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CPT code 67923: Entropion repair, tarsal wedge excision2026 Medicare rate & RVUs in Washington, DC area

Repair inward-turning eyelid tissue by excising a tarsal wedge, typically when entropion requires more than a suture-based or thermocautery correction.

CMS RVU26DEffective Oct 1, 2026One payment locality915 Medicare services in 2024

In Washington, DC area, Medicare pays $696.20 for 67923 in the office and $414.09 when it’s performed in a hospital or facility.

$696.20Office (non-facility)
$414.09Hospital or facility
+14.0%vs the national office rate ($610.57)

Check a contract rate as a % of Medicare · 67923 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 67923 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 67923 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 67923 covers

This procedure corrects entropion, in which an eyelid turns inward and may cause lashes to rub the eye. The surgeon excises a wedge of tarsal tissue and closes the resulting defect to reposition the lid. Ophthalmologists, including oculoplastic surgeons, typically perform the repair in an operating room or an appropriately equipped outpatient surgical setting. The operative report should identify the affected eyelid and document the tarsal wedge excision and repair performed.

Report this code when the documented technique is tarsal wedge excision, rather than suture repair, thermocautery, or an extensive repair using another approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 Washington, DC area compares for 67923

Across 109 of 109 payment localities, the office rate for 67923 runs from $544.69 in Arkansas to $808.21 in San Benito County, CA. Washington, DC area pays $696.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

67923 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$696.20
  2. Los Angeles, CA · California$689.52−$6.68
  3. Miami, FL · Florida$649.66−$46.54
  4. Chicago, IL · Illinois$632.51−$63.69
  5. Manhattan, NY · New York$698.09+$1.89
  6. Alaska · Alaska$720.46+$24.26
  7. Alabama · Alabama$552.10−$144.10

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

67923 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$544.69$338.97
ArizonaArizona$595.55$363.49
Bakersfield, CACalifornia$648.45$385.98
Chico, CACalifornia$647.05$384.57
El Centro, CACalifornia$647.12$384.65
Fresno, CACalifornia$647.05$384.57
Hanford, CACalifornia$647.05$384.57
Madera, CACalifornia$647.05$384.57

67923 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.

$544.69

$727.63

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

View every state and territory as a table
67923 office rate range by state
State / territoryOffice rate rangeLocalities
AK$720.461
AL$552.101
AR$544.691
AZ$595.551
CA$647.05–$808.2129
CO$636.311
CT$649.331
DC$696.201
DE$605.001
FL$599.41–$649.663
GA$568.20–$620.682
GU$661.771
HI$661.771
IA$566.391
ID$569.571
IL$582.30–$634.194
IN$572.681
KS$563.331
KY$562.971
LA$561.91–$587.872
MA$632.65–$697.362
MD$616.19–$696.203
ME$571.71–$601.512
MI$576.07–$605.802
MN$612.571
MO$552.53–$590.543
MS$548.741
MT$610.541
NC$577.391
ND$602.041
NE$569.461
NH$625.901
NJ$657.54–$689.642
NM$578.771
NV$608.591
NY$585.41–$713.265
OH$574.331
OK$562.661
OR$604.63–$656.132
PA$575.52–$633.682
PR$614.951
RI$626.201
SC$576.661
SD$601.031
TN$565.891
TX$571.94–$633.528
UT$584.031
VA$599.24–$696.202
VI$614.951
VT$599.291
WA$631.60–$711.712
WI$583.081
WV$562.021
WY$606.831

See 67923 in every payment locality

How the 67923 rate is calculated

Each of 67923’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 · 67923

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.34

5.34 RVUs× 1.000 GPCI

Practice expense12.51

12.51 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

18.2800

Conversion factor

$33.4009

Medicare rate

$610.57

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,520

Code
67923
Physician work
5.34
Practice expense
12.51
Malpractice
0.43

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 67923 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work5.34× 1.0545.6284
Practice expense12.51× 1.17814.7368
Malpractice0.43× 1.1130.4786
Total RVUs20.8437
Conversion factor× 33.4009

Office rate, Washington, DC area$696.20

Office: (5.34 × 1.054 + 12.51 × 1.178 + 0.43 × 1.113) × $33.4009 = $696.20

Facility: (5.34 × 1.054 + 5.34 × 1.178 + 0.43 × 1.113) × $33.4009 = $414.09

Open 67923 in the RVU calculator

Payment rules and modifiers for 67923

67923 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67923

Entropion repair, tarsal wedge excision

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 · 67923

Entropion repair, tarsal wedge excision

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

67923 without 50 · national office

$610.57

Entropion repair, tarsal wedge excision

67923-50 · Bilateral: 150%

$915.86

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 67923

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

Codes related to 67923
CodeHow it relatesOffice range, Washington, DC area
Same family
67921Entropion repair, suture techniqueEntropion repair using sutures rather than tarsal wedge excision.$547.69
67922Entropion repair, thermocautery techniqueEntropion repair by thermocauterization.$355.01
67924Entropion repair, extensive repairExtensive entropion repair using a different operative approach.$741.90

How 67923 has changed in Washington, DC area

67923 · Office / nonfacility

$696.20

Effective 2026-10-01

The base rate is $26.47 higher than on 2025-10-01, moving from $669.73 to $696.20 (4.0%).

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

    $669.73changed to$696.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.48 changed to 5.34
    • Practice expense RVU 12.05 changed to 12.51
    • Malpractice RVU 0.47 changed to 0.43
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $698.37changed to$669.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.31 changed to 12.05
    • Malpractice RVU 0.44 changed to 0.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $686.97changed to$698.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $719.64changed to$686.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.28 changed to 12.31
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $740.10changed to$719.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.19 changed to 12.28
    • Malpractice RVU 0.42 changed to 0.44
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $749.27changed to$740.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.25 changed to 12.19
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $723.01changed to$749.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.25 changed to 12.25
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $709.68changed to$723.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.15 changed to 11.25
    • Malpractice RVU 0.42 changed to 0.43
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $701.07changed to$709.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.98 changed to 11.15
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $692.30changed to$701.07

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.81 changed to 10.98
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $690.96changed to$692.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.80 changed to 10.81
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $692.59changed to$690.96

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.78 changed to 10.80

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $689.14changed to$692.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $711.31changed to$689.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.75 changed to 10.78
    • Malpractice RVU 0.98 changed to 0.41
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $684.08changed to$711.31

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 6.05 changed to 5.48
    • Practice expense RVU 10.42 changed to 10.75
    • Malpractice RVU 1.13 changed to 0.98
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $684.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$696.20$414.09RVU26D
2026-07-01$696.20$414.09RVU26C
2026-04-01$696.20$414.09RVU26B
2026-01-01$696.20$414.09RVU26A
2025-10-01$669.73$470.78RVU25D
2025-07-01$669.73$470.78RVU25C
2025-04-01$669.73$470.78RVU25B
2025-01-01$669.73$470.78RVU25A
2024-10-01$698.37$482.51RVU24D
2024-07-01$698.37$482.51RVU24C
2024-04-01$698.37$482.51RVU24B
2024-03-09$698.37$482.51RVU24AR
2024-01-01$686.97$474.64RVU24A
2023-10-01$719.64$490.91RVU23D
2023-07-01$719.64$490.91RVU23C
2023-04-01$719.64$490.91RVU23B
2023-01-01$719.64$490.91RVU23A
2022-10-01$740.10$497.14RVU22D
2022-07-01$740.10$497.14RVU22C
2022-04-01$740.10$497.14RVU22B
2022-01-01$740.10$497.14RVU22A
2021-10-01$749.27$500.42RVU21D
2021-07-01$749.27$500.42RVU21C
2021-04-01$749.27$500.42RVU21B
2021-01-01$749.27$500.42RVU21A
2020-10-01$723.01$503.13RVU20D
2020-07-01$723.01$503.13RVU20C
2020-04-01$723.01$503.13RVU20B
2020-01-01$723.01$503.13RVU20A
2019-10-01$709.68$501.23RVU19D
2019-07-01$709.68$501.23RVU19C
2019-04-01$709.68$501.23RVU19B
2019-01-01$709.68$501.23RVU19A
2018-10-01$701.07$502.40RVU18D
2018-07-01$701.07$502.40RVU18C
2018-04-01$701.07$502.40RVU18B
2018-01-01$701.07$502.40RVU18AR1
2017-10-01$692.30$498.56RVU17D
2017-07-01$692.30$498.56RVU17C
2017-04-01$692.30$498.56RVU17B
2017-01-01$692.30$498.56RVU17A
2016-10-01$690.96$497.68RVU16D
2016-07-01$690.96$497.68RVU16C
2016-04-01$690.96$497.68RVU16B
2016-01-01$690.96$497.68RVU16A
2015-10-01$692.59$498.17RVU15D
2015-07-01$692.59$498.17RVU15C
2015-04-01$689.14$495.69RVU15B
2015-01-01$689.14$495.69RVU15A
2014-10-01$711.31$520.13RVU14D
2014-07-01$711.31$520.13RVU14C
2014-04-01$711.31$520.13RVU14B
2014-01-01$711.31$520.13RVU14A
2013-10-01$684.08$556.51RVU13D
2013-07-01$684.08$556.51RVU13C
2013-04-01$684.08$556.51RVU13B
2013-01-01$684.08$556.51RVU13AR

Price 67923 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

67923 billing questions

When should this code be selected instead of 67921?

Use 67923 when the surgeon corrects entropion by excising a tarsal wedge. Code 67921 describes suture-based repair.

How does 67923 differ from 67922?

Both address entropion, but 67923 is for tarsal wedge excision and 67922 is for thermocauterization.

What operative documentation supports 67923?

Document the affected eyelid, the entropion being corrected, and the tarsal wedge excision and repair actually performed.

How is bilateral repair reported?

Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

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 postoperative care is included?

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

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 67923PPRRVU2026_Oct_nonQPP.csv, line 7,520 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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