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CPT code 67922: Entropion repair, thermocautery technique2026 Medicare rate & RVUs in Wisconsin

Reports thermocautery treatment of entropion, an inward-turning eyelid that can cause lashes to rub against the eye and irritate its surface.

CMS RVU26DEffective Oct 1, 2026One payment locality117 Medicare services in 2024

In Wisconsin, Medicare pays $294.97 for 67922 in the office and $171.77 when it’s performed in a hospital or facility.

$294.97Office (non-facility)
$171.77Hospital or facility
−4.4%vs the national office rate ($308.62)

Check a contract rate as a % of Medicare · 67922 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 67922 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 67922 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 67922 covers

Entropion turns the eyelid margin inward, bringing the lashes into contact with the ocular surface. For this procedure, an ophthalmologist or oculoplastic surgeon uses controlled heat to create tissue contraction that helps evert the lid. It is a technique-specific option for correcting eyelid malposition; it is distinct from suture repair, tarsal wedge excision, or more extensive reconstruction. The record should identify the affected lid, the entropion and its clinical effect, and the thermocautery technique performed.

Report this code when the documented repair uses thermocautery, not simply because the patient has entropion. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 67922

Across 109 of 109 payment localities, the office rate for 67922 runs from $272.59 in Arkansas to $418.24 in San Benito County, CA. Wisconsin pays $294.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

67922 in Wisconsin vs other payment areas
  1. Wisconsin · this page$294.97
  2. Los Angeles, CA · California$352.94+$57.97
  3. Washington, DC area · District of Columbia$355.01+$60.04
  4. Miami, FL · Florida$326.52+$31.55
  5. Chicago, IL · Illinois$317.19+$22.22
  6. Manhattan, NY · New York$354.41+$59.44
  7. Alaska · Alaska$354.71+$59.74

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

Every other payment area

67922 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$276.66$164.14
ArkansasArkansas$272.59$162.13
ArizonaArizona$300.50$175.90
Bakersfield, CACalifornia$330.56$189.62
Chico, CACalifornia$330.03$189.10
El Centro, CACalifornia$330.06$189.12
Fresno, CACalifornia$330.03$189.10
Hanford, CACalifornia$330.03$189.10

67922 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.

$272.59

$374.14

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

View every state and territory as a table
67922 office rate range by state
State / territoryOffice rate rangeLocalities
AK$354.711
AL$276.661
AR$272.591
AZ$300.501
CA$330.03–$418.2429
CO$323.421
CT$329.331
DC$355.011
DE$305.571
FL$300.88–$326.523
GA$284.04–$313.692
GU$338.861
HI$338.861
IA$285.241
ID$286.841
IL$291.00–$319.624
IN$288.571
KS$283.211
KY$281.851
LA$281.13–$295.362
MA$321.17–$356.752
MD$311.69–$355.013
ME$287.63–$304.522
MI$288.68–$303.992
MN$311.741
MO$275.76–$297.253
MS$274.271
MT$308.611
NC$290.811
ND$305.451
NE$287.041
NH$317.681
NJ$333.61–$351.102
NM$290.021
NV$307.971
NY$295.18–$362.265
OH$288.041
OK$282.061
OR$306.09–$334.642
PA$288.88–$320.572
PR$311.151
RI$317.131
SC$289.801
SD$305.081
TN$284.571
TX$286.90–$321.908
UT$293.851
VA$303.02–$355.012
VI$311.151
VT$303.611
WA$320.78–$364.792
WI$294.971
WV$279.861
WY$307.231

See 67922 in every payment locality

How the 67922 rate is calculated

Each of 67922’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 · 67922

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.98

1.98 RVUs× 1.000 GPCI

Practice expense7.10

7.10 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

9.2400

Conversion factor

$33.4009

Medicare rate

$308.62

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

7,519

Code
67922
Physician work
1.98
Practice expense
7.10
Malpractice
0.16

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 67922 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0001.9800
Practice expense7.10× 0.9586.8018
Malpractice0.16× 0.3080.0493
Total RVUs8.8311
Conversion factor× 33.4009

Office rate, Wisconsin$294.97

Office: (1.98 × 1 + 7.1 × 0.958 + 0.16 × 0.308) × $33.4009 = $294.97

Facility: (1.98 × 1 + 3.25 × 0.958 + 0.16 × 0.308) × $33.4009 = $171.77

Open 67922 in the RVU calculator

Payment rules and modifiers for 67922

67922 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67922

Entropion 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 · 67922

Entropion 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

67922 without 50 · national office

$308.62

Entropion repair, thermocautery technique

67922-50 · Bilateral: 150%

$462.93

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 67922

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

Codes related to 67922
CodeHow it relatesOffice range, Wisconsin
Same family
67921Entropion repair, suture techniqueEntropion repair using a suture technique rather than thermocautery.$456.35
67923Entropion repair, tarsal wedge excisionEntropion repair using tarsal wedge excision.$583.08
67924Entropion repair, extensive repairExtensive entropion repair, distinct from thermocautery treatment.$621.55

How 67922 has changed in Wisconsin

67922 · Office / nonfacility

$294.97

Effective 2026-10-01

The base rate is $15.55 higher than on 2025-10-01, moving from $279.42 to $294.97 (5.6%).

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

    $279.42changed to$294.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 6.85 changed to 7.10
    • 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

    $292.65changed to$279.42

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.01 changed to 6.85

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $287.87changed to$292.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $295.63changed to$287.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.99 changed to 7.01
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $298.23changed to$295.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.94 changed to 6.99
    • 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

    $300.82changed to$298.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.95 changed to 6.94
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $289.17changed to$300.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.26 changed to 6.95
    • Malpractice RVU 0.13 changed to 0.15
    • 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

    $288.52changed to$289.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.19 changed to 6.26
    • Malpractice RVU 0.15 changed to 0.13
    • 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

    $285.45changed to$288.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.11 changed to 6.19

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $280.83changed to$285.45

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.99 changed to 6.11
    • 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

    $280.88changed to$280.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.00 changed to 5.99
    • 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

    $280.87changed to$280.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.97 changed to 6.00

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $279.47changed to$280.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $282.44changed to$279.47

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.96 changed to 5.97
    • Malpractice RVU 0.26 changed to 0.15
    • 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

    $340.34changed to$282.44

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 3.14 changed to 2.03
    • Practice expense RVU 6.91 changed to 5.96
    • Malpractice RVU 0.42 changed to 0.26
    • 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$340.34

  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$294.97$171.77RVU26D
2026-07-01$294.97$171.77RVU26C
2026-04-01$294.97$171.77RVU26B
2026-01-01$294.97$171.77RVU26A
2025-10-01$279.42$185.01RVU25D
2025-07-01$279.42$185.01RVU25C
2025-04-01$279.42$185.01RVU25B
2025-01-01$279.42$185.01RVU25A
2024-10-01$292.65$190.07RVU24D
2024-07-01$292.65$190.07RVU24C
2024-04-01$292.65$190.07RVU24B
2024-03-09$292.65$190.07RVU24AR
2024-01-01$287.87$186.97RVU24A
2023-10-01$295.63$189.39RVU23D
2023-07-01$295.63$189.39RVU23C
2023-04-01$295.63$189.39RVU23B
2023-01-01$295.63$189.39RVU23A
2022-10-01$298.23$188.04RVU22D
2022-07-01$298.23$188.04RVU22C
2022-04-01$298.23$188.04RVU22B
2022-01-01$298.23$188.04RVU22A
2021-10-01$300.82$188.08RVU21D
2021-07-01$300.82$188.08RVU21C
2021-04-01$300.82$188.08RVU21B
2021-01-01$300.82$188.08RVU21A
2020-10-01$289.17$189.85RVU20D
2020-07-01$289.17$189.85RVU20C
2020-04-01$289.17$189.85RVU20B
2020-01-01$289.17$189.85RVU20A
2019-10-01$288.52$192.99RVU19D
2019-07-01$288.52$192.99RVU19C
2019-04-01$288.52$192.99RVU19B
2019-01-01$288.52$192.99RVU19A
2018-10-01$285.45$194.16RVU18D
2018-07-01$285.45$194.16RVU18C
2018-04-01$285.45$194.16RVU18B
2018-01-01$285.45$194.16RVU18AR1
2017-10-01$280.83$192.65RVU17D
2017-07-01$280.83$192.65RVU17C
2017-04-01$280.83$192.65RVU17B
2017-01-01$280.83$192.65RVU17A
2016-10-01$280.88$192.66RVU16D
2016-07-01$280.88$192.66RVU16C
2016-04-01$280.88$192.66RVU16B
2016-01-01$280.88$192.66RVU16A
2015-10-01$280.87$192.33RVU15D
2015-07-01$280.87$192.33RVU15C
2015-04-01$279.47$191.37RVU15B
2015-01-01$279.47$191.37RVU15A
2014-10-01$282.44$194.93RVU14D
2014-07-01$282.44$194.93RVU14C
2014-04-01$282.44$194.93RVU14B
2014-01-01$282.44$194.93RVU14A
2013-10-01$340.34$248.24RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67922 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

67922 billing questions

How does this code differ from 67921?

Both address entropion, but 67922 identifies repair using thermocautery. Code 67921 is the suture-repair approach.

When should 67923 or 67924 be considered instead?

Use 67923 when the documented repair uses tarsal wedge excision. Code 67924 describes an extensive entropion repair, rather than thermocautery.

How is bilateral treatment reported?

CMS specifies modifier 50 for bilateral reporting, with payment at 150%.

What postoperative care is included?

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

What documentation supports 67922?

Document the affected eyelid, the entropion being treated, and that thermocautery was the repair method. The technique distinguishes this code from other entropion repair options.

Can an assistant or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment 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 67922PPRRVU2026_Oct_nonQPP.csv, line 7,519 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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