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

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

CMS RVU26DEffective Oct 1, 2026One payment locality222 Medicare services in 2024

In Puerto Rico, Medicare pays $318.24 for 67915 in the office and $181.14 when it’s performed in a hospital or facility.

$318.24Office (non-facility)
$181.14Hospital or facility
+0.8%vs the national office rate ($315.64)

Check a contract rate as a % of Medicare · 67915 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 67915 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 67915 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 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.

How Puerto Rico compares for 67915

Across 109 of 109 payment localities, the office rate for 67915 runs from $278.62 in Arkansas to $428.35 in San Benito County, CA. Puerto Rico pays $318.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

67915 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$318.24
  2. Los Angeles, CA · California$361.24+$43.00
  3. Washington, DC area · District of Columbia$363.27+$45.03
  4. Miami, FL · Florida$333.82+$15.58
  5. Chicago, IL · Illinois$324.24+$6.00
  6. Manhattan, NY · New York$362.56+$44.32
  7. Alaska · Alaska$362.18+$43.94

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

Every other payment area

67915 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$282.80$164.14
ArkansasArkansas$278.62$162.13
ArizonaArizona$307.30$175.90
Bakersfield, CACalifornia$338.24$189.62
Chico, CACalifornia$337.72$189.10
El Centro, CACalifornia$337.75$189.12
Fresno, CACalifornia$337.72$189.10
Hanford, CACalifornia$337.72$189.10

67915 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.

$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

See 67915 in every payment locality

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,515

Code
67915
Physician work
1.98
Practice expense
7.31
Malpractice
0.16

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 67915 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0001.9800
Practice expense7.31× 1.0117.3904
Malpractice0.16× 0.9850.1576
Total RVUs9.5280
Conversion factor× 33.4009

Office rate, Puerto Rico$318.24

Office: (1.98 × 1 + 7.31 × 1.011 + 0.16 × 0.985) × $33.4009 = $318.24

Facility: (1.98 × 1 + 3.25 × 1.011 + 0.16 × 0.985) × $33.4009 = $181.14

Open 67915 in the RVU calculator

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

Codes related to 67915

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

Codes related to 67915
CodeHow it relatesOffice range, Puerto Rico
Same family
67914Ectropion repair, suture techniqueEctropion repair performed with sutures rather than thermocautery.$493.74
67916Ectropion repair, tarsal wedge excisionEctropion repair using tarsal wedge excision.$615.94
67917Eyelid repair, extensive entropion correctionExtensive ectropion repair, including more involved reconstructive techniques.$629.94

How 67915 has changed in Puerto Rico

67915 · Office / nonfacility

$318.24

Effective 2026-10-01

The base rate is $19.48 higher than on 2025-10-01, moving from $298.76 to $318.24 (6.5%).

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

    $298.76changed to$318.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 7.00 changed to 7.31
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $316.83changed to$298.76

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.28 changed to 7.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $311.66changed to$316.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $322.79changed to$311.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.27 changed to 7.28
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $320.91changed to$322.79

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $328.60changed to$320.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.24 changed to 7.27
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $331.34changed to$328.60

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.26 changed to 7.24
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $314.34changed to$331.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.48 changed to 7.26
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $308.60changed to$314.34

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.34 changed to 6.48
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $302.82changed to$308.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.19 changed to 6.34

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $262.48changed to$302.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.06 changed to 6.19
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $227.48changed to$262.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.07 changed to 6.06
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $227.79changed to$227.48

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.05 changed to 6.07

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $226.66changed to$227.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $224.57changed to$226.66

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.02 changed to 6.05
    • Malpractice RVU 0.27 changed to 0.15
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $276.89changed to$224.57

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 3.26 changed to 2.03
    • Practice expense RVU 7.03 changed to 6.02
    • Malpractice RVU 0.45 changed to 0.27
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $276.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$318.24$181.14RVU26D
2026-07-01$318.24$181.14RVU26C
2026-04-01$318.24$181.14RVU26B
2026-01-01$318.24$181.14RVU26A
2025-10-01$298.76$192.89RVU25D
2025-07-01$298.76$192.89RVU25C
2025-04-01$298.76$192.89RVU25B
2025-01-01$298.76$192.89RVU25A
2024-10-01$316.83$199.85RVU24D
2024-07-01$316.83$199.85RVU24C
2024-04-01$316.83$199.85RVU24B
2024-03-09$316.83$199.85RVU24AR
2024-01-01$311.66$196.58RVU24A
2023-10-01$322.79$200.16RVU23D
2023-07-01$320.91$199.26RVU23C
2023-04-01$320.91$199.26RVU23B
2023-01-01$320.91$199.26RVU23A
2022-10-01$328.60$199.89RVU22D
2022-07-01$328.60$199.89RVU22C
2022-04-01$328.60$199.89RVU22B
2022-01-01$328.60$199.89RVU22A
2021-10-01$331.34$200.50RVU21D
2021-07-01$331.34$200.50RVU21C
2021-04-01$331.34$200.50RVU21B
2021-01-01$331.34$200.50RVU21A
2020-10-01$314.34$201.57RVU20D
2020-07-01$314.34$201.57RVU20C
2020-04-01$314.34$201.57RVU20B
2020-01-01$314.34$201.57RVU20A
2019-10-01$308.60$203.35RVU19D
2019-07-01$308.60$203.35RVU19C
2019-04-01$308.60$203.35RVU19B
2019-01-01$308.60$203.35RVU19A
2018-10-01$302.82$204.58RVU18D
2018-07-01$302.82$204.58RVU18C
2018-04-01$302.82$204.58RVU18B
2018-01-01$302.82$204.58RVU18AR1
2017-10-01$262.48$181.38RVU17D
2017-07-01$262.48$181.38RVU17C
2017-04-01$262.48$181.38RVU17B
2017-01-01$262.48$181.38RVU17A
2016-10-01$227.48$160.84RVU16D
2016-07-01$227.48$160.84RVU16C
2016-04-01$227.48$160.84RVU16B
2016-01-01$227.48$160.84RVU16A
2015-10-01$227.79$160.91RVU15D
2015-07-01$227.79$160.91RVU15C
2015-04-01$226.66$160.11RVU15B
2015-01-01$226.66$160.11RVU15A
2014-10-01$224.57$159.87RVU14D
2014-07-01$224.57$159.87RVU14C
2014-04-01$224.57$159.87RVU14B
2014-01-01$224.57$159.87RVU14A
2013-10-01$276.89$210.69RVU13D
2013-07-01$276.89$210.69RVU13C
2013-04-01$276.89$210.69RVU13B
2013-01-01$276.89$210.69RVU13AR

Price 67915 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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