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CPT code 67921: Entropion repair, suture technique2026 Medicare rate & RVUs in Delaware

Reports suture-based correction of an inward-turned eyelid margin, commonly performed by an ophthalmologist to relieve irritation and protect the ocular surface.

CMS RVU26DEffective Oct 1, 2026One payment locality2.9K Medicare services in 2024

In Delaware, Medicare pays $472.72 for 67921 in the office and $274.39 when it’s performed in a hospital or facility.

$472.72Office (non-facility)
$274.39Hospital or facility
−1.0%vs the national office rate ($477.30)

Check a contract rate as a % of Medicare · 67921 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 67921 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 67921 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 67921 covers

This procedure corrects entropion, in which the eyelid margin turns inward and lashes or skin may rub against the eye. The surgeon uses sutures to rotate the lid margin outward. It is commonly performed by an ophthalmologist or oculoplastic surgeon in an office procedure room or operating facility, often for involutional lower-lid entropion.

Select this code when the documented repair uses sutures, rather than thermal treatment, tarsal wedge excision, or a more extensive repair. The operative note should identify the affected eyelid, the entropion being corrected, and the suture-based technique. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral repair, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. CMS does not pay an assistant at surgery, and 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 67921

Across 109 of 109 payment localities, the office rate for 67921 runs from $422.93 in Arkansas to $642.92 in San Benito County, CA. Delaware pays $472.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

67921 in Delaware vs other payment areas
  1. Delaware · this page$472.72
  2. Los Angeles, CA · California$544.11+$71.39
  3. Washington, DC area · District of Columbia$547.69+$74.97
  4. Miami, FL · Florida$505.16+$32.44
  5. Chicago, IL · Illinois$491.11+$18.39
  6. Manhattan, NY · New York$547.24+$74.52
  7. Alaska · Alaska$552.97+$80.25

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

Every other payment area

67921 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$429.06$253.42
ArkansasArkansas$422.93$250.50
ArizonaArizona$465.02$270.50
Bakersfield, CACalifornia$510.20$290.19
Chico, CACalifornia$509.34$289.33
El Centro, CACalifornia$509.38$289.37
Fresno, CACalifornia$509.34$289.33
Hanford, CACalifornia$509.34$289.33

67921 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.

$422.93

$576.13

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

View every state and territory as a table
67921 office rate range by state
State / territoryOffice rate rangeLocalities
AK$552.971
AL$429.061
AR$422.931
AZ$465.021
CA$509.34–$642.9229
CO$499.521
CT$508.771
DC$547.691
DE$472.721
FL$466.02–$505.163
GA$440.55–$485.072
GU$522.381
HI$522.381
IA$441.831
ID$444.261
IL$451.24–$494.404
IN$446.871
KS$438.841
KY$437.081
LA$436.03–$457.492
MA$496.20–$549.982
MD$481.98–$547.693
ME$445.56–$470.892
MI$447.47–$470.812
MN$481.501
MO$427.98–$460.243
MS$425.591
MT$477.281
NC$450.331
ND$472.141
NE$444.511
NH$490.801
NJ$515.38–$541.922
NM$449.521
NV$476.201
NY$456.93–$559.205
OH$446.421
OK$437.301
OR$473.30–$516.372
PA$447.65–$495.592
PR$481.081
RI$490.241
SC$448.961
SD$471.531
TN$440.911
TX$444.67–$497.178
UT$455.071
VA$468.70–$547.692
VI$481.081
VT$469.451
WA$495.54–$562.102
WI$456.351
WV$434.441
WY$475.041

See 67921 in every payment locality

How the 67921 rate is calculated

Each of 67921’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 · 67921

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.38

3.38 RVUs× 1.000 GPCI

Practice expense10.65

10.65 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

14.2900

Conversion factor

$33.4009

Medicare rate

$477.30

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

7,518

Code
67921
Physician work
3.38
Practice expense
10.65
Malpractice
0.26

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 67921 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.38× 1.0053.3969
Practice expense10.65× 0.98810.5222
Malpractice0.26× 0.8990.2337
Total RVUs14.1528
Conversion factor× 33.4009

Office rate, Delaware$472.72

Office: (3.38 × 1.005 + 10.65 × 0.988 + 0.26 × 0.899) × $33.4009 = $472.72

Facility: (3.38 × 1.005 + 4.64 × 0.988 + 0.26 × 0.899) × $33.4009 = $274.39

Open 67921 in the RVU calculator

Payment rules and modifiers for 67921

67921 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67921

Entropion repair, suture 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 · 67921

Entropion repair, suture 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

67921 without 50 · national office

$477.30

Entropion repair, suture technique

67921-50 · Bilateral: 150%

$715.95

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 67921

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

Codes related to 67921
CodeHow it relatesOffice range, Delaware
Same family
67922Entropion repair, thermocautery techniqueEntropion repair using thermocauterization rather than sutures.$305.57
67923Entropion repair, tarsal wedge excisionEntropion repair involving tarsal wedge excision.$605.00
67924Entropion repair, extensive repairExtensive entropion repair, distinguished by the greater extent of the procedure.$645.06

How 67921 has changed in Delaware

67921 · Office / nonfacility

$472.72

Effective 2026-10-01

The base rate is $20.69 higher than on 2025-10-01, moving from $452.03 to $472.72 (4.6%).

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

    $452.03changed to$472.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.47 changed to 3.38
    • Practice expense RVU 10.29 changed to 10.65
    • Malpractice RVU 0.28 changed to 0.26
    • 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

    $473.78changed to$452.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.56 changed to 10.29
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $466.05changed to$473.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $486.67changed to$466.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.54 changed to 10.56
    • 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

    $499.71changed to$486.67

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.49 changed to 10.54
    • Malpractice RVU 0.25 changed to 0.27
    • 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

    $506.67changed to$499.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.56 changed to 10.49
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $491.16changed to$506.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.64 changed to 10.56
    • Malpractice RVU 0.27 changed to 0.26
    • 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

    $487.13changed to$491.16

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.55 changed to 9.64
    • Malpractice RVU 0.26 changed to 0.27
    • 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

    $481.46changed to$487.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.41 changed to 9.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $476.32changed to$481.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.25 changed to 9.41
    • 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

    $477.27changed to$476.32

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $478.62changed to$477.27

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.24 changed to 9.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $476.24changed to$478.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $487.96changed to$476.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.19 changed to 9.24
    • Malpractice RVU 0.65 changed to 0.26
    • 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

    $397.16changed to$487.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.38 changed to 9.19
    • Malpractice RVU 0.68 changed to 0.65
    • 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: $397.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$472.72$274.39RVU26D
2026-07-01$472.72$274.39RVU26C
2026-04-01$472.72$274.39RVU26B
2026-01-01$472.72$274.39RVU26A
2025-10-01$452.03$301.22RVU25D
2025-07-01$452.03$301.22RVU25C
2025-04-01$452.03$301.22RVU25B
2025-01-01$452.03$301.22RVU25A
2024-10-01$473.78$309.66RVU24D
2024-07-01$473.78$309.66RVU24C
2024-04-01$473.78$309.66RVU24B
2024-03-09$473.78$309.66RVU24AR
2024-01-01$466.05$304.61RVU24A
2023-10-01$486.67$312.97RVU23D
2023-07-01$486.67$312.97RVU23C
2023-04-01$486.67$312.97RVU23B
2023-01-01$486.67$312.97RVU23A
2022-10-01$499.71$315.09RVU22D
2022-07-01$499.71$315.09RVU22C
2022-04-01$499.71$315.09RVU22B
2022-01-01$499.71$315.09RVU22A
2021-10-01$506.67$317.31RVU21D
2021-07-01$506.67$317.31RVU21C
2021-04-01$506.67$317.31RVU21B
2021-01-01$506.67$317.31RVU21A
2020-10-01$491.16$320.92RVU20D
2020-07-01$491.16$320.92RVU20C
2020-04-01$491.16$320.92RVU20B
2020-01-01$491.16$320.92RVU20A
2019-10-01$487.13$323.34RVU19D
2019-07-01$487.13$323.34RVU19C
2019-04-01$487.13$323.34RVU19B
2019-01-01$487.13$323.34RVU19A
2018-10-01$481.46$324.45RVU18D
2018-07-01$481.46$324.45RVU18C
2018-04-01$481.46$324.45RVU18B
2018-01-01$481.46$324.45RVU18AR1
2017-10-01$476.32$322.56RVU17D
2017-07-01$476.32$322.56RVU17C
2017-04-01$476.32$322.56RVU17B
2017-01-01$476.32$322.56RVU17A
2016-10-01$477.27$322.97RVU16D
2016-07-01$477.27$322.97RVU16C
2016-04-01$477.27$322.97RVU16B
2016-01-01$477.27$322.97RVU16A
2015-10-01$478.62$323.02RVU15D
2015-07-01$478.62$323.02RVU15C
2015-04-01$476.24$321.42RVU15B
2015-01-01$476.24$321.42RVU15A
2014-10-01$487.96$334.39RVU14D
2014-07-01$487.96$334.39RVU14C
2014-04-01$487.96$334.39RVU14B
2014-01-01$487.96$334.39RVU14A
2013-10-01$397.16$288.11RVU13D
2013-07-01$397.16$288.11RVU13C
2013-04-01$397.16$288.11RVU13B
2013-01-01$397.16$288.11RVU13AR

Price 67921 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

67921 billing questions

How does this differ from 67922?

Use 67921 for suture-based correction of entropion. Code 67922 describes correction using thermocauterization.

When would 67923 or 67924 be selected instead?

Those codes represent different operative approaches: tarsal wedge excision for 67923 and an extensive repair for 67924. The operative note should support the technique and extent reported.

Can this be reported for both eyelids?

Yes. CMS identifies the procedure as bilateral, with modifier 50 paid at 150%.

Are related postoperative visits separately reported?

The 90-day global period includes related postoperative care, as well as the preoperative visit on the day before surgery.

Can an assistant or co-surgeon be billed for this repair?

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

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 67921PPRRVU2026_Oct_nonQPP.csv, line 7,518 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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