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CPT code 67924: Entropion repair, extensive repair2026 Medicare rate & RVUs in Puerto Rico

Repair an inward-turning eyelid with an extensive corrective procedure, typically when simpler entropion techniques are insufficient for the documented condition.

CMS RVU26DEffective Oct 1, 2026One payment locality13.4K Medicare services in 2024

In Puerto Rico, Medicare pays $655.61 for 67924 in the office and $393.91 when it’s performed in a hospital or facility.

$655.61Office (non-facility)
$393.91Hospital or facility
+0.7%vs the national office rate ($650.98)

Check a contract rate as a % of Medicare · 67924 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 67924 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 67924 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 67924 covers

This procedure corrects entropion, in which an eyelid turns inward and lashes or skin may rub the eye. An ophthalmologist, often an oculoplastic surgeon, may use a more extensive repair such as removing a portion of the tarsal plate and placing everting sutures to reposition the lid. It is commonly performed in an outpatient surgical setting for symptomatic eyelid malposition.

Report this code when the operative work supports an extensive entropion repair rather than a simpler suture, thermal, or wedge-excision approach. The operative note should identify the affected eyelid, the entropion being corrected, and the techniques and tissue work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 Puerto Rico compares for 67924

Across 109 of 109 payment localities, the office rate for 67924 runs from $581.02 in Arkansas to $860.40 in San Benito County, CA. Puerto Rico pays $655.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

67924 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$655.61
  2. Los Angeles, CA · California$734.55+$78.94
  3. Washington, DC area · District of Columbia$741.90+$86.29
  4. Miami, FL · Florida$693.12+$37.51
  5. Chicago, IL · Illinois$674.88+$19.27
  6. Manhattan, NY · New York$744.18+$88.57
  7. Alaska · Alaska$769.21+$113.60

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

Every other payment area

67924 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$588.89$362.39
ArkansasArkansas$581.02$358.66
ArizonaArizona$635.01$384.18
Bakersfield, CACalifornia$690.97$407.26
Chico, CACalifornia$689.44$405.73
El Centro, CACalifornia$689.51$405.81
Fresno, CACalifornia$689.44$405.73
Hanford, CACalifornia$689.44$405.73

67924 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.

$581.02

$774.92

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

View every state and territory as a table
67924 office rate range by state
State / territoryOffice rate rangeLocalities
AK$769.211
AL$588.891
AR$581.021
AZ$635.011
CA$689.44–$860.4029
CO$678.161
CT$692.191
DC$741.901
DE$645.061
FL$639.42–$693.123
GA$606.24–$661.792
GU$704.961
HI$704.961
IA$603.931
ID$607.331
IL$621.35–$676.394
IN$610.631
KS$600.741
KY$600.561
LA$599.47–$627.032
MA$674.32–$742.962
MD$656.93–$741.903
ME$609.67–$641.212
MI$614.53–$646.272
MN$652.761
MO$589.55–$629.793
MS$585.421
MT$650.951
NC$615.691
ND$641.661
NE$607.171
NH$667.151
NJ$700.91–$734.972
NM$617.431
NV$648.801
NY$624.21–$760.375
OH$612.641
OK$600.161
OR$644.55–$699.142
PA$613.86–$675.622
PR$655.611
RI$667.551
SC$615.021
SD$640.561
TN$603.471
TX$610.07–$675.238
UT$622.851
VA$638.85–$741.902
VI$655.611
VT$638.811
WA$673.18–$758.152
WI$621.551
WV$599.821
WY$646.901

See 67924 in every payment locality

How the 67924 rate is calculated

Each of 67924’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 · 67924

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.78

5.78 RVUs× 1.000 GPCI

Practice expense13.24

13.24 RVUs× 1.000 GPCI

Malpractice0.47

0.47 RVUs× 1.000 GPCI

Adjusted RVUs

19.4900

Conversion factor

$33.4009

Medicare rate

$650.98

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,521

Code
67924
Physician work
5.78
Practice expense
13.24
Malpractice
0.47

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 67924 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work5.78× 1.0005.7800
Practice expense13.24× 1.01113.3856
Malpractice0.47× 0.9850.4629
Total RVUs19.6286
Conversion factor× 33.4009

Office rate, Puerto Rico$655.61

Office: (5.78 × 1 + 13.24 × 1.011 + 0.47 × 0.985) × $33.4009 = $655.61

Facility: (5.78 × 1 + 5.49 × 1.011 + 0.47 × 0.985) × $33.4009 = $393.91

Open 67924 in the RVU calculator

Payment rules and modifiers for 67924

67924 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67924

Entropion repair, extensive repair

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 · 67924

Entropion repair, extensive repair

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

67924 without 50 · national office

$650.98

Entropion repair, extensive repair

67924-50 · Bilateral: 150%

$976.47

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 67924

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

Codes related to 67924
CodeHow it relatesOffice range, Puerto Rico
Same family
67921Entropion repair, suture techniqueEntropion repair by suture, a less extensive technique.$481.08
67922Entropion repair, thermocautery techniqueEntropion repair using thermocauterization.$311.15
67923Entropion repair, tarsal wedge excisionEntropion repair using tarsal wedge excision.$614.95

How 67924 has changed in Puerto Rico

67924 · Office / nonfacility

$655.61

Effective 2026-10-01

The base rate is $33.26 higher than on 2025-10-01, moving from $622.35 to $655.61 (5.3%).

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

    $622.35changed to$655.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.93 changed to 5.78
    • Practice expense RVU 12.73 changed to 13.24
    • Malpractice RVU 0.50 changed to 0.47
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $648.52changed to$622.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.99 changed to 12.73
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $637.93changed to$648.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $659.31changed to$637.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.96 changed to 12.99
    • Malpractice RVU 0.47 changed to 0.48
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $656.06changed to$659.31

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $669.50changed to$656.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.85 changed to 12.96
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $676.46changed to$669.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.90 changed to 12.85
    • Malpractice RVU 0.46 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $662.58changed to$676.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.87 changed to 12.90
    • Malpractice RVU 0.47 changed to 0.46
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $657.28changed to$662.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.78 changed to 11.87
    • Malpractice RVU 0.45 changed to 0.47
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $650.75changed to$657.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.61 changed to 11.78
    • Malpractice RVU 0.46 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $574.02changed to$650.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.42 changed to 11.61
    • Malpractice RVU 0.45 changed to 0.46
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $505.05changed to$574.02

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.41 changed to 11.42
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $506.62changed to$505.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.40 changed to 11.41

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $504.10changed to$506.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $504.52changed to$504.10

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.36 changed to 11.40
    • Malpractice RVU 1.08 changed to 0.45
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $467.84changed to$504.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.12 changed to 11.36
    • Malpractice RVU 1.13 changed to 1.08
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $467.84

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$655.61$393.91RVU26D
2026-07-01$655.61$393.91RVU26C
2026-04-01$655.61$393.91RVU26B
2026-01-01$655.61$393.91RVU26A
2025-10-01$622.35$441.57RVU25D
2025-07-01$622.35$441.57RVU25C
2025-04-01$622.35$441.57RVU25B
2025-01-01$622.35$441.57RVU25A
2024-10-01$648.52$452.76RVU24D
2024-07-01$648.52$452.76RVU24C
2024-04-01$648.52$452.76RVU24B
2024-03-09$648.52$452.76RVU24AR
2024-01-01$637.93$445.37RVU24A
2023-10-01$659.31$456.07RVU23D
2023-07-01$656.06$454.43RVU23C
2023-04-01$656.06$454.43RVU23B
2023-01-01$656.06$454.43RVU23A
2022-10-01$669.50$457.76RVU22D
2022-07-01$669.50$457.76RVU22C
2022-04-01$669.50$457.76RVU22B
2022-01-01$669.50$457.76RVU22A
2021-10-01$676.46$460.51RVU21D
2021-07-01$676.46$460.51RVU21C
2021-04-01$676.46$460.51RVU21B
2021-01-01$676.46$460.51RVU21A
2020-10-01$662.58$468.32RVU20D
2020-07-01$662.58$468.32RVU20C
2020-04-01$662.58$468.32RVU20B
2020-01-01$662.58$468.32RVU20A
2019-10-01$657.28$470.38RVU19D
2019-07-01$657.28$470.38RVU19C
2019-04-01$657.28$470.38RVU19B
2019-01-01$657.28$470.38RVU19A
2018-10-01$650.75$472.40RVU18D
2018-07-01$650.75$472.40RVU18C
2018-04-01$650.75$472.40RVU18B
2018-01-01$650.75$472.40RVU18AR1
2017-10-01$574.02$426.56RVU17D
2017-07-01$574.02$426.56RVU17C
2017-04-01$574.02$426.56RVU17B
2017-01-01$574.02$426.56RVU17A
2016-10-01$505.05$383.89RVU16D
2016-07-01$505.05$383.89RVU16C
2016-04-01$505.05$383.89RVU16B
2016-01-01$505.05$383.89RVU16A
2015-10-01$506.62$384.52RVU15D
2015-07-01$506.62$384.52RVU15C
2015-04-01$504.10$382.60RVU15B
2015-01-01$504.10$382.60RVU15A
2014-10-01$504.52$386.52RVU14D
2014-07-01$504.52$386.52RVU14C
2014-04-01$504.52$386.52RVU14B
2014-01-01$504.52$386.52RVU14A
2013-10-01$467.84$370.27RVU13D
2013-07-01$467.84$370.27RVU13C
2013-04-01$467.84$370.27RVU13B
2013-01-01$467.84$370.27RVU13AR

Price 67924 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

67924 billing questions

How is this code distinguished from 67923?

Use 67924 when the documented entropion repair is extensive. Code 67923 describes repair using tarsal wedge excision; the operative technique and scope should support the selected level.

When would 67921 be a better choice?

Code 67921 represents entropion repair by suture. Choose 67924 when the surgeon performs a more extensive repair, rather than relying on a suture technique alone.

Can both eyelids be reported?

For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%. The operative record should establish that both sides were treated.

What postoperative care is included?

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 billed?

Medicare does not pay an assistant-at-surgery claim for this service. 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 67924PPRRVU2026_Oct_nonQPP.csv, line 7,521 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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