CPT code 67966: Eyelid repair, over one-fourth lid margin2026 Medicare rate & RVUs in Vermont

Report 67966 when excision and repair involve a full-thickness eyelid segment extending over one-fourth of the lid margin.

CMS RVU26DEffective Oct 1, 2026One payment locality7.7K Medicare services in 2024

In Vermont, Medicare pays $765.88 for 67966 in the office and $540.36 when it’s performed in a hospital or facility.

$765.88Office (non-facility)
$540.36Hospital or facility
−2.1%vs the national office rate ($782.58)

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.

We’ll open 67966 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 67966 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 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 Vermont 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. Vermont pays $765.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

67966 in Vermont vs other payment areas
  1. Vermont · this page$765.88
  2. Los Angeles, CA · California$871.64+$105.76
  3. Washington, DC area · District of Columbia$884.06+$118.18
  4. Miami, FL · Florida$838.97+$73.09
  5. Chicago, IL · Illinois$818.53+$52.65
  6. Manhattan, NY · New York$891.06+$125.18
  7. Alaska · Alaska$948.05+$182.17

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

Every other payment area

67966 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
67966 office rate range by state
State / territoryOffice rate rangeLocalities
AK$948.051
AL$713.761
AR$705.061
AZ$764.631
CA$820.97–$1,009.3629
CO$810.571
CT$829.431
DC$884.061
DE$775.991
FL$774.35–$838.973
GA$736.94–$795.822
GU$836.151
HI$836.151
IA$728.281
ID$732.461
IL$755.77–$818.534
IN$736.041
KS$725.761
KY$728.791
LA$727.98–$758.412
MA$807.00–$882.282
MD$789.10–$884.063
ME$736.09–$769.392
MI$745.19–$783.002
MN$778.931
MO$717.65–$760.273
MS$711.451
MT$782.531
NC$742.561
ND$768.101
NE$731.541
NH$798.641
NJ$839.51–$877.202
NM$748.811
NV$778.981
NY$752.04–$910.255
OH$742.241
OK$727.291
OR$773.48–$832.742
PA$743.03–$811.652
PR$787.341
RI$800.881
SC$743.511
SD$766.391
TN$728.891
TX$738.92–$807.418
UT$752.141
VA$767.49–$884.062
VI$787.341
VT$765.881
WA$805.25–$898.502
WI$746.141
WV$732.051
WY$776.241

See 67966 in every payment locality

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

Office or facility?

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 67966 in Vermont
ComponentRVULocality factorAdjusted
Physician work8.75× 1.0008.7500
Practice expense13.95× 0.99013.8105
Malpractice0.73× 0.5060.3694
Total RVUs22.9299
Conversion factor× 33.4009

Office rate, Vermont$765.88

Office: (8.75 × 1 + 13.95 × 0.99 + 0.73 × 0.506) × $33.4009 = $765.88

Facility: (8.75 × 1 + 7.13 × 0.99 + 0.73 × 0.506) × $33.4009 = $540.36

Open 67966 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 67966 has changed in Vermont

67966 · Office / nonfacility

$765.88

Effective 2026-10-01

The base rate is $34.38 higher than on 2025-10-01, moving from $731.50 to $765.88 (4.7%).

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

    $731.50changed to$765.88

    • 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 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $757.43changed to$731.50

    • 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.

  3. March 9, 2024

    RVU24AR

    $745.06changed to$757.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $769.11changed to$745.06

    • 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 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $779.28changed to$769.11

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.12 changed to 13.37
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $786.04changed to$779.28

    • 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.

  7. January 1, 2021

    RVU21A

    $785.21changed to$786.04

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $787.69changed to$785.21

    • 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
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $784.79changed to$787.69

    • 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.

  10. January 1, 2018

    RVU18AR1

    $775.12changed to$784.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.06 changed to 12.23
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $771.31changed to$775.12

    • 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 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $773.37changed to$771.31

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.02 changed to 12.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $769.52changed to$773.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $790.59changed to$769.52

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.63 changed to 0.71
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$790.59

    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$765.88$540.36RVU26D
2026-07-01$765.88$540.36RVU26C
2026-04-01$765.88$540.36RVU26B
2026-01-01$765.88$540.36RVU26A
2025-10-01$731.50$614.59RVU25D
2025-07-01$731.50$614.59RVU25C
2025-04-01$731.50$614.59RVU25B
2025-01-01$731.50$614.59RVU25A
2024-10-01$757.43$631.49RVU24D
2024-07-01$757.43$631.49RVU24C
2024-04-01$757.43$631.49RVU24B
2024-03-09$757.43$631.49RVU24AR
2024-01-01$745.06$621.18RVU24A
2023-10-01$769.11$638.70RVU23D
2023-07-01$769.11$638.70RVU23C
2023-04-01$769.11$638.70RVU23B
2023-01-01$769.11$638.70RVU23A
2022-10-01$779.28$643.83RVU22D
2022-07-01$779.28$643.83RVU22C
2022-04-01$779.28$643.83RVU22B
2022-01-01$779.28$643.83RVU22A
2021-10-01$786.04$648.08RVU21D
2021-07-01$786.04$648.08RVU21C
2021-04-01$786.04$648.08RVU21B
2021-01-01$786.04$648.08RVU21A
2020-10-01$785.21$661.89RVU20D
2020-07-01$785.21$661.89RVU20C
2020-04-01$785.21$661.89RVU20B
2020-01-01$785.21$661.89RVU20A
2019-10-01$787.69$668.44RVU19D
2019-07-01$787.69$668.44RVU19C
2019-04-01$787.69$668.44RVU19B
2019-01-01$787.69$668.44RVU19A
2018-10-01$784.79$669.69RVU18D
2018-07-01$784.79$669.69RVU18C
2018-04-01$784.79$669.69RVU18B
2018-01-01$784.79$669.69RVU18AR1
2017-10-01$775.12$663.84RVU17D
2017-07-01$775.12$663.84RVU17C
2017-04-01$775.12$663.84RVU17B
2017-01-01$775.12$663.84RVU17A
2016-10-01$771.31$660.59RVU16D
2016-07-01$771.31$660.59RVU16C
2016-04-01$771.31$660.59RVU16B
2016-01-01$771.31$660.59RVU16A
2015-10-01$773.37$662.61RVU15D
2015-07-01$773.37$662.61RVU15C
2015-04-01$769.52$659.32RVU15B
2015-01-01$769.52$659.32RVU15A
2014-10-01$790.59$681.04RVU14D
2014-07-01$790.59$681.04RVU14C
2014-04-01$790.59$681.04RVU14B
2014-01-01$790.59$681.04RVU14A
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 67966 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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
RVUs for 67966PPRRVU2026_Oct_nonQPP.csv, line 7,527 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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