No office rate
67334 describes a posterior fixation suture technique. Use 67335 for adjustable suture placement with postoperative adjustment.
On this page
CMS RVU26D · Effective 2026-10-01
67335 Adjustable eye suture Medicare reimbursement rates
Reports adjustable suture placement during strabismus surgery, allowing the surgeon to refine eye-muscle alignment after the operation. Compare 67335 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 67335?
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 67335 pays more and less
Ophthalmology surgery
About 67335: Adjustable suture placement for strabismus surgery
Reports adjustable suture placement during strabismus surgery, allowing the surgeon to refine eye-muscle alignment after the operation.
An ophthalmologist uses an adjustable suture on an extraocular muscle during strabismus surgery so eye alignment can be refined after the operation. The technique may be used with surgery on horizontal or vertical eye muscles when the surgeon plans to adjust the muscle position based on postoperative alignment. The operative report should identify the strabismus procedure and document use of the adjustable suture and any adjustment performed.
Report 67335 only with the related primary strabismus operation; it is not a stand-alone service. CMS treats this add-on as paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount. The primary procedure describes the muscle surgery, while this code identifies the adjustable-suture technique and its associated postoperative adjustment.
CMS billing rules for 67335
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.15 · 70%
- Practice expense (office) RVU1.09 · 24%
- Malpractice RVU0.24 · 5%
1.2K
Medicare services in 2024 · #2835 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.
67335 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
67311 describes the primary operation on a horizontal eye muscle. Report 67335 as an add-on when adjustable suture placement is part of that surgery.
No office rate
67312 describes the primary operation on two horizontal muscles. It does not by itself identify the adjustable-suture technique reported by 67335.
See how rates vary across the country
67335 · 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 67335 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 $141.61 |
| Alaska* | Office Unavailable | Facility $201.01 |
| Arizona | Office Unavailable | Facility $147.35 |
| Arkansas | Office Unavailable | Facility $140.61 |
| Atlanta | Office Unavailable | Facility $152.15 |
| Austin | Office Unavailable | Facility $151.04 |
| Bakersfield | Office Unavailable | Facility $152.00 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $155.88 |
| Beaumont | Office Unavailable | Facility $145.79 |
| Brazoria | Office Unavailable | Facility $148.39 |
| Chicago | Office Unavailable | Facility $160.94 |
| Chico | Office Unavailable | Facility $151.20 |
| Colorado | Office Unavailable | Facility $151.47 |
| Connecticut | Office Unavailable | Facility $156.23 |
| Dallas | Office Unavailable | Facility $149.30 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $162.70 |
| Delaware | Office Unavailable | Facility $148.92 |
| Detroit | Office Unavailable | Facility $153.86 |
| East St. Louis | Office Unavailable | Facility $154.85 |
| El Centro | Office Unavailable | Facility $151.24 |
| Fort Lauderdale | Office Unavailable | Facility $156.59 |
| Fort Worth | Office Unavailable | Facility $149.04 |
| Fresno | Office Unavailable | Facility $151.20 |
| Galveston | Office Unavailable | Facility $148.84 |
| Hanford-Corcoran | Office Unavailable | Facility $151.20 |
| Hawaii, Guam | Office Unavailable | Facility $151.25 |
| Houston | Office Unavailable | Facility $153.24 |
| Idaho | Office Unavailable | Facility $142.50 |
| Indiana | Office Unavailable | Facility $142.86 |
| Iowa | Office Unavailable | Facility $141.71 |
| Kansas | Office Unavailable | Facility $142.16 |
| Kentucky | Office Unavailable | Facility $144.91 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $157.92 |
| Madera | Office Unavailable | Facility $151.20 |
| Manhattan | Office Unavailable | Facility $166.97 |
| Merced | Office Unavailable | Facility $151.20 |
| Metropolitan Boston | Office Unavailable | Facility $160.13 |
| Metropolitan Kansas City | Office Unavailable | Facility $147.23 |
| Metropolitan Philadelphia | Office Unavailable | Facility $154.57 |
| Metropolitan St. Louis | Office Unavailable | Facility $147.90 |
| Miami | Office Unavailable | Facility $163.39 |
| Minnesota | Office Unavailable | Facility $145.05 |
| Mississippi | Office Unavailable | Facility $142.48 |
| Modesto | Office Unavailable | Facility $151.20 |
| Montana** | Office Unavailable | Facility $149.62 |
| Napa | Office Unavailable | Facility $163.90 |
| Nebraska | Office Unavailable | Facility $141.85 |
| Nevada** | Office Unavailable | Facility $148.33 |
| New Hampshire | Office Unavailable | Facility $150.13 |
| New Mexico | Office Unavailable | Facility $148.23 |
| New Orleans | Office Unavailable | Facility $148.58 |
| North Carolina | Office Unavailable | Facility $144.30 |
| North Dakota** | Office Unavailable | Facility $144.87 |
| Northern Nj | Office Unavailable | Facility $162.63 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $170.12 |
| Ohio | Office Unavailable | Facility $146.53 |
| Oklahoma | Office Unavailable | Facility $143.95 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $156.19 |
| Portland | Office Unavailable | Facility $153.31 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $159.51 |
| Puerto Rico | Office Unavailable | Facility $149.92 |
| Queens | Office Unavailable | Facility $166.54 |
| Redding | Office Unavailable | Facility $151.20 |
| Rest Of California | Office Unavailable | Facility $151.20 |
| Rest Of Florida | Office Unavailable | Facility $152.07 |
| Rest Of Georgia | Office Unavailable | Facility $147.24 |
| Rest Of Illinois | Office Unavailable | Facility $150.98 |
| Rest Of Louisiana | Office Unavailable | Facility $145.11 |
| Rest Of Maine | Office Unavailable | Facility $143.69 |
| Rest Of Maryland | Office Unavailable | Facility $150.47 |
| Rest Of Massachusetts | Office Unavailable | Facility $151.62 |
| Rest Of Michigan | Office Unavailable | Facility $147.50 |
| Rest Of Missouri | Office Unavailable | Facility $144.40 |
| Rest Of New Jersey | Office Unavailable | Facility $157.97 |
| Rest Of New York | Office Unavailable | Facility $145.43 |
| Rest Of Oregon | Office Unavailable | Facility $147.11 |
| Rest Of Pennsylvania | Office Unavailable | Facility $146.21 |
| Rest Of Texas | Office Unavailable | Facility $147.00 |
| Rest Of Washington | Office Unavailable | Facility $151.02 |
| Rhode Island | Office Unavailable | Facility $151.97 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $153.85 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $155.64 |
| Salinas | Office Unavailable | Facility $154.97 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $156.26 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $170.22 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $169.95 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $173.58 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $172.47 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $152.77 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $155.95 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $154.91 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $157.37 |
| Seattle (King Cnty) | Office Unavailable | Facility $161.69 |
| South Carolina | Office Unavailable | Facility $145.67 |
| South Dakota** | Office Unavailable | Facility $144.31 |
| Southern Maine | Office Unavailable | Facility $146.35 |
| Stockton | Office Unavailable | Facility $151.20 |
| Suburban Chicago | Office Unavailable | Facility $157.54 |
| Tennessee | Office Unavailable | Facility $142.61 |
| Utah | Office Unavailable | Facility $146.63 |
| Vallejo | Office Unavailable | Facility $163.51 |
| Vermont | Office Unavailable | Facility $145.31 |
| Virgin Islands | Office Unavailable | Facility $149.92 |
| Virginia | Office Unavailable | Facility $146.66 |
| Visalia | Office Unavailable | Facility $151.20 |
| West Virginia | Office Unavailable | Facility $148.32 |
| Wisconsin | Office Unavailable | Facility $142.56 |
| Wyoming** | Office Unavailable | Facility $147.55 |
| Yuba City | Office Unavailable | Facility $151.20 |
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67335 billing questions
Can 67335 be reported by itself?
No. It is an add-on for adjustable suture placement during a primary strabismus operation and must be reported with that operation.
Is postoperative suture adjustment included?
Yes. The service includes the associated postoperative adjustment of the adjustable suture; do not report that adjustment as a separate service under this code.
How does 67335 differ from 67334?
67335 identifies adjustable suture placement with postoperative adjustment. Code 67334 describes a posterior fixation suture technique, a different approach to strabismus surgery.
Which code describes the underlying muscle operation?
The primary strabismus surgery code describes the muscle procedure, such as surgery on one or two horizontal muscles. Add 67335 when the adjustable-suture technique is also performed.
How is bilateral adjustable-suture surgery handled?
For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.
What documentation supports reporting 67335?
Document the primary strabismus operation, the adjustable suture placement, the muscle involved, and any postoperative adjustment.
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.
7,45967331,,Eye surgery follow-up add-on,A,,1.95,0.91,NA,0.91,,0.16,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46067332,,Rerevise eye muscles add-on,A,,3.41,1.19,NA,1.19,,0.26,4.86,4.86,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46167334,,Revise eye muscle w/suture,A,,2.01,0.81,NA,0.81,,0.16,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46267335,,Eye suture during surgery,A,,3.15,1.09,NA,1.09,,0.24,4.48,4.48,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46367340,,Revise eye muscle add-on,A,,4.88,1.72,NA,1.72,,0.39,6.99,6.99,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46467343,,Release eye tissue,A,,8.26,8.52,NA,8.52,,0.67,17.45,17.45,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46567345,,Destroy nerve of eye muscle,A,,2.93,4.06,,2.25,,0.53,7.52,5.71,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00