expense RVU 10.33 changed to 10.77
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $650.19changed to$626.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.49 changed to 10.33
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $639.57changed to$650.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $665.82changed to$639.57

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.41 changed to 10.49
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592

  5. January 1, 2023

    RVU23A

    $680.96changed to$665.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.27 changed to 10.41
    • Malpractice RVU 0.40 changed to 0.41
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $672.60changed to$680.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.90 changed to 10.27
    • Malpractice RVU 0.42 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $656.20changed to$672.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.91 changed to 9.90
    • Malpractice RVU 0.41 changed to 0.42
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $637.68changed to$656.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.47 changed to 8.91
    • Malpractice RVU 0.40 changed to 0.41
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $633.51changed to$637.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.39 changed to 8.47
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $624.50changed to$633.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.25 changed to 8.39
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $621.58changed to$624.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $623.17changed to$621.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.24 changed to 8.25
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $620.07changed to$623.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $629.87changed to$620.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.23 changed to 8.24
    • Malpractice RVU 1.00 changed to 0.38
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $621.18changed to$629.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.01 changed to 8.23
    • Malpractice RVU 1.05 changed to 1.00
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $621.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$649.86$467.38RVU26D
2026-07-01$649.86$467.38RVU26C
2026-04-01$649.86$467.38RVU26B
2026-01-01$649.86$467.38RVU26A
2025-10-01$626.40$514.86RVU25D
2025-07-01$626.40$514.86RVU25C
2025-04-01$626.40$514.86RVU25B
2025-01-01$626.40$514.86RVU25A
2024-10-01$650.19$530.00RVU24D
2024-07-01$650.19$530.00RVU24C
2024-04-01$650.19$530.00RVU24B
2024-03-09$650.19$530.00RVU24AR
2024-01-01$639.57$521.35RVU24A
2023-10-01$665.82$539.46RVU23D
2023-07-01$665.82$539.46RVU23C
2023-04-01$665.82$539.46RVU23B
2023-01-01$665.82$539.46RVU23A
2022-10-01$680.96$547.10RVU22D
2022-07-01$680.96$547.10RVU22C
2022-04-01$680.96$547.10RVU22B
2022-01-01$680.96$547.10RVU22A
2021-10-01$672.60$549.33RVU21D
2021-07-01$672.60$549.33RVU21C
2021-04-01$672.60$549.33RVU21B
2021-01-01$672.60$549.33RVU21A
2020-10-01$656.20$554.92RVU20D
2020-07-01$656.20$554.92RVU20C
2020-04-01$656.20$554.92RVU20B
2020-01-01$656.20$554.92RVU20A
2019-10-01$637.68$554.76RVU19D
2019-07-01$637.68$554.76RVU19C
2019-04-01$637.68$554.76RVU19B
2019-01-01$637.68$554.76RVU19A
2018-10-01$633.51$554.30RVU18D
2018-07-01$633.51$554.30RVU18C
2018-04-01$633.51$554.30RVU18B
2018-01-01$633.51$554.30RVU18AR1
2017-10-01$624.50$548.27RVU17D
2017-07-01$624.50$548.27RVU17C
2017-04-01$624.50$548.27RVU17B
2017-01-01$624.50$548.27RVU17A
2016-10-01$621.58$545.87RVU16D
2016-07-01$621.58$545.87RVU16C
2016-04-01$621.58$545.87RVU16B
2016-01-01$621.58$545.87RVU16A
2015-10-01$623.17$546.40RVU15D
2015-07-01$623.17$546.40RVU15C
2015-04-01$620.07$543.68RVU15B
2015-01-01$620.07$543.68RVU15A
2014-10-01$629.87$555.89RVU14D
2014-07-01$629.87$555.89RVU14C
2014-04-01$629.87$555.89RVU14B
2014-01-01$629.87$555.89RVU14A
2013-10-01$621.18$544.22RVU13D
2013-07-01$621.18$544.22RVU13C
2013-04-01$621.18$544.22RVU13B
2013-01-01$621.18$544.22RVU13AR

Price 67908 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

67908 billing questions

How does this differ from 67903 or 67904?

This code is for posterior resection of conjunctiva and Müller muscle, with or without tarsus. Codes 67903 and 67904 describe different levator resection or advancement approaches; use the operative technique to distinguish them.

When is this code chosen instead of a frontalis sling code?

Use this code for the posterior conjunctiva-and-Müller-muscle resection technique. Codes 67901 and 67902 describe frontalis muscle techniques, including sling approaches.

Can modifier 50 be reported for both eyelids?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care. The operative and follow-up documentation should support the ptosis repair and the technique performed.

Can an assistant surgeon or co-surgeon be paid?

CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session affected?

Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the 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 67908PPRRVU2026_Oct_nonQPP.csv, line 7,510 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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