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

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 Virginia, Medicare pays $638.85 for 67924 in the office and $384.39 when it’s performed in a hospital or facility.

$638.85Office (non-facility)
$384.39Hospital or facility
−1.9%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 Virginia
  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 Virginia 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. Virginia pays $638.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

67924 in Virginia vs other payment areas
  1. Virginia · this page$638.85
  2. Los Angeles, CA · California$734.55+$95.70
  3. Washington, DC area · District of Columbia$741.90+$103.05
  4. Miami, FL · Florida$693.12+$54.27
  5. Chicago, IL · Illinois$674.88+$36.03
  6. Manhattan, NY · New York$744.18+$105.33
  7. Alaska · Alaska$769.21+$130.36

Other areas in Virginia 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.

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67924 in Virginia
ComponentRVULocality factorAdjusted
Physician work5.78× 1.0005.7800
Practice expense13.24× 0.98313.0149
Malpractice0.47× 0.7060.3318
Total RVUs19.1267
Conversion factor× 33.4009

Office rate, Virginia$638.85

Office: (5.78 × 1 + 13.24 × 0.983 + 0.47 × 0.706) × $33.4009 = $638.85

Facility: (5.78 × 1 + 5.49 × 0.983 + 0.47 × 0.706) × $33.4009 = $384.39

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

How 67924 has changed in Virginia

67924 · Office / nonfacility

$638.85

Effective 2026-10-01

The base rate is $29.26 higher than on 2025-10-01, moving from $609.59 to $638.85 (4.8%).

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

    $609.59changed to$638.85

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $635.34changed to$609.59

    • 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

    $624.97changed to$635.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $648.89changed to$624.97

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $662.27changed to$648.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.85 changed to 12.96
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $669.18changed to$662.27

    • 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.

  7. January 1, 2021

    RVU21A

    $653.86changed to$669.18

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $647.03changed to$653.86

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $640.62changed to$647.03

    • 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.

  10. January 1, 2018

    RVU18AR1

    $630.51changed to$640.62

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $627.18changed to$630.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.41 changed to 11.42
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $629.09changed to$627.18

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

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $625.96changed to$629.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $641.34changed to$625.96

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $599.49changed to$641.34

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $599.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$638.85$384.39RVU26D
2026-07-01$638.85$384.39RVU26C
2026-04-01$638.85$384.39RVU26B
2026-01-01$638.85$384.39RVU26A
2025-10-01$609.59$432.94RVU25D
2025-07-01$609.59$432.94RVU25C
2025-04-01$609.59$432.94RVU25B
2025-01-01$609.59$432.94RVU25A
2024-10-01$635.34$444.05RVU24D
2024-07-01$635.34$444.05RVU24C
2024-04-01$635.34$444.05RVU24B
2024-03-09$635.34$444.05RVU24AR
2024-01-01$624.97$436.80RVU24A
2023-10-01$648.89$449.28RVU23D
2023-07-01$648.89$449.28RVU23C
2023-04-01$648.89$449.28RVU23B
2023-01-01$648.89$449.28RVU23A
2022-10-01$662.27$453.26RVU22D
2022-07-01$662.27$453.26RVU22C
2022-04-01$662.27$453.26RVU22B
2022-01-01$662.27$453.26RVU22A
2021-10-01$669.18$456.01RVU21D
2021-07-01$669.18$456.01RVU21C
2021-04-01$669.18$456.01RVU21B
2021-01-01$669.18$456.01RVU21A
2020-10-01$653.86$462.87RVU20D
2020-07-01$653.86$462.87RVU20C
2020-04-01$653.86$462.87RVU20B
2020-01-01$653.86$462.87RVU20A
2019-10-01$647.03$464.03RVU19D
2019-07-01$647.03$464.03RVU19C
2019-04-01$647.03$464.03RVU19B
2019-01-01$647.03$464.03RVU19A
2018-10-01$640.62$465.98RVU18D
2018-07-01$640.62$465.98RVU18C
2018-04-01$640.62$465.98RVU18B
2018-01-01$640.62$465.98RVU18AR1
2017-10-01$630.51$460.83RVU17D
2017-07-01$630.51$460.83RVU17C
2017-04-01$630.51$460.83RVU17B
2017-01-01$630.51$460.83RVU17A
2016-10-01$627.18$458.24RVU16D
2016-07-01$627.18$458.24RVU16C
2016-04-01$627.18$458.24RVU16B
2016-01-01$627.18$458.24RVU16A
2015-10-01$629.09$458.83RVU15D
2015-07-01$629.09$458.83RVU15C
2015-04-01$625.96$456.55RVU15B
2015-01-01$625.96$456.55RVU15A
2014-10-01$641.34$474.23RVU14D
2014-07-01$641.34$474.23RVU14C
2014-04-01$641.34$474.23RVU14B
2014-01-01$641.34$474.23RVU14A
2013-10-01$599.49$458.89RVU13D
2013-07-01$599.49$458.89RVU13C
2013-04-01$599.49$458.89RVU13B
2013-01-01$599.49$458.89RVU13AR

Price 67924 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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