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CPT code 67950: Canthoplasty, canthal reconstruction2026 Medicare rate & RVUs in Rhode Island

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 Rhode Island, Medicare pays $603.20 for 67950 in the office and $405.50 when it’s performed in a hospital or facility.

$603.20Office (non-facility)
$405.50Hospital or facility
+2.4%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 Rhode Island
  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 Rhode Island 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. Rhode Island pays $603.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

67950 in Rhode Island vs other payment areas
  1. Rhode Island · this page$603.20
  2. Los Angeles, CA · California$660.25+$57.05
  3. Washington, DC area · District of Columbia$668.40+$65.20
  4. Miami, FL · Florida$629.85+$26.65
  5. Chicago, IL · Illinois$613.74+$10.54
  6. Manhattan, NY · New York$672.22+$69.02
  7. Alaska · Alaska$703.40+$100.20

Other areas in Rhode Island first, then benchmark localities. Bars start at $0.

Every other payment area

67950 in every other Medicare payment locality
Payment localityOfficeFacility
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
El Centro, CACalifornia$620.71$410.95
Fresno, CACalifornia$620.63$410.87
Hanford, 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 Rhode Island 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

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 67950 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work5.84× 1.0195.9510
Practice expense11.29× 1.03311.6626
Malpractice0.50× 0.8920.4460
Total RVUs18.0595
Conversion factor× 33.4009

Office rate, Rhode Island$603.20

Office: (5.84 × 1.019 + 11.29 × 1.033 + 0.5 × 0.892) × $33.4009 = $603.20

Facility: (5.84 × 1.019 + 5.56 × 1.033 + 0.5 × 0.892) × $33.4009 = $405.50

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, Rhode Island
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.$606.86
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.$800.88
67916Ectropion repair, tarsal wedge excisionAn ectropion repair option when the operation addresses outward turning of the eyelid rather than canthal reconstruction alone.$627.14
67917Eyelid repair, extensive entropion correctionAn extensive ectropion repair option when correction of outward lid turning is the principal procedure.$641.28

How 67950 has changed in Rhode Island

67950 · Office / nonfacility

$603.20

Effective 2026-10-01

The base rate is $26.01 higher than on 2025-10-01, moving from $577.19 to $603.20 (4.5%).

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

    $577.19changed to$603.20

    • 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 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $598.82changed to$577.19

    • 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

    $589.05changed to$598.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $609.36changed to$589.05

    • 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 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849

  5. January 1, 2023

    RVU23A

    $618.76changed to$609.36

    • 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 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $623.57changed to$618.76

    • 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

    $615.52changed to$623.57

    • 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 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $614.35changed to$615.52

    • 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 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $611.39changed to$614.35

    • 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

    $602.34changed to$611.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.70 changed to 9.84
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $597.73changed to$602.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.68 changed to 9.70
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $599.23changed to$597.73

    • 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

    $596.25changed to$599.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $619.10changed to$596.25

    • 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 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$619.10

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$603.20$405.50RVU26D
2026-07-01$603.20$405.50RVU26C
2026-04-01$603.20$405.50RVU26B
2026-01-01$603.20$405.50RVU26A
2025-10-01$577.19$456.54RVU25D
2025-07-01$577.19$456.54RVU25C
2025-04-01$577.19$456.54RVU25B
2025-01-01$577.19$456.54RVU25A
2024-10-01$598.82$469.13RVU24D
2024-07-01$598.82$469.13RVU24C
2024-04-01$598.82$469.13RVU24B
2024-03-09$598.82$469.13RVU24AR
2024-01-01$589.05$461.47RVU24A
2023-10-01$609.36$474.92RVU23D
2023-07-01$609.36$474.92RVU23C
2023-04-01$609.36$474.92RVU23B
2023-01-01$609.36$474.92RVU23A
2022-10-01$618.76$478.77RVU22D
2022-07-01$618.76$478.77RVU22C
2022-04-01$618.76$478.77RVU22B
2022-01-01$618.76$478.77RVU22A
2021-10-01$623.57$481.32RVU21D
2021-07-01$623.57$481.32RVU21C
2021-04-01$623.57$481.32RVU21B
2021-01-01$623.57$481.32RVU21A
2020-10-01$615.52$489.45RVU20D
2020-07-01$615.52$489.45RVU20C
2020-04-01$615.52$489.45RVU20B
2020-01-01$615.52$489.45RVU20A
2019-10-01$614.35$492.12RVU19D
2019-07-01$614.35$492.12RVU19C
2019-04-01$614.35$492.12RVU19B
2019-01-01$614.35$492.12RVU19A
2018-10-01$611.39$493.83RVU18D
2018-07-01$611.39$493.83RVU18C
2018-04-01$611.39$493.83RVU18B
2018-01-01$611.39$493.83RVU18AR1
2017-10-01$602.34$487.95RVU17D
2017-07-01$602.34$487.95RVU17C
2017-04-01$602.34$487.95RVU17B
2017-01-01$602.34$487.95RVU17A
2016-10-01$597.73$483.49RVU16D
2016-07-01$597.73$483.49RVU16C
2016-04-01$597.73$483.49RVU16B
2016-01-01$597.73$483.49RVU16A
2015-10-01$599.23$484.21RVU15D
2015-07-01$599.23$484.21RVU15C
2015-04-01$596.25$481.80RVU15B
2015-01-01$596.25$481.80RVU15A
2014-10-01$619.10$506.32RVU14D
2014-07-01$619.10$506.32RVU14C
2014-04-01$619.10$506.32RVU14B
2014-01-01$619.10$506.32RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67950 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

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 Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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