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

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 Wisconsin, Medicare pays $597.01 for 67917 in the office and $373.34 when it’s performed in a hospital or facility.

$597.01Office (non-facility)
$373.34Hospital or facility
−4.6%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 Wisconsin
  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 Wisconsin 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. Wisconsin pays $597.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

67917 in Wisconsin vs other payment areas
  1. Wisconsin · this page$597.01
  2. Los Angeles, CA · California$704.35+$107.34
  3. Washington, DC area · District of Columbia$711.97+$114.96
  4. Miami, FL · Florida$667.19+$70.18
  5. Chicago, IL · Illinois$649.79+$52.78
  6. Manhattan, NY · New York$714.82+$117.81
  7. Alaska · Alaska$742.00+$144.99

Other areas in Wisconsin 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 Wisconsin 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

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 67917 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work5.78× 1.0005.7800
Practice expense12.47× 0.95811.9463
Malpractice0.48× 0.3080.1478
Total RVUs17.8741
Conversion factor× 33.4009

Office rate, Wisconsin$597.01

Office: (5.78 × 1 + 12.47 × 0.958 + 0.48 × 0.308) × $33.4009 = $597.01

Facility: (5.78 × 1 + 5.48 × 0.958 + 0.48 × 0.308) × $33.4009 = $373.34

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, Wisconsin
Same family
67916Ectropion repair, tarsal wedge excisionSuture-based repair for entropion, rather than the extensive correction represented by this code.$583.61
67915Ectropion repair, thermocautery techniqueExtensive repair of the opposite lid malposition: outward turning rather than inward turning.$301.69
Used instead
67922Entropion repair, thermocautery techniqueEntropion repair using tarsal wedge excision; select based on the documented procedure.$294.97

How 67917 has changed in Wisconsin

67917 · Office / nonfacility

$597.01

Effective 2026-10-01

The base rate is $28.68 higher than on 2025-10-01, moving from $568.33 to $597.01 (5.0%).

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

    $568.33changed to$597.01

    • 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
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $592.08changed to$568.33

    • 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

    $582.41changed to$592.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $598.27changed to$582.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.18 changed to 12.22
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $603.48changed to$598.27

    • 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
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $608.50changed to$603.48

    • 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

    $599.41changed to$608.50

    • 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
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $597.81changed to$599.41

    • 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
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $591.43changed to$597.81

    • 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

    $585.42changed to$591.43

    • 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
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $584.77changed to$585.42

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.62 changed to 10.64
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $586.54changed to$584.77

    • 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

    $583.62changed to$586.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $596.67changed to$583.62

    • 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 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $584.61changed to$596.67

    • 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 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$584.61

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$597.01$373.34RVU26D
2026-07-01$597.01$373.34RVU26C
2026-04-01$597.01$373.34RVU26B
2026-01-01$597.01$373.34RVU26A
2025-10-01$568.33$418.81RVU25D
2025-07-01$568.33$418.81RVU25C
2025-04-01$568.33$418.81RVU25B
2025-01-01$568.33$418.81RVU25A
2024-10-01$592.08$430.25RVU24D
2024-07-01$592.08$430.25RVU24C
2024-04-01$592.08$430.25RVU24B
2024-03-09$592.08$430.25RVU24AR
2024-01-01$582.41$423.22RVU24A
2023-10-01$598.27$431.51RVU23D
2023-07-01$598.27$431.51RVU23C
2023-04-01$598.27$431.51RVU23B
2023-01-01$598.27$431.51RVU23A
2022-10-01$603.48$431.03RVU22D
2022-07-01$603.48$431.03RVU22C
2022-04-01$603.48$431.03RVU22B
2022-01-01$603.48$431.03RVU22A
2021-10-01$608.50$433.64RVU21D
2021-07-01$608.50$433.64RVU21C
2021-04-01$608.50$433.64RVU21B
2021-01-01$608.50$433.64RVU21A
2020-10-01$599.41$442.89RVU20D
2020-07-01$599.41$442.89RVU20C
2020-04-01$599.41$442.89RVU20B
2020-01-01$599.41$442.89RVU20A
2019-10-01$597.81$447.78RVU19D
2019-07-01$597.81$447.78RVU19C
2019-04-01$597.81$447.78RVU19B
2019-01-01$597.81$447.78RVU19A
2018-10-01$591.43$449.14RVU18D
2018-07-01$591.43$449.14RVU18C
2018-04-01$591.43$449.14RVU18B
2018-01-01$591.43$449.14RVU18AR1
2017-10-01$585.42$447.15RVU17D
2017-07-01$585.42$447.15RVU17C
2017-04-01$585.42$447.15RVU17B
2017-01-01$585.42$447.15RVU17A
2016-10-01$584.77$447.32RVU16D
2016-07-01$584.77$447.32RVU16C
2016-04-01$584.77$447.32RVU16B
2016-01-01$584.77$447.32RVU16A
2015-10-01$586.54$447.90RVU15D
2015-07-01$586.54$447.90RVU15C
2015-04-01$583.62$445.67RVU15B
2015-01-01$583.62$445.67RVU15A
2014-10-01$596.67$460.08RVU14D
2014-07-01$596.67$460.08RVU14C
2014-04-01$596.67$460.08RVU14B
2014-01-01$596.67$460.08RVU14A
2013-10-01$584.61$473.24RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67917 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

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 WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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