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CPT code 67950: Canthoplasty, canthal reconstruction2026 Medicare rate & RVUs in Queens, NY

Canthoplasty reconstructs the eyelid corner to address canthal malposition or deformity when the operation centers on reshaping or restoring the canthus.

CMS RVU26DEffective Oct 1, 2026One payment locality9.1K Medicare services in 2024

In Queens, NY, Medicare pays $677.35 for 67950 in the office and $451.14 when it’s performed in a hospital or facility.

$677.35Office (non-facility)
$451.14Hospital or facility
+15.0%vs the national office rate ($588.86)

Check a contract rate as a % of Medicare · 67950 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 67950 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 67950 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 67950 covers

Canthoplasty surgically reshapes or reconstructs the medial or lateral canthus, the corner where the upper and lower eyelids meet. Ophthalmologists, particularly oculoplastic surgeons, may perform it to restore canthal position or support when the canthus is lax, displaced, or deformed. The operative work is directed at the canthal angle itself, rather than simply removing an eyelid lesion or repairing a larger full-thickness eyelid defect.

Report the code when the documented procedure reconstructs the canthus; the operative note should identify the site, the abnormality addressed, and the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral canthoplasty reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is 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 67950

Across 109 of 109 payment localities, the office rate for 67950 runs from $527.59 in Arkansas to $769.24 in San Benito County, CA. Queens, NY pays $677.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

67950 in Queens, NY vs other payment areas
  1. Queens, NY · this page$677.35
  2. Manhattan, NY · New York$672.22−$5.13
  3. NYC suburbs and Long Island, NY · New York$686.93+$9.58
  4. Poughkeepsie and northern NYC suburbs, NY · New York$636.97−$40.38
  5. Rest of New York · New York$565.04−$112.31
  6. Los Angeles, CA · California$660.25−$17.10
  7. Washington, DC area · District of Columbia$668.40−$8.95

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

Every other payment area

67950 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$629.85$430.62
Chicago, ILIllinois$613.74$421.39
AlaskaAlaska$703.40$499.57
AlabamaAlabama$534.47$367.01
ArkansasArkansas$527.59$363.19
ArizonaArizona$574.76$389.31
Bakersfield, CACalifornia$622.24$412.48
Chico, CACalifornia$620.63$410.87

67950 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.

$527.59

$703.40

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

View every state and territory as a table
67950 office rate range by state
State / territoryOffice rate rangeLocalities
AK$703.401
AL$534.471
AR$527.591
AZ$574.761
CA$620.63–$769.2429
CO$611.681
CT$625.301
DC$668.401
DE$583.621
FL$580.67–$629.853
GA$551.34–$598.832
GU$633.491
HI$633.491
IA$546.731
ID$549.891
IL$565.45–$613.744
IN$552.751
KS$544.371
KY$545.581
LA$544.79–$568.882
MA$608.57–$668.172
MD$593.96–$668.403
ME$552.38–$579.302
MI$558.20–$587.122
MN$588.041
MO$536.38–$570.793
MS$532.081
MT$588.821
NC$557.561
ND$578.941
NE$549.431
NH$602.231
NJ$632.97–$662.622
NM$560.921
NV$586.451
NY$565.04–$686.935
OH$556.181
OK$544.781
OR$582.39–$629.562
PA$557.02–$611.052
PR$592.761
RI$603.201
SC$557.691
SD$577.771
TN$546.811
TX$553.73–$609.228
UT$564.531
VA$577.54–$668.402
VI$592.761
VT$576.841
WA$607.39–$681.162
WI$561.461
WV$546.661
WY$584.521

See 67950 in every payment locality

How the 67950 rate is calculated

Each of 67950’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 · 67950

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.84

5.84 RVUs× 1.000 GPCI

Practice expense11.29

11.29 RVUs× 1.000 GPCI

Malpractice0.50

0.50 RVUs× 1.000 GPCI

Adjusted RVUs

17.6300

Conversion factor

$33.4009

Medicare rate

$588.86

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

7,525

Code
67950
Physician work
5.84
Practice expense
11.29
Malpractice
0.50

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 67950 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work5.84× 1.0646.2138
Practice expense11.29× 1.18213.3448
Malpractice0.50× 1.4420.7210
Total RVUs20.2795
Conversion factor× 33.4009

Office rate, Queens, NY$677.35

Office: (5.84 × 1.064 + 11.29 × 1.182 + 0.5 × 1.442) × $33.4009 = $677.35

Facility: (5.84 × 1.064 + 5.56 × 1.182 + 0.5 × 1.442) × $33.4009 = $451.14

Open 67950 in the RVU calculator

Payment rules and modifiers for 67950

67950 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67950

Canthoplasty, canthal reconstruction

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)1Permitted with supporting documentation.
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 · 67950

Canthoplasty, canthal reconstruction

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

67950 without 50 · national office

$588.86

Canthoplasty, canthal reconstruction

67950-50 · Bilateral: 150%

$883.29

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 67950

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

Codes related to 67950
CodeHow it relatesOffice range, Queens, NY
Used instead
67961Eyelid repair, up to one-fourth of lid marginUsed for excision and repair of a full-thickness eyelid defect involving the canthus, up to one-fourth of the lid.$681.55
67966Eyelid repair, over one-fourth lid marginUsed for excision and repair of a full-thickness eyelid defect involving more than one-fourth of the lid.$896.87
67916Ectropion repair, tarsal wedge excisionAn ectropion repair option when the operation addresses outward turning of the eyelid rather than canthal reconstruction alone.$705.74
67917Eyelid repair, extensive entropion correctionAn extensive ectropion repair option when correction of outward lid turning is the principal procedure.$720.85

How 67950 has changed in Queens, NY

67950 · Office / nonfacility

$677.35

Effective 2026-10-01

The base rate is $27.40 higher than on 2025-10-01, moving from $649.95 to $677.35 (4.2%).

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

    $649.95changed to$677.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.99 changed to 5.84
    • Practice expense RVU 10.84 changed to 11.29
    • Malpractice RVU 0.52 changed to 0.50
    • 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

    $674.43changed to$649.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.98 changed to 10.84

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $663.42changed to$674.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $699.65changed to$663.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.89 changed to 10.98
    • Malpractice RVU 0.53 changed to 0.52
    • 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

    $724.19changed to$699.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.72 changed to 10.89
    • Malpractice RVU 0.54 changed to 0.53
    • 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

    $728.76changed to$724.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.73 changed to 10.72
    • Malpractice RVU 0.52 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $706.92changed to$728.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.93 changed to 10.73
    • Malpractice RVU 0.51 changed to 0.52
    • 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

    $693.13changed to$706.92

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.91 changed to 9.93
    • Malpractice RVU 0.49 changed to 0.51
    • 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

    $690.11changed to$693.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.84 changed to 9.91
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $682.49changed to$690.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.70 changed to 9.84
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $680.22changed to$682.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.68 changed to 9.70
    • 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

    $681.46changed to$680.22

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.67 changed to 9.68
    • Malpractice RVU 0.49 changed to 0.50

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $678.07changed to$681.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $709.23changed to$678.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.64 changed to 9.67
    • Malpractice RVU 1.05 changed to 0.49
    • 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

    $702.80changed to$709.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.59 changed to 9.64
    • Malpractice RVU 1.10 changed to 1.05
    • 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: $702.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$677.35$451.14RVU26D
2026-07-01$677.35$451.14RVU26C
2026-04-01$677.35$451.14RVU26B
2026-01-01$677.35$451.14RVU26A
2025-10-01$649.95$511.18RVU25D
2025-07-01$649.95$511.18RVU25C
2025-04-01$649.95$511.18RVU25B
2025-01-01$649.95$511.18RVU25A
2024-10-01$674.43$525.26RVU24D
2024-07-01$674.43$525.26RVU24C
2024-04-01$674.43$525.26RVU24B
2024-03-09$674.43$525.26RVU24AR
2024-01-01$663.42$516.69RVU24A
2023-10-01$699.65$543.58RVU23D
2023-07-01$699.65$543.58RVU23C
2023-04-01$699.65$543.58RVU23B
2023-01-01$699.65$543.58RVU23A
2022-10-01$724.19$560.15RVU22D
2022-07-01$724.19$560.15RVU22C
2022-04-01$724.19$560.15RVU22B
2022-01-01$724.19$560.15RVU22A
2021-10-01$728.76$562.08RVU21D
2021-07-01$728.76$562.08RVU21C
2021-04-01$728.76$562.08RVU21B
2021-01-01$728.76$562.08RVU21A
2020-10-01$706.92$561.02RVU20D
2020-07-01$706.92$561.02RVU20C
2020-04-01$706.92$561.02RVU20B
2020-01-01$706.92$561.02RVU20A
2019-10-01$693.13$553.44RVU19D
2019-07-01$693.13$553.44RVU19C
2019-04-01$693.13$553.44RVU19B
2019-01-01$693.13$553.44RVU19A
2018-10-01$690.11$555.76RVU18D
2018-07-01$690.11$555.76RVU18C
2018-04-01$690.11$555.76RVU18B
2018-01-01$690.11$555.76RVU18AR1
2017-10-01$682.49$552.00RVU17D
2017-07-01$682.49$552.00RVU17C
2017-04-01$682.49$552.00RVU17B
2017-01-01$682.49$552.00RVU17A
2016-10-01$680.22$550.14RVU16D
2016-07-01$680.22$550.14RVU16C
2016-04-01$680.22$550.14RVU16B
2016-01-01$680.22$550.14RVU16A
2015-10-01$681.46$550.48RVU15D
2015-07-01$681.46$550.48RVU15C
2015-04-01$678.07$547.75RVU15B
2015-01-01$678.07$547.75RVU15A
2014-10-01$709.23$581.02RVU14D
2014-07-01$709.23$581.02RVU14C
2014-04-01$709.23$581.02RVU14B
2014-01-01$709.23$581.02RVU14A
2013-10-01$702.80$566.19RVU13D
2013-07-01$702.80$566.19RVU13C
2013-04-01$702.80$566.19RVU13B
2013-01-01$702.80$566.19RVU13AR

Price 67950 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

67950 billing questions

When should I choose canthoplasty rather than an eyelid defect repair code?

Use 67950 when the operative work reconstructs the canthal angle. Codes such as 67961 or 67966 describe excision and repair of a full-thickness eyelid defect, with the applicable extent determining the code.

Does the 90-day global period include postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How is bilateral canthoplasty reported?

Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant-at-surgery or co-surgeon be paid?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

What happens when canthoplasty is performed with another procedure in the same session?

CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. The operative documentation should make clear what canthal reconstruction was performed.

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 67950PPRRVU2026_Oct_nonQPP.csv, line 7,525 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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