CPT code 67914: Ectropion repair, suture technique2026 Medicare rate & RVUs in California
Corrects an outward-turning eyelid with a suture-based operation, typically when the surgeon does not perform tissue excision or extensive reconstruction.
Medicare pays $521.01–$655.69 for 67914 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 67914 covers
This operation corrects ectropion, in which an eyelid—often the lower lid—turns outward and may cause tearing, irritation, or exposure of the eye surface. An ophthalmologist or oculoplastic surgeon uses sutures to reposition the lid. The code represents a suture-based repair rather than a repair involving tarsal wedge excision or extensive reconstruction.
Report the service when the operative note supports suture repair of ectropion and identifies the treated eyelid and technique. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery, modifier 50 is paid 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.
Where 67914 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$521.01 to $655.69
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $522.09 | $304.64 |
| Chico, CA | $521.01 | $303.57 |
| El Centro, CA | $521.07 | $303.62 |
| Fresno, CA | $521.01 | $303.57 |
| Hanford, CA | $521.01 | $303.57 |
| Los Angeles, CA | $556.41 | $321.70 |
| Madera, CA | $521.01 | $303.57 |
| Marin County, CA | $641.58 | $361.83 |
| Merced, CA | $521.01 | $303.57 |
| Modesto, CA | $521.01 | $303.57 |
| Napa, CA | $605.44 | $343.94 |
| Oxnard, CA | $554.00 | $319.48 |
| Redding, CA | $521.01 | $303.57 |
| Rest of California | $521.01 | $303.57 |
| Riverside, CA | $524.74 | $307.29 |
| Sacramento, CA | $547.21 | $316.47 |
| Salinas, CA | $545.18 | $315.23 |
| San Benito County, CA | $655.69 | $369.60 |
| San Diego, CA | $558.31 | $321.02 |
| San Francisco, CA | $641.19 | $361.45 |
| San Luis Obispo, CA | $536.34 | $310.36 |
| Santa Clara County, CA | $654.11 | $368.02 |
| Santa Cruz, CA | $563.91 | $322.85 |
| Santa Maria, CA | $547.31 | $315.97 |
| Santa Rosa, CA | $569.65 | $326.01 |
| Stockton, CA | $521.01 | $303.57 |
| Vallejo, CA | $604.88 | $343.39 |
| Visalia, CA | $521.01 | $303.57 |
| Yuba City, CA | $521.01 | $303.57 |
How the 67914 rate is calculated
Each of 67914’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 · 67914
RVUs × geographic indexes × conversion factor
Work3.66
3.66 RVUs× 1.000 GPCI
Practice expense10.67
10.67 RVUs× 1.000 GPCI
Malpractice0.34
0.34 RVUs× 1.000 GPCI
Adjusted RVUs
14.6700
Conversion factor
$33.4009
Medicare rate
$489.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67914
67914 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67914
Ectropion repair, suture technique
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67914
Ectropion repair, suture technique
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67914 without 50 · national office
$489.99
Ectropion repair, suture technique
67914-50 · Bilateral: 150%
$734.99
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).
67914 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67915Ectropion repairThermocautery technique
- Choose 67914 for suture-based correction. Choose 67915 when the repair includes excision of a tarsal wedge.
- 67916Ectropion repairTarsal wedge excision
- 67916 describes an extensive ectropion repair, such as a tarsal strip operation; 67914 is the suture-based option.
- 67917Eyelid repairExtensive entropion correction
- 67917 is for extensive ectropion repair with a skin graft. A suture-based repair without that grafting approach is reported with 67914.
- 67921Entropion repairSuture technique
- 67921 addresses entropion, in which the eyelid turns inward. Code 67914 is for ectropion, in which it turns outward.
67914 billing questions
How does this code differ from 67915?
Use 67914 for suture-based ectropion repair. Code 67915 is for a repair that includes tarsal wedge excision.
When would 67916 be more appropriate?
Use 67916 when the surgeon performs an extensive ectropion repair, such as a tarsal strip operation, rather than the suture-based repair represented by 67914.
How is bilateral repair reported?
Report modifier 50 for bilateral surgery. CMS pays this bilateral procedure at 150%.
What documentation supports reporting 67914?
Document the ectropion, the eyelid treated, and the suture-based operative method. The operative note should distinguish the service from a repair involving tissue excision or extensive reconstruction.
Are related postoperative visits separately included?
The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery 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
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