CPT code 67917: Eyelid repair, extensive entropion correction2026 Medicare rate & RVUs in Alabama

In Alabama, Medicare pays $566.58 for 67917 in the office and $362.29 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 67917 nationwide

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

What 67917 covers

Entropion turns the eyelid margin inward, allowing lashes to rub the ocular surface and cause irritation, tearing, or corneal injury. This code describes an extensive surgical correction, such as a repair involving substantial lid repositioning or tissue work, rather than a simple suture repair. Ophthalmologists and oculoplastic surgeons commonly perform the procedure, often for involutional lower-lid entropion, in an operating room or an appropriately equipped outpatient surgical setting.

Select the code based on the operative technique and extent documented, not symptoms alone; the note should identify the affected eyelid, the entropion, and the corrective work performed. Medicare assigns 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 other procedures are subject to the standard 50% reduction. 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 Alabama compares for 67917

Across 109 of 109 payment localities, the office rate for 67917 runs from $559.10 in Arkansas to $823.49 in San Benito County, CA. Alabama pays $566.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67917 rates by state

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

See 67917 in every payment locality

How the 67917 rate is calculated

Each of 67917’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.

Payment rules and modifiers for 67917

67917 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 67917

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

How 67917 has changed in Alabama

Price 67917 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

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

Open CMS sourceHow we calculate rates