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

Reports extensive surgical correction of an eyelid turned inward, typically when the repair requires more than a simple suture technique.

CMS RVU26DEffective Oct 1, 2026One payment locality27K Medicare services in 2024

In Delaware, Medicare pays $619.95 for 67917 in the office and $389.28 when it’s performed in a hospital or facility.

$619.95Office (non-facility)
$389.28Hospital or facility
−0.9%vs the national office rate ($625.60)

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.

We’ll open 67917 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 67917 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 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 Delaware 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. Delaware pays $619.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

67917 in Delaware vs other payment areas
  1. Delaware · this page$619.95
  2. Los Angeles, CA · California$704.35+$84.40
  3. Washington, DC area · District of Columbia$711.97+$92.02
  4. Miami, FL · Florida$667.19+$47.24
  5. Chicago, IL · Illinois$649.79+$29.84
  6. Manhattan, NY · New York$714.82+$94.87
  7. Alaska · Alaska$742.00+$122.05

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

Every other payment area

67917 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$566.58$362.29
ArkansasArkansas$559.10$358.54
ArizonaArizona$610.38$384.14
Bakersfield, CACalifornia$662.98$407.10
Chico, CACalifornia$661.43$405.54
El Centro, CACalifornia$661.51$405.62
Fresno, CACalifornia$661.43$405.54
Hanford, CACalifornia$661.43$405.54

67917 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.

$559.10

$742.46

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

View every state and territory as a table
67917 office rate range by state
State / territoryOffice rate rangeLocalities
AK$742.001
AL$566.581
AR$559.101
AZ$610.381
CA$661.43–$823.4929
CO$651.061
CT$664.901
DC$711.971
DE$619.951
FL$615.34–$667.193
GA$583.69–$636.062
GU$675.911
HI$675.911
IA$580.531
ID$583.831
IL$598.39–$650.574
IN$586.951
KS$577.661
KY$578.001
LA$577.03–$603.212
MA$647.51–$712.552
MD$631.21–$711.973
ME$586.22–$615.932
MI$591.43–$622.022
MN$626.391
MO$567.70–$605.643
MS$563.521
MT$625.571
NC$591.911
ND$616.081
NE$583.561
NH$640.671
NJ$673.20–$705.492
NM$594.251
NV$623.341
NY$600.01–$730.415
OH$589.491
OK$577.461
OR$619.17–$670.822
PA$590.56–$649.252
PR$629.941
RI$641.281
SC$591.541
SD$614.951
TN$580.271
TX$586.97–$648.318
UT$598.971
VA$613.80–$711.972
VI$629.941
VT$613.511
WA$646.35–$726.872
WI$597.011
WV$577.951
WY$621.431

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.

How the rate is built · 67917

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.78

5.78 RVUs× 1.000 GPCI

Practice expense12.47

12.47 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

18.7300

Conversion factor

$33.4009

Medicare rate

$625.60

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,517

Code
67917
Physician work
5.78
Practice expense
12.47
Malpractice
0.48

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 67917 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.78× 1.0055.8089
Practice expense12.47× 0.98812.3204
Malpractice0.48× 0.8990.4315
Total RVUs18.5608
Conversion factor× 33.4009

Office rate, Delaware$619.95

Office: (5.78 × 1.005 + 12.47 × 0.988 + 0.48 × 0.899) × $33.4009 = $619.95

Facility: (5.78 × 1.005 + 5.48 × 0.988 + 0.48 × 0.899) × $33.4009 = $389.28

Open 67917 in the RVU calculator

Payment rules and modifiers for 67917

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

CMS payment indicators · 67917

Eyelid repair, extensive entropion correction

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 · 67917

Eyelid repair, extensive entropion correction

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

67917 without 50 · national office

$625.60

Eyelid repair, extensive entropion correction

67917-50 · Bilateral: 150%

$938.40

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 67917

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

Codes related to 67917
CodeHow it relatesOffice range, Delaware
Same family
67916Ectropion repair, tarsal wedge excisionSuture-based repair for entropion, rather than the extensive correction represented by this code.$605.93
67915Ectropion repair, thermocautery techniqueExtensive repair of the opposite lid malposition: outward turning rather than inward turning.$312.50
Used instead
67922Entropion repair, thermocautery techniqueEntropion repair using tarsal wedge excision; select based on the documented procedure.$305.57

How 67917 has changed in Delaware

67917 · Office / nonfacility

$619.95

Effective 2026-10-01

The base rate is $26.33 higher than on 2025-10-01, moving from $593.62 to $619.95 (4.4%).

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

    $593.62changed to$619.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.93 changed to 5.78
    • Practice expense RVU 11.99 changed to 12.47
    • Malpractice RVU 0.50 changed to 0.48
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $618.17changed to$593.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.22 changed to 11.99
    • Malpractice RVU 0.49 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $608.08changed to$618.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $633.57changed to$608.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.18 changed to 12.22
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $648.81changed to$633.57

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.06 changed to 12.18
    • Malpractice RVU 0.50 changed to 0.49
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $653.58changed to$648.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.07 changed to 12.06
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $641.66changed to$653.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.09 changed to 12.07
    • Malpractice RVU 0.48 changed to 0.47
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $636.62changed to$641.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.97 changed to 11.09
    • Malpractice RVU 0.46 changed to 0.48
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $630.09changed to$636.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.80 changed to 10.97
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $624.53changed to$630.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.64 changed to 10.80
    • Malpractice RVU 0.46 changed to 0.47
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $624.73changed to$624.53

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.62 changed to 10.64
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $626.62changed to$624.73

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.61 changed to 10.62

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $623.50changed to$626.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $641.73changed to$623.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.58 changed to 10.61
    • Malpractice RVU 1.06 changed to 0.46
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $622.91changed to$641.73

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 6.19 changed to 5.93
    • Practice expense RVU 10.79 changed to 10.58
    • Malpractice RVU 1.16 changed to 1.06
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $622.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$619.95$389.28RVU26D
2026-07-01$619.95$389.28RVU26C
2026-04-01$619.95$389.28RVU26B
2026-01-01$619.95$389.28RVU26A
2025-10-01$593.62$438.64RVU25D
2025-07-01$593.62$438.64RVU25C
2025-04-01$593.62$438.64RVU25B
2025-01-01$593.62$438.64RVU25A
2024-10-01$618.17$450.42RVU24D
2024-07-01$618.17$450.42RVU24C
2024-04-01$618.17$450.42RVU24B
2024-03-09$618.17$450.42RVU24AR
2024-01-01$608.08$443.07RVU24A
2023-10-01$633.57$456.80RVU23D
2023-07-01$633.57$456.80RVU23C
2023-04-01$633.57$456.80RVU23B
2023-01-01$633.57$456.80RVU23A
2022-10-01$648.81$461.72RVU22D
2022-07-01$648.81$461.72RVU22C
2022-04-01$648.81$461.72RVU22B
2022-01-01$648.81$461.72RVU22A
2021-10-01$653.58$463.86RVU21D
2021-07-01$653.58$463.86RVU21C
2021-04-01$653.58$463.86RVU21B
2021-01-01$653.58$463.86RVU21A
2020-10-01$641.66$473.26RVU20D
2020-07-01$641.66$473.26RVU20C
2020-04-01$641.66$473.26RVU20B
2020-01-01$641.66$473.26RVU20A
2019-10-01$636.62$476.87RVU19D
2019-07-01$636.62$476.87RVU19C
2019-04-01$636.62$476.87RVU19B
2019-01-01$636.62$476.87RVU19A
2018-10-01$630.09$478.58RVU18D
2018-07-01$630.09$478.58RVU18C
2018-04-01$630.09$478.58RVU18B
2018-01-01$630.09$478.58RVU18AR1
2017-10-01$624.53$476.28RVU17D
2017-07-01$624.53$476.28RVU17C
2017-04-01$624.53$476.28RVU17B
2017-01-01$624.53$476.28RVU17A
2016-10-01$624.73$476.34RVU16D
2016-07-01$624.73$476.34RVU16C
2016-04-01$624.73$476.34RVU16B
2016-01-01$624.73$476.34RVU16A
2015-10-01$626.62$476.95RVU15D
2015-07-01$626.62$476.95RVU15C
2015-04-01$623.50$474.57RVU15B
2015-01-01$623.50$474.57RVU15A
2014-10-01$641.73$493.73RVU14D
2014-07-01$641.73$493.73RVU14C
2014-04-01$641.73$493.73RVU14B
2014-01-01$641.73$493.73RVU14A
2013-10-01$622.91$501.79RVU13D
2013-07-01$622.91$501.79RVU13C
2013-04-01$622.91$501.79RVU13B
2013-01-01$622.91$501.79RVU13AR

Price 67917 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

67917 billing questions

How is this distinguished from 67916?

67917 is for extensive entropion correction. Use 67916 when the documented repair is a suture technique rather than an extensive repair.

What documentation supports reporting 67917?

Document the affected eyelid, the inward turning, and the operative technique and extent of correction. The record should support an extensive repair rather than a simple suture correction.

Can modifier 50 be used when both eyelids are treated?

Yes. CMS lists this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.

Does the code include routine postoperative visits?

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

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.

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 67917PPRRVU2026_Oct_nonQPP.csv, line 7,517 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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