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CPT code 67914: Ectropion repair, suture technique2026 Medicare rate & RVUs in Virginia

Corrects an outward-turning eyelid with a suture-based operation, typically when the surgeon does not perform tissue excision or extensive reconstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Virginia, Medicare pays $480.59 for 67914 in the office and $285.57 when it’s performed in a hospital or facility.

$480.59Office (non-facility)
$285.57Hospital or facility
−1.9%vs the national office rate ($489.99)

Check a contract rate as a % of Medicare · 67914 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 67914 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 67914 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 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.

How Virginia compares for 67914

Across 109 of 109 payment localities, the office rate for 67914 runs from $434.23 in Arkansas to $655.69 in San Benito County, CA. Virginia pays $480.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

67914 in Virginia vs other payment areas
  1. Virginia · this page$480.59
  2. Los Angeles, CA · California$556.41+$75.82
  3. Washington, DC area · District of Columbia$561.31+$80.72
  4. Miami, FL · Florida$521.97+$41.38
  5. Chicago, IL · Illinois$507.34+$26.75
  6. Manhattan, NY · New York$562.20+$81.61
  7. Alaska · Alaska$569.18+$88.59

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

Every other payment area

67914 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$440.51$266.91
ArkansasArkansas$434.23$263.81
ArizonaArizona$477.31$285.06
Bakersfield, CACalifornia$522.09$304.64
Chico, CACalifornia$521.01$303.57
El Centro, CACalifornia$521.07$303.62
Fresno, CACalifornia$521.01$303.57
Hanford, CACalifornia$521.01$303.57

67914 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.

$434.23

$588.35

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

View every state and territory as a table
67914 office rate range by state
State / territoryOffice rate rangeLocalities
AK$569.181
AL$440.511
AR$434.231
AZ$477.311
CA$521.01–$655.6929
CO$511.781
CT$522.261
DC$561.311
DE$485.181
FL$480.02–$521.973
GA$453.68–$498.342
GU$534.041
HI$534.041
IA$452.851
ID$455.501
IL$465.38–$509.244
IN$458.141
KS$450.151
KY$449.471
LA$448.53–$470.512
MA$508.53–$562.892
MD$494.56–$561.313
ME$457.19–$482.592
MI$460.45–$485.312
MN$492.331
MO$440.51–$472.913
MS$437.491
MT$489.971
NC$462.011
ND$483.251
NE$455.491
NH$503.181
NJ$528.77–$555.492
NM$462.691
NV$488.451
NY$468.80–$574.905
OH$459.081
OK$449.331
OR$485.19–$528.602
PA$460.14–$509.002
PR$493.741
RI$502.851
SC$461.201
SD$482.451
TN$452.301
TX$457.11–$509.618
UT$467.451
VA$480.59–$561.312
VI$493.741
VT$480.821
WA$507.75–$574.932
WI$467.161
WV$448.201
WY$487.041

See 67914 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,514

Code
67914
Physician work
3.66
Practice expense
10.67
Malpractice
0.34

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67914 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.66× 1.0003.6600
Practice expense10.67× 0.98310.4886
Malpractice0.34× 0.7060.2400
Total RVUs14.3887
Conversion factor× 33.4009

Office rate, Virginia$480.59

Office: (3.66 × 1 + 10.67 × 0.983 + 0.34 × 0.706) × $33.4009 = $480.59

Facility: (3.66 × 1 + 4.73 × 0.983 + 0.34 × 0.706) × $33.4009 = $285.57

Open 67914 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 67914

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

Codes related to 67914
CodeHow it relatesOffice range, Virginia
Same family
67915Ectropion repair, thermocautery techniqueEctropion repair involving tarsal wedge excision rather than suture-based repair.$309.92
67916Ectropion repair, tarsal wedge excisionExtensive ectropion repair, such as a tarsal strip operation.$600.04
67917Eyelid repair, extensive entropion correctionExtensive ectropion repair with skin grafting.$613.80

How 67914 has changed in Virginia

67914 · Office / nonfacility

$480.59

Effective 2026-10-01

The base rate is $23.15 higher than on 2025-10-01, moving from $457.44 to $480.59 (5.1%).

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

    $457.44changed to$480.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.75 changed to 3.66
    • Practice expense RVU 10.30 changed to 10.67
    • Malpractice RVU 0.33 changed to 0.34
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $478.86changed to$457.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.54 changed to 10.30
    • Malpractice RVU 0.34 changed to 0.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $471.04changed to$478.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $488.68changed to$471.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.52 changed to 10.54
    • Malpractice RVU 0.31 changed to 0.34
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $499.53changed to$488.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.45 changed to 10.52
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $505.13changed to$499.53

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.51 changed to 10.45
    • Malpractice RVU 0.30 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $488.45changed to$505.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.60 changed to 10.51
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $481.89changed to$488.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.50 changed to 9.60
    • Malpractice RVU 0.28 changed to 0.30
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $476.36changed to$481.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.35 changed to 9.50
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $469.48changed to$476.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.21 changed to 9.35
    • Malpractice RVU 0.30 changed to 0.29
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $466.62changed to$469.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.20 changed to 9.21
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $468.95changed to$466.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.21 changed to 9.20
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $466.62changed to$468.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $473.32changed to$466.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.14 changed to 9.21
    • Malpractice RVU 0.65 changed to 0.30
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $395.80changed to$473.32

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.56 changed to 9.14
    • Malpractice RVU 0.68 changed to 0.65
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $395.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$480.59$285.57RVU26D
2026-07-01$480.59$285.57RVU26C
2026-04-01$480.59$285.57RVU26B
2026-01-01$480.59$285.57RVU26A
2025-10-01$457.44$312.94RVU25D
2025-07-01$457.44$312.94RVU25C
2025-04-01$457.44$312.94RVU25B
2025-01-01$457.44$312.94RVU25A
2024-10-01$478.86$321.64RVU24D
2024-07-01$478.86$321.64RVU24C
2024-04-01$478.86$321.64RVU24B
2024-03-09$478.86$321.64RVU24AR
2024-01-01$471.04$316.39RVU24A
2023-10-01$488.68$323.96RVU23D
2023-07-01$488.68$323.96RVU23C
2023-04-01$488.68$323.96RVU23B
2023-01-01$488.68$323.96RVU23A
2022-10-01$499.53$326.33RVU22D
2022-07-01$499.53$326.33RVU22C
2022-04-01$499.53$326.33RVU22B
2022-01-01$499.53$326.33RVU22A
2021-10-01$505.13$327.72RVU21D
2021-07-01$505.13$327.72RVU21C
2021-04-01$505.13$327.72RVU21B
2021-01-01$505.13$327.72RVU21A
2020-10-01$488.45$330.73RVU20D
2020-07-01$488.45$330.73RVU20C
2020-04-01$488.45$330.73RVU20B
2020-01-01$488.45$330.73RVU20A
2019-10-01$481.89$331.22RVU19D
2019-07-01$481.89$331.22RVU19C
2019-04-01$481.89$331.22RVU19B
2019-01-01$481.89$331.22RVU19A
2018-10-01$476.36$332.60RVU18D
2018-07-01$476.36$332.60RVU18C
2018-04-01$476.36$332.60RVU18B
2018-01-01$476.36$332.60RVU18AR1
2017-10-01$469.48$329.14RVU17D
2017-07-01$469.48$329.14RVU17C
2017-04-01$469.48$329.14RVU17B
2017-01-01$469.48$329.14RVU17A
2016-10-01$466.62$327.25RVU16D
2016-07-01$466.62$327.25RVU16C
2016-04-01$466.62$327.25RVU16B
2016-01-01$466.62$327.25RVU16A
2015-10-01$468.95$328.02RVU15D
2015-07-01$468.95$328.02RVU15C
2015-04-01$466.62$326.39RVU15B
2015-01-01$466.62$326.39RVU15A
2014-10-01$473.32$335.71RVU14D
2014-07-01$473.32$335.71RVU14C
2014-04-01$473.32$335.71RVU14B
2014-01-01$473.32$335.71RVU14A
2013-10-01$395.80$293.75RVU13D
2013-07-01$395.80$293.75RVU13C
2013-04-01$395.80$293.75RVU13B
2013-01-01$395.80$293.75RVU13AR

Price 67914 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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

Show the CMS file lines behind this rate
RVUs for 67914PPRRVU2026_Oct_nonQPP.csv, line 7,514 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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