Billing code 67830: Trichiasis repairMedicare rate & RVUs

Medicare pays $268.54 for 67830 nationally in the office and $119.24 in a hospital or facility. Local office rates run $237.12–$364.04.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 67830 covers

This procedure corrects trichiasis, in which eyelashes grow or turn toward the eye and can rub the ocular surface. The ophthalmologist or oculoplastic surgeon incises the eyelid margin to alter lash direction; it is distinct from removing lashes with forceps or another epilation method. It may be performed in an office procedure room or a facility, depending on the patient and surgical setting.

Report this code when the operative technique involves incision of the lid margin, rather than epilation or incision with a mucous membrane graft. The record should identify the affected eyelid, document inward or misdirected lashes and their ocular effect, and describe the incision-based correction. CMS assigns a 10-day global period, including related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur 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.

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 67830 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

67830 rates by state

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

How the 67830 rate is calculated

Each of 67830’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.

Payment rules and modifiers for 67830

67830 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

67830 compared with similar codes

How to choose

67820Eyelash epilation

67820 is for correcting trichiasis through epilation with forceps. Use 67830 when the operative correction is performed by incising the lid margin.

67825Trichiasis correction

67825 describes epilation by a method other than forceps, while 67830 involves incision of the lid margin.

67835Trichiasis repair

67835 is the related incision-based repair with a free mucous membrane graft. 67830 is the incision-based repair without that graft distinction.

Codes related to 67830

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

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

Open CMS sourceHow we calculate rates