CPT code 67966: Eyelid repair, over one-fourth lid margin2026 Medicare rate & RVUs in Iowa
Report 67966 when excision and repair involve a full-thickness eyelid segment extending over one-fourth of the lid margin.
In Iowa, Medicare pays $728.28 for 67966 in the office and $519.84 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 67966 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 67966 covers
An ophthalmic or oculoplastic surgeon uses this service to remove and repair a substantial eyelid segment involving the lid margin and deeper structures, such as the tarsus and conjunctiva. A typical setting is an operating room or ambulatory surgery center, including treatment of a lesion or tumor that leaves a large full-thickness defect. The defining extent is more than one-fourth of the horizontal lid margin; this is not a code for a skin-only removal or a small defect.
The operative report should identify the affected eyelid, structures involved, amount of lid margin excised, and how the resulting defect was repaired. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. CMS 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 Iowa compares for 67966
Across 109 of 109 payment localities, the office rate for 67966 runs from $705.06 in Arkansas to $1,009.36 in San Benito County, CA. Iowa pays $728.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$728.28
- Los Angeles, CA · California$871.64+$143.36
- Washington, DC area · District of Columbia$884.06+$155.78
- Miami, FL · Florida$838.97+$110.69
- Chicago, IL · Illinois$818.53+$90.25
- Manhattan, NY · New York$891.06+$162.78
- Alaska · Alaska$948.05+$219.77
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $713.76 | $514.44 |
| ArkansasArkansas | $705.06 | $509.38 |
| ArizonaArizona | $764.63 | $543.90 |
| Bakersfield, CACalifornia | $823.33 | $573.67 |
| Chico, CACalifornia | $820.97 | $571.31 |
| El Centro, CACalifornia | $821.09 | $571.43 |
| Fresno, CACalifornia | $820.97 | $571.31 |
| Hanford, CACalifornia | $820.97 | $571.31 |
| Madera, CACalifornia | $820.97 | $571.31 |
| Merced, CACalifornia | $820.97 | $571.31 |
| Modesto, CACalifornia | $820.97 | $571.31 |
| Napa, CACalifornia | $937.17 | $636.94 |
| Oxnard, CACalifornia | $866.38 | $597.12 |
| Redding, CACalifornia | $820.97 | $571.31 |
| Rest of CaliforniaCalifornia | $820.97 | $571.31 |
| Riverside, CACalifornia | $828.99 | $579.33 |
| Sacramento, CACalifornia | $857.74 | $592.81 |
| Salinas, CACalifornia | $854.41 | $590.40 |
| San Diego, CACalifornia | $871.51 | $599.07 |
| Marin County, CACalifornia | $988.19 | $667.00 |
| San Francisco, CACalifornia | $987.36 | $666.17 |
| San Benito County, CACalifornia | $1,009.36 | $680.89 |
| Santa Clara County, CACalifornia | $1,005.98 | $677.50 |
| San Luis Obispo, CACalifornia | $841.00 | $581.55 |
| Santa Cruz, CACalifornia | $877.58 | $600.81 |
| Santa Maria, CACalifornia | $856.80 | $591.19 |
| Santa Rosa, CACalifornia | $886.27 | $606.54 |
| Stockton, CACalifornia | $820.97 | $571.31 |
| Vallejo, CACalifornia | $935.97 | $635.74 |
| Visalia, CACalifornia | $820.97 | $571.31 |
| Yuba City, CACalifornia | $820.97 | $571.31 |
| ColoradoColorado | $810.57 | $568.20 |
| ConnecticutConnecticut | $829.43 | $584.09 |
| DelawareDelaware | $775.99 | $550.93 |
| Fort Lauderdale, FLFlorida | $808.34 | $577.59 |
| Rest of FloridaFlorida | $774.35 | $556.57 |
| Atlanta, GAGeorgia | $795.82 | $564.38 |
| Rest of GeorgiaGeorgia | $736.94 | $533.75 |
| Hawaii, Guam, HIHawaii | $836.15 | $577.15 |
| IdahoIdaho | $732.46 | $522.89 |
| East St. Louis, ILIllinois | $770.03 | $560.46 |
| Rest of IllinoisIllinois | $755.77 | $547.80 |
| Suburban Chicago, ILIllinois | $816.03 | $582.09 |
| IndianaIndiana | $736.04 | $524.87 |
| KansasKansas | $725.76 | $519.83 |
| KentuckyKentucky | $728.79 | $526.28 |
| New Orleans, LALouisiana | $758.41 | $544.05 |
| Rest of LouisianaLouisiana | $727.98 | $526.38 |
| Metropolitan Boston, MAMassachusetts | $882.28 | $610.29 |
| Rest of MassachusettsMassachusetts | $807.00 | $567.14 |
| Baltimore area, MDMaryland | $827.05 | $582.63 |
| Rest of MarylandMaryland | $789.10 | $558.57 |
| Rest of MaineMaine | $736.09 | $526.52 |
| Southern Maine, MEMaine | $769.39 | $543.65 |
| Detroit, MIMichigan | $783.00 | $563.18 |
| Rest of MichiganMichigan | $745.19 | $537.22 |
| MinnesotaMinnesota | $778.93 | $544.53 |
| Metropolitan Kansas City, MOMissouri | $753.60 | $539.70 |
| Metropolitan St. Louis, MOMissouri | $760.27 | $543.41 |
| Rest of MissouriMissouri | $717.65 | $521.29 |
| MississippiMississippi | $711.45 | $515.32 |
| MontanaMontana | $782.53 | $554.74 |
| North CarolinaNorth Carolina | $742.56 | $530.03 |
| North DakotaNorth Dakota | $768.10 | $540.31 |
| NebraskaNebraska | $731.54 | $521.29 |
| New HampshireNew Hampshire | $798.64 | $561.51 |
| Northern New JerseyNew Jersey | $877.20 | $612.96 |
| Rest of New JerseyNew Jersey | $839.51 | $590.75 |
| New MexicoNew Mexico | $748.81 | $539.92 |
| NevadaNevada | $778.98 | $550.96 |
| NYC suburbs and Long Island, NYNew York | $910.25 | $639.40 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $845.12 | $595.69 |
| Queens, NYNew York | $896.87 | $627.61 |
| Rest of New YorkNew York | $752.04 | $535.64 |
| OhioOhio | $742.24 | $534.27 |
| OklahomaOklahoma | $727.29 | $523.87 |
| Portland, OROregon | $832.74 | $579.66 |
| Rest of OregonOregon | $773.48 | $546.59 |
| Metropolitan Philadelphia, PAPennsylvania | $811.65 | $574.52 |
| Rest of PennsylvaniaPennsylvania | $743.03 | $533.92 |
| Puerto RicoPuerto Rico | $787.34 | $557.04 |
| Rhode IslandRhode Island | $800.88 | $565.57 |
| South CarolinaSouth Carolina | $743.51 | $533.03 |
| South DakotaSouth Dakota | $766.39 | $538.60 |
| TennesseeTennessee | $728.89 | $521.83 |
| Austin, TXTexas | $807.41 | $566.41 |
| Beaumont, TXTexas | $738.92 | $531.62 |
| Brazoria, TXTexas | $775.36 | $549.62 |
| Dallas, TXTexas | $779.89 | $553.00 |
| Fort Worth, TXTexas | $775.54 | $550.94 |
| Galveston, TXTexas | $777.47 | $551.27 |
| Houston, TXTexas | $790.83 | $564.63 |
| Rest of TexasTexas | $756.45 | $540.28 |
| UtahUtah | $752.14 | $538.01 |
| VirginiaVirginia | $767.49 | $543.57 |
| Virgin Islands, VIUnited States Virgin Islands | $787.34 | $557.04 |
| VermontVermont | $765.88 | $540.36 |
| Rest of WashingtonWashington | $805.25 | $565.38 |
| King County, WAWashington | $898.50 | $619.00 |
| WisconsinWisconsin | $746.14 | $527.91 |
| West VirginiaWest Virginia | $732.05 | $534.10 |
| WyomingWyoming | $776.24 | $548.45 |
67966 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.
$705.06
$948.05
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $948.05 | 1 |
| AL | $713.76 | 1 |
| AR | $705.06 | 1 |
| AZ | $764.63 | 1 |
| CA | $820.97–$1,009.36 | 29 |
| CO | $810.57 | 1 |
| CT | $829.43 | 1 |
| DC | $884.06 | 1 |
| DE | $775.99 | 1 |
| FL | $774.35–$838.97 | 3 |
| GA | $736.94–$795.82 | 2 |
| GU | $836.15 | 1 |
| HI | $836.15 | 1 |
| IA | $728.28 | 1 |
| ID | $732.46 | 1 |
| IL | $755.77–$818.53 | 4 |
| IN | $736.04 | 1 |
| KS | $725.76 | 1 |
| KY | $728.79 | 1 |
| LA | $727.98–$758.41 | 2 |
| MA | $807.00–$882.28 | 2 |
| MD | $789.10–$884.06 | 3 |
| ME | $736.09–$769.39 | 2 |
| MI | $745.19–$783.00 | 2 |
| MN | $778.93 | 1 |
| MO | $717.65–$760.27 | 3 |
| MS | $711.45 | 1 |
| MT | $782.53 | 1 |
| NC | $742.56 | 1 |
| ND | $768.10 | 1 |
| NE | $731.54 | 1 |
| NH | $798.64 | 1 |
| NJ | $839.51–$877.20 | 2 |
| NM | $748.81 | 1 |
| NV | $778.98 | 1 |
| NY | $752.04–$910.25 | 5 |
| OH | $742.24 | 1 |
| OK | $727.29 | 1 |
| OR | $773.48–$832.74 | 2 |
| PA | $743.03–$811.65 | 2 |
| PR | $787.34 | 1 |
| RI | $800.88 | 1 |
| SC | $743.51 | 1 |
| SD | $766.39 | 1 |
| TN | $728.89 | 1 |
| TX | $738.92–$807.41 | 8 |
| UT | $752.14 | 1 |
| VA | $767.49–$884.06 | 2 |
| VI | $787.34 | 1 |
| VT | $765.88 | 1 |
| WA | $805.25–$898.50 | 2 |
| WI | $746.14 | 1 |
| WV | $732.05 | 1 |
| WY | $776.24 | 1 |
How the 67966 rate is calculated
Each of 67966’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 · 67966
RVUs × geographic indexes × conversion factor
Work8.75
8.75 RVUs× 1.000 GPCI
Practice expense13.95
13.95 RVUs× 1.000 GPCI
Malpractice0.73
0.73 RVUs× 1.000 GPCI
Adjusted RVUs
23.4300
Conversion factor
$33.4009
Medicare rate
$782.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,527
- Code
- 67966
- Physician work
- 8.75
- Practice expense
- 13.95
- Malpractice
- 0.73
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.75 | × 1.000 | 8.7500 |
| Practice expense | 13.95 | × 0.915 | 12.7643 |
| Malpractice | 0.73 | × 0.397 | 0.2898 |
| Total RVUs | 21.8041 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$728.28
Office: (8.75 × 1 + 13.95 × 0.915 + 0.73 × 0.397) × $33.4009 = $728.28
Facility: (8.75 × 1 + 7.13 × 0.915 + 0.73 × 0.397) × $33.4009 = $519.84
Payment rules and modifiers for 67966
67966 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67966
Eyelid repair, over one-fourth lid margin
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67966
Eyelid repair, over one-fourth lid margin
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67966 without 50 · national office
$782.58
Eyelid repair, over one-fourth lid margin
67966-50 · Bilateral: 150%
$1,173.87
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).
How 67966 has changed in Iowa
67966 · Office / nonfacility
$728.28
Effective 2026-10-01
The base rate is $32.79 higher than on 2025-10-01, moving from $695.49 to $728.28 (4.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$695.49changed to$728.28
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 8.97 changed to 8.75
- Practice expense RVU 13.36 changed to 13.95
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$719.98changed to$695.49
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 13.49 changed to 13.36
- Malpractice RVU 0.75 changed to 0.73
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$708.23changed to$719.98
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$727.17changed to$708.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 13.37 changed to 13.49
- Malpractice RVU 0.73 changed to 0.75
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$732.96changed to$727.17
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 13.12 changed to 13.37
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$739.38changed to$732.96
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 13.14 changed to 13.12
- Malpractice RVU 0.71 changed to 0.73
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$736.38changed to$739.38
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.27 changed to 13.14
- Malpractice RVU 0.72 changed to 0.71
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$735.50changed to$736.38
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 12.28 changed to 12.27
- Malpractice RVU 0.71 changed to 0.72
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$732.91changed to$735.50
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 12.23 changed to 12.28
- Malpractice RVU 0.70 changed to 0.71
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$723.83changed to$732.91
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 12.06 changed to 12.23
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$719.95changed to$723.83
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 12.04 changed to 12.06
- Malpractice RVU 0.71 changed to 0.70
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$721.90changed to$719.95
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 12.02 changed to 12.04
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$718.31changed to$721.90
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$733.15changed to$718.31
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 1.63 changed to 0.71
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$727.80changed to$733.15
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 13.13 changed to 12.02
- Malpractice RVU 1.70 changed to 1.63
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $727.80
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $728.28 | $519.84 | RVU26D |
| 2026-07-01 | $728.28 | $519.84 | RVU26C |
| 2026-04-01 | $728.28 | $519.84 | RVU26B |
| 2026-01-01 | $728.28 | $519.84 | RVU26A |
| 2025-10-01 | $695.49 | $587.99 | RVU25D |
| 2025-07-01 | $695.49 | $587.99 | RVU25C |
| 2025-04-01 | $695.49 | $587.99 | RVU25B |
| 2025-01-01 | $695.49 | $587.99 | RVU25A |
| 2024-10-01 | $719.98 | $604.19 | RVU24D |
| 2024-07-01 | $719.98 | $604.19 | RVU24C |
| 2024-04-01 | $719.98 | $604.19 | RVU24B |
| 2024-03-09 | $719.98 | $604.19 | RVU24AR |
| 2024-01-01 | $708.23 | $594.33 | RVU24A |
| 2023-10-01 | $727.17 | $608.14 | RVU23D |
| 2023-07-01 | $727.17 | $608.14 | RVU23C |
| 2023-04-01 | $727.17 | $608.14 | RVU23B |
| 2023-01-01 | $727.17 | $608.14 | RVU23A |
| 2022-10-01 | $732.96 | $610.24 | RVU22D |
| 2022-07-01 | $732.96 | $610.24 | RVU22C |
| 2022-04-01 | $732.96 | $610.24 | RVU22B |
| 2022-01-01 | $732.96 | $610.24 | RVU22A |
| 2021-10-01 | $739.38 | $614.37 | RVU21D |
| 2021-07-01 | $739.38 | $614.37 | RVU21C |
| 2021-04-01 | $739.38 | $614.37 | RVU21B |
| 2021-01-01 | $739.38 | $614.37 | RVU21A |
| 2020-10-01 | $736.38 | $625.41 | RVU20D |
| 2020-07-01 | $736.38 | $625.41 | RVU20C |
| 2020-04-01 | $736.38 | $625.41 | RVU20B |
| 2020-01-01 | $736.38 | $625.41 | RVU20A |
| 2019-10-01 | $735.50 | $628.94 | RVU19D |
| 2019-07-01 | $735.50 | $628.94 | RVU19C |
| 2019-04-01 | $735.50 | $628.94 | RVU19B |
| 2019-01-01 | $735.50 | $628.94 | RVU19A |
| 2018-10-01 | $732.91 | $630.05 | RVU18D |
| 2018-07-01 | $732.91 | $630.05 | RVU18C |
| 2018-04-01 | $732.91 | $630.05 | RVU18B |
| 2018-01-01 | $732.91 | $630.05 | RVU18AR1 |
| 2017-10-01 | $723.83 | $624.45 | RVU17D |
| 2017-07-01 | $723.83 | $624.45 | RVU17C |
| 2017-04-01 | $723.83 | $624.45 | RVU17B |
| 2017-01-01 | $723.83 | $624.45 | RVU17A |
| 2016-10-01 | $719.95 | $621.14 | RVU16D |
| 2016-07-01 | $719.95 | $621.14 | RVU16C |
| 2016-04-01 | $719.95 | $621.14 | RVU16B |
| 2016-01-01 | $719.95 | $621.14 | RVU16A |
| 2015-10-01 | $721.90 | $623.06 | RVU15D |
| 2015-07-01 | $721.90 | $623.06 | RVU15C |
| 2015-04-01 | $718.31 | $619.96 | RVU15B |
| 2015-01-01 | $718.31 | $619.96 | RVU15A |
| 2014-10-01 | $733.15 | $636.01 | RVU14D |
| 2014-07-01 | $733.15 | $636.01 | RVU14C |
| 2014-04-01 | $733.15 | $636.01 | RVU14B |
| 2014-01-01 | $733.15 | $636.01 | RVU14A |
| 2013-10-01 | $727.80 | $625.20 | RVU13D |
| 2013-07-01 | $727.80 | $625.20 | RVU13C |
| 2013-04-01 | $727.80 | $625.20 | RVU13B |
| 2013-01-01 | $727.80 | $625.20 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
67966 billing questions
How is 67966 distinguished from 67961?
Both describe eyelid excision and repair involving deeper structures. Use 67966 when the excised lid-margin segment is over one-fourth of the horizontal length; 67961 is for up to one-fourth.
What documentation supports 67966?
Document the eyelid and structures involved, the extent of the excision in relation to the horizontal lid margin, and the repair performed. The record should support that the segment exceeded one-fourth of the margin.
Does the 90-day global period include postoperative visits?
Related postoperative care during the 90-day period is included, as is the day-before preoperative visit.
How does Medicare handle bilateral reporting?
For bilateral procedures reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for 67966. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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
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