CPT code 67915: Ectropion repair, thermocautery technique2026 Medicare rate & RVUs

Reports correction of an outward-turning eyelid using thermocautery, typically when an ophthalmic surgeon treats ectropion with this technique.

CMS RVU26DEffective Oct 1, 2026109 payment localities222 Medicare services in 2024

Medicare pays $315.64 for 67915 nationally in the office and $180.03 in a hospital or facility. Local office rates run $278.62–$428.35.

Medicare rate · 67915

Ectropion repair, thermocautery technique

Office or facility?

Work RVUs
1.98
Total RVUs
9.45
Global days
090

National rate · 2026

$315.64

Office setting, before claim adjustments.

See every locality for 67915 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 67915 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67915 covers

This procedure treats ectropion, in which the eyelid turns outward and may leave the eye exposed or cause tearing. An ophthalmologist, often an oculoplastic surgeon, applies thermocautery to produce tissue contraction that helps bring the lid back toward the eye. It is distinct from ectropion repairs performed with sutures, tissue excision, or more extensive reconstruction; the operative method supports the code selection.

Report the service when the surgeon performs thermocautery for ectropion, and document the affected eyelid, diagnosis, and technique. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; 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 67915 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$278.62 to $428.35

$278.62$353.49$428.35
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

67915 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$282.80$164.14
Alaska$362.18$217.75
Arizona$307.30$175.90
Arkansas$278.62$162.13
Atlanta, GA$320.82$183.04
Austin, TX$329.32$185.85
Bakersfield, CA$338.24$189.62
Baltimore area, MD$335.79$190.28
Beaumont, TX$293.28$169.88
Brazoria, TX$312.79$178.41

67915 rates by state

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

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.

$278.62

$383.04

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

View every state and territory as a table
67915 office rate range by state
State / territoryOffice rate rangeLocalities
AK$362.181
AL$282.801
AR$278.621
AZ$307.301
CA$337.72–$428.3529
CO$330.891
CT$336.881
DC$363.271
DE$312.501
FL$307.58–$333.823
GA$290.30–$320.822
GU$346.841
HI$346.841
IA$291.661
ID$293.291
IL$297.41–$326.824
IN$295.071
KS$289.551
KY$288.081
LA$287.34–$301.962
MA$328.55–$365.132
MD$318.79–$363.273
ME$294.09–$311.472
MI$295.09–$310.762
MN$318.961
MO$281.81–$303.933
MS$280.311
MT$315.631
NC$297.351
ND$312.461
NE$293.511
NH$324.981
NJ$341.27–$359.232
NM$296.451
NV$314.991
NY$301.84–$370.605
OH$294.441
OK$288.321
OR$313.07–$342.432
PA$295.32–$327.872
PR$318.241
RI$324.381
SC$296.281
SD$312.091
TN$290.951
TX$293.28–$329.328
UT$300.441
VA$309.92–$363.272
VI$318.241
VT$310.561
WA$328.16–$373.392
WI$301.691
WV$285.961
WY$314.251

How the 67915 rate is calculated

Each of 67915’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 · 67915

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.98

1.98 RVUs× 1.000 GPCI

Practice expense7.31

7.31 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

9.4500

Conversion factor

$33.4009

Medicare rate

$315.64

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

Payment rules and modifiers for 67915

67915 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67915

Ectropion repair, thermocautery 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 · 67915

Ectropion repair, thermocautery 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

67915 without 50 · national office

$315.64

Ectropion repair, thermocautery technique

67915-50 · Bilateral: 150%

$473.46

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

67915 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 67915

    Ectropion repair, thermocautery technique1.98 wRVU

    $315.64

  • 67914

    Ectropion repair, suture technique3.66 wRVU

    $489.99+$174.35

  • 67916

    Ectropion repair, tarsal wedge excision5.34 wRVU

    $611.57+$295.93

  • 67917

    Eyelid repair, extensive entropion correction5.78 wRVU

    $625.60+$309.96

How to choose

67914Ectropion repairSuture technique
Choose 67915 for thermocautery correction of ectropion; 67914 is the suture technique.
67916Ectropion repairTarsal wedge excision
67916 involves tarsal wedge excision for ectropion; 67915 is selected when thermocautery is the repair method.
67917Eyelid repairExtensive entropion correction
67917 is for extensive ectropion repair. Use 67915 when the documented repair is performed by thermocautery rather than an extensive reconstructive approach.

67915 billing questions

How is this code distinguished from other ectropion repair codes?

Use it when thermocautery is the technique used to correct ectropion. Suture repair, tarsal wedge excision, and extensive repair have separate codes.

What should the operative note document?

Document ectropion, the eyelid treated, and that thermocautery was used to correct the outward lid position.

How is a bilateral procedure reported?

Report modifier 50 for the bilateral procedure; CMS pays it at 150%.

Does the code include postoperative visits?

Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

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 67915PPRRVU2026_Oct_nonQPP.csv, line 7,515 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67915 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 67915 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet