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CPT code 67912: Eyelid weight, implant for incomplete closure2026 Medicare rate & RVUs in Wisconsin

Reports upper eyelid weight implantation to improve closure in lagophthalmos, commonly when facial nerve weakness leaves the cornea exposed.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Wisconsin, Medicare pays $850.84 for 67912 in the office and $399.99 when it’s performed in a hospital or facility.

$850.84Office (non-facility)
$399.99Hospital or facility
−4.9%vs the national office rate ($894.48)

Check a contract rate as a % of Medicare · 67912 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 67912 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 67912 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 67912 covers

67912 covers operative placement of a weight in the upper eyelid to help the lid close when spontaneous closure is incomplete. Oculoplastic ophthalmologists commonly use a gold or platinum load for lagophthalmos related to facial nerve weakness or paralysis, which can leave the cornea exposed. The added weight helps the upper lid descend; this is different from surgery to lift a drooping eyelid. The procedure is performed in a surgical setting.

Choose this code when the operative service includes upper eyelid load implantation to address lagophthalmos. The record should support the incomplete closure, its clinical cause or consequences, the treated side, and the implant procedure. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. 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 Wisconsin compares for 67912

Across 109 of 109 payment localities, the office rate for 67912 runs from $789.74 in Arkansas to $1,200.50 in San Benito County, CA. Wisconsin pays $850.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

67912 in Wisconsin vs other payment areas
  1. Wisconsin · this page$850.84
  2. Los Angeles, CA · California$1,016.97+$166.13
  3. Washington, DC area · District of Columbia$1,026.54+$175.70
  4. Miami, FL · Florida$956.46+$105.62
  5. Chicago, IL · Illinois$928.66+$77.82
  6. Manhattan, NY · New York$1,028.72+$177.88
  7. Alaska · Alaska$1,031.02+$180.18

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

Every other payment area

67912 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$801.53$389.74
ArkansasArkansas$789.74$385.48
ArizonaArizona$870.60$414.57
Bakersfield, CACalifornia$953.34$437.54
Chico, CACalifornia$951.27$435.47
El Centro, CACalifornia$951.38$435.58
Fresno, CACalifornia$951.27$435.47
Hanford, CACalifornia$951.27$435.47

67912 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.

$789.74

$1,075.89

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

View every state and territory as a table
67912 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,031.021
AL$801.531
AR$789.741
AZ$870.601
CA$951.27–$1,200.5029
CO$934.531
CT$954.571
DC$1,026.541
DE$885.241
FL$876.65–$956.463
GA$827.05–$910.302
GU$975.971
HI$975.971
IA$824.281
ID$829.331
IL$849.44–$931.414
IN$834.281
KS$819.401
KY$818.771
LA$817.08–$858.352
MA$928.41–$1,029.422
MD$902.66–$1,026.543
ME$832.72–$880.112
MI$839.58–$886.792
MN$897.761
MO$802.16–$862.623
MS$796.161
MT$894.431
NC$841.741
ND$880.981
NE$829.171
NH$918.891
NJ$966.11–$1,015.422
NM$843.871
NV$891.351
NY$854.50–$1,052.825
OH$836.831
OK$818.291
OR$885.07–$965.752
PA$838.72–$929.842
PR$901.451
RI$917.891
SC$840.551
SD$879.391
TN$823.471
TX$833.04–$930.858
UT$852.281
VA$876.50–$1,026.542
VI$901.451
VT$876.611
WA$926.97–$1,051.562
WI$850.841
WV$817.191
WY$888.571

See 67912 in every payment locality

How the 67912 rate is calculated

Each of 67912’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 · 67912

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.20

6.20 RVUs× 1.000 GPCI

Practice expense19.90

19.90 RVUs× 1.000 GPCI

Malpractice0.68

0.68 RVUs× 1.000 GPCI

Adjusted RVUs

26.7800

Conversion factor

$33.4009

Medicare rate

$894.48

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,513

Code
67912
Physician work
6.20
Practice expense
19.90
Malpractice
0.68

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 67912 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0006.2000
Practice expense19.90× 0.95819.0642
Malpractice0.68× 0.3080.2094
Total RVUs25.4736
Conversion factor× 33.4009

Office rate, Wisconsin$850.84

Office: (6.2 × 1 + 19.9 × 0.958 + 0.68 × 0.308) × $33.4009 = $850.84

Facility: (6.2 × 1 + 5.81 × 0.958 + 0.68 × 0.308) × $33.4009 = $399.99

Open 67912 in the RVU calculator

Payment rules and modifiers for 67912

67912 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67912

Eyelid weight, implant for incomplete closure

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 · 67912

Eyelid weight, implant for incomplete closure

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

67912 without 50 · national office

$894.48

Eyelid weight, implant for incomplete closure

67912-50 · Bilateral: 150%

$1,341.72

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 67912

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

Codes related to 67912
CodeHow it relatesOffice range, Wisconsin
Used instead
67875Temporary tarsorrhaphy, suture closureTemporary tarsorrhaphy may protect the ocular surface when temporary eyelid closure is selected.$172.57
67880Eyelid revision, without skin graftMedian tarsorrhaphy is another approach to limiting exposure when eyelid closure is inadequate.$449.22
67911Eyelid retraction repair, without implantTreats lid retraction when retraction, rather than a need for an eyelid load, is the operative problem.No office rate

How 67912 has changed in Wisconsin

67912 · Office / nonfacility

$850.84

Effective 2026-10-01

The base rate is $44.52 higher than on 2025-10-01, moving from $806.32 to $850.84 (5.5%).

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

    $806.32changed to$850.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.36 changed to 6.20
    • Practice expense RVU 19.17 changed to 19.90
    • Malpractice RVU 0.67 changed to 0.68
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $850.70changed to$806.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 19.82 changed to 19.17
    • Malpractice RVU 0.69 changed to 0.67

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $836.82changed to$850.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $868.33changed to$836.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 20.06 changed to 19.82
    • Malpractice RVU 0.66 changed to 0.69
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $883.40changed to$868.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 20.14 changed to 20.06
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $895.12changed to$883.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 20.28 changed to 20.14
    • Malpractice RVU 0.64 changed to 0.66

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $877.53changed to$895.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 18.71 changed to 20.28
    • Malpractice RVU 0.62 changed to 0.64
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $872.73changed to$877.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 18.43 changed to 18.71
    • Malpractice RVU 0.63 changed to 0.62
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $856.96changed to$872.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 18.00 changed to 18.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $851.18changed to$856.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 17.85 changed to 18.00
    • Malpractice RVU 0.64 changed to 0.63
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $853.22changed to$851.18

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 17.92 changed to 17.85
    • Malpractice RVU 0.63 changed to 0.64
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $854.79changed to$853.22

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 17.87 changed to 17.92
    • Malpractice RVU 0.64 changed to 0.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $850.54changed to$854.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $858.52changed to$850.54

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 17.86 changed to 17.87
    • Malpractice RVU 0.89 changed to 0.64
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $880.08changed to$858.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 19.79 changed to 17.86
    • Malpractice RVU 0.93 changed to 0.89
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$880.08

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$850.84$399.99RVU26D
2026-07-01$850.84$399.99RVU26C
2026-04-01$850.84$399.99RVU26B
2026-01-01$850.84$399.99RVU26A
2025-10-01$806.32$442.59RVU25D
2025-07-01$806.32$442.59RVU25C
2025-04-01$806.32$442.59RVU25B
2025-01-01$806.32$442.59RVU25A
2024-10-01$850.70$455.37RVU24D
2024-07-01$850.70$455.37RVU24C
2024-04-01$850.70$455.37RVU24B
2024-03-09$850.70$455.37RVU24AR
2024-01-01$836.82$447.93RVU24A
2023-10-01$868.33$458.52RVU23D
2023-07-01$868.33$458.52RVU23C
2023-04-01$868.33$458.52RVU23B
2023-01-01$868.33$458.52RVU23A
2022-10-01$883.40$457.98RVU22D
2022-07-01$883.40$457.98RVU22C
2022-04-01$883.40$457.98RVU22B
2022-01-01$883.40$457.98RVU22A
2021-10-01$895.12$459.93RVU21D
2021-07-01$895.12$459.93RVU21C
2021-04-01$895.12$459.93RVU21B
2021-01-01$895.12$459.93RVU21A
2020-10-01$877.53$469.63RVU20D
2020-07-01$877.53$469.63RVU20C
2020-04-01$877.53$469.63RVU20B
2020-01-01$877.53$469.63RVU20A
2019-10-01$872.73$474.72RVU19D
2019-07-01$872.73$474.72RVU19C
2019-04-01$872.73$474.72RVU19B
2019-01-01$872.73$474.72RVU19A
2018-10-01$856.96$475.58RVU18D
2018-07-01$856.96$475.58RVU18C
2018-04-01$856.96$475.58RVU18B
2018-01-01$856.96$475.58RVU18AR1
2017-10-01$851.18$475.83RVU17D
2017-07-01$851.18$475.83RVU17C
2017-04-01$851.18$475.83RVU17B
2017-01-01$851.18$475.83RVU17A
2016-10-01$853.22$477.78RVU16D
2016-07-01$853.22$477.78RVU16C
2016-04-01$853.22$477.78RVU16B
2016-01-01$853.22$477.78RVU16A
2015-10-01$854.79$478.34RVU15D
2015-07-01$854.79$478.34RVU15C
2015-04-01$850.54$475.96RVU15B
2015-01-01$850.54$475.96RVU15A
2014-10-01$858.52$485.13RVU14D
2014-07-01$858.52$485.13RVU14C
2014-04-01$858.52$485.13RVU14B
2014-01-01$858.52$485.13RVU14A
2013-10-01$880.08$481.93RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67912 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

67912 billing questions

When should 67912 be chosen over a ptosis repair code?

Choose 67912 when an upper eyelid weight is implanted to improve closure in lagophthalmos. Ptosis repair codes address a drooping lid that needs elevation.

Does 67912 include the eyelid weight placement?

Yes. The service represented is correction of lagophthalmos by implanting an upper eyelid load; document the implantation in the operative report.

What documentation supports 67912?

Document incomplete eyelid closure, the clinical reason for treatment, the side treated, and the operative placement of the upper eyelid load.

How is bilateral 67912 reported?

Use modifier 50 for a bilateral procedure. CMS pays bilateral reporting at 150%.

What global period and multiple-procedure rules apply?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%.

Can an assistant surgeon or co-surgeon be reported?

CMS restricts assistant-at-surgery payment 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
RVUs for 67912PPRRVU2026_Oct_nonQPP.csv, line 7,513 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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