CPT code 67911: Eyelid retraction repair, without implant2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $465.27 for 67911 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67911 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 67911 covers

This procedure corrects an eyelid that sits too high or is pulled away from the eye, causing visible sclera, irritation, or exposure of the ocular surface. It is commonly performed by an ophthalmologist with oculoplastic expertise for retraction associated with thyroid eye disease, scarring, or prior eyelid surgery. The operative approach adjusts the eyelid position without insertion of an implant; a repair that includes an implant belongs to the related code 67912.

Report 67911 when the documented problem is eyelid retraction and the surgeon performs a corrective repair without an implant. The operative note should identify the affected eyelid, the retracted position and clinical effect, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery for this code; 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 67911

Across 109 of 109 payment localities, the facility rate for 67911 runs from $437.53 in Arkansas to $604.23 in Alaska. Vermont pays $465.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67911 rates by state

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

See 67911 in every payment locality

How the 67911 rate is calculated

Each of 67911’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 67911

67911 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 67911

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

How 67911 has changed in Vermont

Price 67911 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