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

In Vermont, Medicare pays $535.91 for 67908 in the office and $366.28 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $535.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67908 rates by state

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

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.

Payment rules and modifiers for 67908

67908 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 67908

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

How 67908 has changed in Vermont

Price 67908 for an earlier date of service

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

Browse all communities in Vermont

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