No office rate
Choose 67312 when two horizontal muscles are treated; 67311 represents one horizontal muscle.
On this page
CMS RVU26D · Effective 2026-10-01
67311 Eye muscle surgery Medicare reimbursement rates
Reports strabismus surgery involving recession or resection of one horizontal eye muscle to correct misalignment such as esotropia or exotropia. Compare 67311 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 67311?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 67311 pays more and less
Ophthalmology surgery
About 67311: Single horizontal eye muscle surgery
Reports strabismus surgery involving recession or resection of one horizontal eye muscle to correct misalignment such as esotropia or exotropia.
An ophthalmologist, often one specializing in strabismus, uses this code for surgery on one horizontal extraocular muscle to change its pull and improve eye alignment. The operation may recess or resect a medial or lateral rectus muscle. It is typically performed in an operating room or ambulatory surgery center for conditions such as esotropia or exotropia.
Select the code by the number and orientation of muscles treated: one horizontal muscle is reported here; two horizontal muscles are represented by 67312. Document the eye, the specific muscle, the procedure performed, and the strabismus being treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67311
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.78 · 49%
- Practice expense (office) RVU5.48 · 47%
- Malpractice RVU0.45 · 4%
5.6K
Medicare services in 2024 · #1795 by national volume
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.
67311 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
See how rates vary across the country
67311 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 67311 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $361.72 |
| Alaska* | Office Unavailable | Facility $492.80 |
| Arizona | Office Unavailable | Facility $383.29 |
| Arkansas | Office Unavailable | Facility $358.03 |
| Atlanta | Office Unavailable | Facility $397.65 |
| Austin | Office Unavailable | Facility $400.41 |
| Bakersfield | Office Unavailable | Facility $406.49 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $411.14 |
| Beaumont | Office Unavailable | Facility $373.58 |
| Brazoria | Office Unavailable | Facility $387.71 |
| Chicago | Office Unavailable | Facility $412.86 |
| Chico | Office Unavailable | Facility $405.00 |
| Colorado | Office Unavailable | Facility $401.86 |
| Connecticut | Office Unavailable | Facility $412.24 |
| Dallas | Office Unavailable | Facility $390.00 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $435.83 |
| Delaware | Office Unavailable | Facility $388.38 |
| Detroit | Office Unavailable | Facility $395.03 |
| East St. Louis | Office Unavailable | Facility $391.72 |
| El Centro | Office Unavailable | Facility $405.08 |
| Fort Lauderdale | Office Unavailable | Facility $405.65 |
| Fort Worth | Office Unavailable | Facility $388.36 |
| Fresno | Office Unavailable | Facility $405.00 |
| Galveston | Office Unavailable | Facility $388.80 |
| Hanford-Corcoran | Office Unavailable | Facility $405.00 |
| Hawaii, Guam | Office Unavailable | Facility $409.87 |
| Houston | Office Unavailable | Facility $397.04 |
| Idaho | Office Unavailable | Facility $368.56 |
| Indiana | Office Unavailable | Facility $370.04 |
| Iowa | Office Unavailable | Facility $366.50 |
| Kansas | Office Unavailable | Facility $366.10 |
| Kentucky | Office Unavailable | Facility $369.53 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $427.49 |
| Madera | Office Unavailable | Facility $405.00 |
| Manhattan | Office Unavailable | Facility $441.94 |
| Merced | Office Unavailable | Facility $405.00 |
| Metropolitan Boston | Office Unavailable | Facility $432.90 |
| Metropolitan Kansas City | Office Unavailable | Facility $379.61 |
| Metropolitan Philadelphia | Office Unavailable | Facility $405.00 |
| Metropolitan St. Louis | Office Unavailable | Facility $382.37 |
| Miami | Office Unavailable | Facility $421.61 |
| Minnesota | Office Unavailable | Facility $385.85 |
| Mississippi | Office Unavailable | Facility $361.76 |
| Modesto | Office Unavailable | Facility $405.00 |
| Montana** | Office Unavailable | Facility $391.09 |
| Napa | Office Unavailable | Facility $454.10 |
| Nebraska | Office Unavailable | Facility $367.68 |
| Nevada** | Office Unavailable | Facility $388.80 |
| New Hampshire | Office Unavailable | Facility $396.75 |
| New Mexico | Office Unavailable | Facility $378.95 |
| New Orleans | Office Unavailable | Facility $382.37 |
| North Carolina | Office Unavailable | Facility $373.44 |
| North Dakota** | Office Unavailable | Facility $382.20 |
| Northern Nj | Office Unavailable | Facility $433.60 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $450.96 |
| Ohio | Office Unavailable | Facility $375.32 |
| Oklahoma | Office Unavailable | Facility $368.19 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $424.18 |
| Portland | Office Unavailable | Facility $410.68 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $420.36 |
| Puerto Rico | Office Unavailable | Facility $392.91 |
| Queens | Office Unavailable | Facility $443.44 |
| Redding | Office Unavailable | Facility $405.00 |
| Rest Of California | Office Unavailable | Facility $405.00 |
| Rest Of Florida | Office Unavailable | Facility $390.63 |
| Rest Of Georgia | Office Unavailable | Facility $374.24 |
| Rest Of Illinois | Office Unavailable | Facility $383.66 |
| Rest Of Louisiana | Office Unavailable | Facility $369.44 |
| Rest Of Maine | Office Unavailable | Facility $370.80 |
| Rest Of Maryland | Office Unavailable | Facility $394.02 |
| Rest Of Massachusetts | Office Unavailable | Facility $400.86 |
| Rest Of Michigan | Office Unavailable | Facility $377.14 |
| Rest Of Missouri | Office Unavailable | Facility $365.47 |
| Rest Of New Jersey | Office Unavailable | Facility $417.14 |
| Rest Of New York | Office Unavailable | Facility $377.51 |
| Rest Of Oregon | Office Unavailable | Facility $385.93 |
| Rest Of Pennsylvania | Office Unavailable | Facility $375.29 |
| Rest Of Texas | Office Unavailable | Facility $380.33 |
| Rest Of Washington | Office Unavailable | Facility $399.74 |
| Rhode Island | Office Unavailable | Facility $399.21 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $409.96 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $420.94 |
| Salinas | Office Unavailable | Facility $419.24 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $425.91 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $476.38 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $475.87 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $486.29 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $484.20 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $412.87 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $427.56 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $419.94 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $431.67 |
| Seattle (King Cnty) | Office Unavailable | Facility $439.58 |
| South Carolina | Office Unavailable | Facility $374.96 |
| South Dakota** | Office Unavailable | Facility $381.14 |
| Southern Maine | Office Unavailable | Facility $383.93 |
| Stockton | Office Unavailable | Facility $405.00 |
| Suburban Chicago | Office Unavailable | Facility $409.02 |
| Tennessee | Office Unavailable | Facility $367.51 |
| Utah | Office Unavailable | Facility $378.61 |
| Vallejo | Office Unavailable | Facility $453.36 |
| Vermont | Office Unavailable | Facility $381.87 |
| Virgin Islands | Office Unavailable | Facility $392.91 |
| Virginia | Office Unavailable | Facility $383.59 |
| Visalia | Office Unavailable | Facility $405.00 |
| West Virginia | Office Unavailable | Facility $373.62 |
| Wisconsin | Office Unavailable | Facility $373.04 |
| Wyoming** | Office Unavailable | Facility $387.22 |
| Yuba City | Office Unavailable | Facility $405.00 |
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67311 billing questions
When should I use 67311 rather than 67312?
Use 67311 for surgery on one horizontal muscle. Use 67312 when two horizontal muscles are treated.
How does 67311 differ from 67314?
67311 represents one horizontal muscle, such as a medial or lateral rectus. 67314 represents one vertical muscle.
How is bilateral surgery reported?
CMS pays bilateral surgery at 150% when reported with modifier 50. The operative documentation should identify the muscle treated in each eye.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. The operative record should support each separately reported procedure.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,45067250,,Reinforce eye wall,A,,9.37,13.70,NA,13.70,,0.75,23.82,23.82,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45167255,,Reinforce/graft eye wall,A,,8.17,9.04,NA,9.04,,0.65,17.86,17.86,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45267299,,Unlisted px posterior segmnt,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45367311,,Revise eye muscle,A,,5.78,5.48,NA,5.48,,0.45,11.71,11.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45467312,,Revise two eye muscles,A,,9.26,6.72,NA,6.72,,0.73,16.71,16.71,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45567314,,Revise eye muscle,A,,5.78,5.48,NA,5.48,,0.45,11.71,11.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45667316,,Revise two eye muscles,A,,10.05,6.99,NA,6.99,,0.81,17.85,17.85,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00