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Billing code 67332: Strabismus surgeryMedicare rate & RVUs

Add-on reporting for strabismus surgery complicated by restrictive extraocular muscle myopathy, such as thyroid eye disease, when one or more muscles require operative correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $162.33 for 67332 nationally in a facility.

Medicare rate · 67332

Strabismus surgery

Swap in your local Medicare rate.

Work RVUs
3.41
Total RVUs
4.86
Global days
ZZZ

National rate · 2026

$162.33

Facility setting, before claim adjustments.

See every locality for 67332 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 67332 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67332 covers

An ophthalmologist reports this add-on when correcting strabismus in the presence of restrictive myopathy, which limits extraocular muscle movement. Thyroid eye disease is a common clinical setting. The operation may correct one or more restricted muscles through recession or another strabismus procedure. This code captures the added circumstance of restrictive myopathy; the primary procedure code identifies the main muscle operation.

Report 67332 only with a primary strabismus procedure, not by itself. Select it when the record supports restrictive myopathy, rather than relying only on a history of eye surgery, muscle scarring, or the number of muscles treated. The operative report should identify the myopathy, affected muscle or muscles, and corrective work, and the primary code should reflect the procedure performed. CMS pays this add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS payment is 150%.

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.

Where 67332 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67332 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$153.59
Alaska*Unavailable$217.96
ArizonaUnavailable$159.85
ArkansasUnavailable$152.51
AtlantaUnavailable$165.05
AustinUnavailable$163.87
BakersfieldUnavailable$164.91
Baltimore/Surr. CntysUnavailable$169.11
BeaumontUnavailable$158.13
BrazoriaUnavailable$160.97

67332 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
67332 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67332 rate is calculated

Each of 67332’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 · 67332

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.41Practice expense 1.19Malpractice 0.26

4.8600 adjusted RVUs×$33.4009 conversion factor=$162.33

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67332

The CMS indicators that decide how 67332 is paid alongside other services.

CMS payment indicators · 67332

Strabismus surgery

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67332 without 50 · national facility

$162.33

Strabismus surgery

67332-50 · Bilateral: 150%

$243.50

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

67332 compared with similar codes

Compare codes

67332 vs 67331 vs 67334 vs 67311: national Medicare rates

Swap in your local Medicare rate.

  • 67332
    Strabismus surgery · 3.41 wRVU
    —
  • 67331
    Strabismus surgery · 1.95 wRVU
    —
  • 67334
    Eye muscle revision · 2.01 wRVU
    —
  • 67311
    Eye muscle surgery · 5.78 wRVU
    —

How to choose

67331Strabismus surgery
Use 67332 when restrictive myopathy is the added circumstance. Code 67331 addresses strabismus surgery in a patient with previous eye surgery or injury.
67334Eye muscle revision
Use 67332 for restrictive myopathy; use 67334 when the added surgical circumstance is scarring of the extraocular muscles.
67311Eye muscle surgery
67311 describes the primary one-horizontal-muscle recession or resection procedure. 67332 is an add-on for restrictive myopathy and is not a substitute for the primary procedure code.

Codes related to 67332

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

Codes related to 67332
CodeHow it relatesNational office range
Add-on codes
67311Eye muscle surgeryPrimary code for a one-horizontal-muscle recession or resection procedure.No office rate
67312Strabismus surgeryPrimary code for a two-horizontal-muscle recession or resection procedure.No office rate
67314Eye muscle surgeryPrimary code for a one-vertical-muscle recession or resection procedure.No office rate
67316Strabismus surgeryPrimary code for a two-vertical-muscle recession or resection procedure.No office rate
67318Eye muscle surgeryPrimary strabismus procedure involving the superior oblique muscle.No office rate
Same family
67331Strabismus surgeryAdd-on for strabismus surgery involving previous eye surgery or injury.No office rate
67334Eye muscle revisionAdd-on for strabismus surgery involving extraocular muscle scarring.No office rate

67332 billing questions

When should 67332 be reported?

Report it with a primary strabismus procedure when restrictive myopathy, such as thyroid eye disease, complicates the muscle surgery. The operative documentation should support the restrictive condition and the work performed.

Can 67332 be billed by itself?

No. It is an add-on code and must be reported with a primary strabismus procedure.

How is 67332 different from 67334?

67332 identifies restrictive myopathy as the added circumstance. 67334 is for strabismus surgery involving scarring of the extraocular muscles.

How is 67332 different from 67331?

67332 applies when restrictive myopathy is present. 67331 addresses strabismus surgery in a patient with previous eye surgery or injury.

What should the operative note document?

Document the restrictive myopathy, the affected extraocular muscle or muscles, and the corrective surgery. Also report the primary code that describes the main strabismus procedure.

How is bilateral reporting handled?

When the bilateral procedure is reported with modifier 50, CMS payment for this code is 150%.

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 67332PPRRVU2026_Oct_nonQPP.csv, line 7,460 (RVU26D)

Open CMS sourceHow we calculate rates

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