Billing code 67900: Brow repairMedicare rate & RVUs

Medicare pays $657.66 for 67900 nationally in the office and $432.88 in a hospital or facility. Local office rates run $589.36–$856.45.

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

What 67900 covers

This operation raises a descended eyebrow when brow position itself contributes to upper-field obstruction or another documented functional problem. An ophthalmic plastic or reconstructive surgeon typically performs it in an operating room or ambulatory surgery setting. The operative route may use an incision near the brow, across the forehead, or through the scalp; the approach depends on the patient’s anatomy and the planned repair.

Report the service for correction of brow descent, not for repair of drooping eyelid tissue alone. Documentation should identify the affected side or sides, brow position and functional effect, and the operative approach and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Medicare 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.

Where 67900 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

67900 rates by state

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

How the 67900 rate is calculated

Each of 67900’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 67900

67900 has a 90-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

67900 compared with similar codes

How to choose

67901Ptosis repair

Use 67900 when brow descent is the target. Code 67901 is for eyelid ptosis treated with a frontalis-based technique.

67903Ptosis repair

Code 67903 applies to an eyelid ptosis repair, not elevation of a low brow. Identify whether the brow or lid is being corrected.

15823Upper eyelid surgery

Code 15823 addresses excessive upper eyelid skin. Code 67900 corrects descent of the brow itself.

Codes related to 67900

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