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CPT code 67923: Entropion repair, tarsal wedge excision2026 Medicare rate & RVUs in Queens, NY

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 Queens, NY, Medicare pays $704.38 for 67923 in the office and $421.31 when it’s performed in a hospital or facility.

$704.38Office (non-facility)
$421.31Hospital or facility
+15.4%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $704.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

67923 in Queens, NY vs other payment areas
  1. Queens, NY · this page$704.38
  2. Manhattan, NY · New York$698.09−$6.29
  3. NYC suburbs and Long Island, NY · New York$713.26+$8.88
  4. Poughkeepsie and northern NYC suburbs, NY · New York$661.31−$43.07
  5. Rest of New York · New York$585.41−$118.97
  6. Los Angeles, CA · California$689.52−$14.86
  7. Washington, DC area · District of Columbia$696.20−$8.18

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

Every other payment area

67923 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$649.66$400.36
Chicago, ILIllinois$632.51$391.82
AlaskaAlaska$720.46$465.41
AlabamaAlabama$552.10$342.56
ArkansasArkansas$544.69$338.97
ArizonaArizona$595.55$363.49
Bakersfield, CACalifornia$648.45$385.98
Chico, 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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 67923 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work5.34× 1.0645.6818
Practice expense12.51× 1.18214.7868
Malpractice0.43× 1.4420.6201
Total RVUs21.0886
Conversion factor× 33.4009

Office rate, Queens, NY$704.38

Office: (5.34 × 1.064 + 12.51 × 1.182 + 0.43 × 1.442) × $33.4009 = $704.38

Facility: (5.34 × 1.064 + 5.34 × 1.182 + 0.43 × 1.442) × $33.4009 = $421.31

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, Queens, NY
Same family
67921Entropion repair, suture techniqueEntropion repair using sutures rather than tarsal wedge excision.$553.10
67922Entropion repair, thermocautery techniqueEntropion repair by thermocauterization.$358.38
67924Entropion repair, extensive repairExtensive entropion repair using a different operative approach.$750.76

How 67923 has changed in Queens, NY

67923 · Office / nonfacility

$704.38

Effective 2026-10-01

The base rate is $27.59 higher than on 2025-10-01, moving from $676.79 to $704.38 (4.1%).

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

    $676.79changed to$704.38

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $705.36changed to$676.79

    • 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

    $693.85changed to$705.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $732.12changed to$693.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.28 changed to 12.31
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $756.97changed to$732.12

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $766.74changed to$756.97

    • 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

    $738.45changed to$766.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.25 changed to 12.25
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $722.07changed to$738.45

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $713.17changed to$722.07

    • 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

    $704.10changed to$713.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.81 changed to 10.98
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $702.06changed to$704.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.80 changed to 10.81
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $703.74changed to$702.06

    • 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

    $700.23changed to$703.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $732.91changed to$700.23

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $699.58changed to$732.91

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $699.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$704.38$421.31RVU26D
2026-07-01$704.38$421.31RVU26C
2026-04-01$704.38$421.31RVU26B
2026-01-01$704.38$421.31RVU26A
2025-10-01$676.79$477.33RVU25D
2025-07-01$676.79$477.33RVU25C
2025-04-01$676.79$477.33RVU25B
2025-01-01$676.79$477.33RVU25A
2024-10-01$705.36$488.96RVU24D
2024-07-01$705.36$488.96RVU24C
2024-04-01$705.36$488.96RVU24B
2024-03-09$705.36$488.96RVU24AR
2024-01-01$693.85$480.98RVU24A
2023-10-01$732.12$503.76RVU23D
2023-07-01$732.12$503.76RVU23C
2023-04-01$732.12$503.76RVU23B
2023-01-01$732.12$503.76RVU23A
2022-10-01$756.97$515.59RVU22D
2022-07-01$756.97$515.59RVU22C
2022-04-01$756.97$515.59RVU22B
2022-01-01$756.97$515.59RVU22A
2021-10-01$766.74$519.51RVU21D
2021-07-01$766.74$519.51RVU21C
2021-04-01$766.74$519.51RVU21B
2021-01-01$766.74$519.51RVU21A
2020-10-01$738.45$519.82RVU20D
2020-07-01$738.45$519.82RVU20C
2020-04-01$738.45$519.82RVU20B
2020-01-01$738.45$519.82RVU20A
2019-10-01$722.07$514.49RVU19D
2019-07-01$722.07$514.49RVU19C
2019-04-01$722.07$514.49RVU19B
2019-01-01$722.07$514.49RVU19A
2018-10-01$713.17$515.32RVU18D
2018-07-01$713.17$515.32RVU18C
2018-04-01$713.17$515.32RVU18B
2018-01-01$713.17$515.32RVU18AR1
2017-10-01$704.10$511.16RVU17D
2017-07-01$704.10$511.16RVU17C
2017-04-01$704.10$511.16RVU17B
2017-01-01$704.10$511.16RVU17A
2016-10-01$702.06$509.74RVU16D
2016-07-01$702.06$509.74RVU16C
2016-04-01$702.06$509.74RVU16B
2016-01-01$702.06$509.74RVU16A
2015-10-01$703.74$510.29RVU15D
2015-07-01$703.74$510.29RVU15C
2015-04-01$700.23$507.75RVU15B
2015-01-01$700.23$507.75RVU15A
2014-10-01$732.91$542.53RVU14D
2014-07-01$732.91$542.53RVU14C
2014-04-01$732.91$542.53RVU14B
2014-01-01$732.91$542.53RVU14A
2013-10-01$699.58$572.32RVU13D
2013-07-01$699.58$572.32RVU13C
2013-04-01$699.58$572.32RVU13B
2013-01-01$699.58$572.32RVU13AR

Price 67923 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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