Billing code 67909: Eyelid revisionMedicare rate & RVUs
Revision of an eyelid defect limited to skin, such as scar-related deformity after prior surgery or injury, without full-thickness reconstruction.
Medicare pays $553.12 for 67909 nationally in the office and $378.77 in a hospital or facility. Local office rates run $495.19–$722.86.
Medicare rate · 67909
Eyelid revision
- Work RVUs
- 5.43
- Total RVUs
- 16.56
- Global days
- 090
National rate · 2026
$553.12
Office setting, before claim adjustments.
See every locality for 67909 →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
What 67909 covers
Code 67909 represents revision of an eyelid defect limited to skin. An oculoplastic or plastic surgeon may excise or rearrange scarred or redundant eyelid skin to address a deformity after prior surgery or injury. The procedure is performed in an operative setting, with the approach guided by the location and extent of the skin defect; it is not the code for a defect requiring full-thickness eyelid reconstruction.
Choose this code when the operative report supports skin-only revision, and document the affected eyelid, the defect or deformity, and the tissues treated. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is used for bilateral reporting and pays at 150%. Assistant-at-surgery services are not paid; 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 67909 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$495.19 to $722.86
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $501.70 | $349.14 |
| Alaska* | $659.73 | $474.04 |
| Arizona | $539.78 | $370.84 |
| Arkansas | $495.19 | $345.42 |
| Atlanta | $562.58 | $385.43 |
| Austin | $572.29 | $387.82 |
| Bakersfield | $584.45 | $393.35 |
| Baltimore/Surr. Cntys | $585.79 | $398.71 |
| Beaumont | $519.97 | $361.30 |
| Brazoria | $547.84 | $375.06 |
| Chicago | $576.93 | $401.70 |
| Chico | $582.91 | $391.82 |
| Colorado | $574.55 | $389.04 |
| Connecticut | $587.50 | $399.73 |
| Dallas | $551.05 | $377.40 |
| Dc + Md/Va Suburbs | $628.04 | $422.65 |
| Delaware | $548.14 | $375.88 |
| Detroit | $551.67 | $383.42 |
| East St. Louis | $540.92 | $380.51 |
| El Centro | $582.99 | $391.90 |
| Fort Lauderdale | $570.70 | $394.08 |
| Fort Worth | $547.70 | $375.79 |
| Fresno | $582.91 | $391.82 |
| Galveston | $549.32 | $376.19 |
| Hanford-Corcoran | $582.91 | $391.82 |
| Hawaii, Guam | $595.10 | $396.86 |
| Houston | $558.11 | $384.98 |
| Idaho | $516.21 | $355.81 |
| Indiana | $518.91 | $357.29 |
| Iowa | $513.22 | $353.68 |
| Kansas | $511.02 | $353.40 |
| Kentucky | $512.27 | $357.27 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $620.26 | $414.01 |
| Madera | $582.91 | $391.82 |
| Manhattan | $631.75 | $429.15 |
| Merced | $582.91 | $391.82 |
| Metropolitan Boston | $627.80 | $419.62 |
| Metropolitan Kansas City | $531.05 | $367.33 |
| Metropolitan Philadelphia | $574.06 | $392.56 |
| Metropolitan St. Louis | $536.08 | $370.09 |
| Miami | $592.22 | $410.72 |
| Minnesota | $552.15 | $372.74 |
| Mississippi | $499.49 | $349.37 |
| Modesto | $582.91 | $391.82 |
| Montana** | $553.09 | $378.73 |
| Napa | $669.78 | $439.98 |
| Nebraska | $515.76 | $354.83 |
| Nevada** | $550.80 | $376.27 |
| New Hampshire | $565.70 | $384.20 |
| New Mexico | $526.82 | $366.94 |
| New Orleans | $534.31 | $370.25 |
| North Carolina | $523.50 | $360.83 |
| North Dakota** | $543.60 | $369.24 |
| Northern Nj | $622.55 | $420.30 |
| Nyc Suburbs/Long Island | $645.70 | $438.39 |
| Ohio | $522.30 | $363.12 |
| Oklahoma | $511.48 | $355.78 |
| Oxnard-Thousand Oaks-Ventura | $616.89 | $410.81 |
| Portland | $591.40 | $397.70 |
| Poughkpsie/N Nyc Suburbs | $598.44 | $407.52 |
| Puerto Rico | $556.79 | $380.52 |
| Queens | $636.55 | $430.47 |
| Redding | $582.91 | $391.82 |
| Rest Of California | $582.91 | $391.82 |
| Rest Of Florida | $545.53 | $378.85 |
| Rest Of Georgia | $517.78 | $362.26 |
| Rest Of Illinois | $531.20 | $372.01 |
| Rest Of Louisiana | $511.54 | $357.24 |
| Rest Of Maine | $518.60 | $358.20 |
| Rest Of Maryland | $557.89 | $381.44 |
| Rest Of Massachusetts | $571.62 | $388.03 |
| Rest Of Michigan | $524.24 | $365.06 |
| Rest Of Missouri | $503.61 | $353.32 |
| Rest Of New Jersey | $594.65 | $404.26 |
| Rest Of New York | $530.57 | $364.94 |
| Rest Of Oregon | $546.93 | $373.28 |
| Rest Of Pennsylvania | $523.07 | $363.01 |
| Rest Of Texas | $533.42 | $367.96 |
| Rest Of Washington | $570.50 | $386.90 |
| Rhode Island | $566.57 | $386.47 |
| Riverside-San Bernardino-Ontario | $588.18 | $397.09 |
| Sacramento-Roseville-Folsom | $610.19 | $407.42 |
| Salinas | $607.86 | $405.79 |
| San Diego-Chula Vista-Carlsbad | $620.94 | $412.41 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $707.52 | $461.68 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $706.98 | $461.14 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $722.86 | $471.44 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $720.63 | $469.21 |
| San Luis Obispo-Paso Robles | $598.21 | $399.62 |
| Santa Cruz-Watsonville | $625.97 | $414.13 |
| Santa Maria-Santa Barbara | $609.81 | $406.51 |
| Santa Rosa-Petaluma | $632.22 | $418.12 |
| Seattle (King Cnty) | $640.00 | $426.07 |
| South Carolina | $523.68 | $362.58 |
| South Dakota** | $542.47 | $368.12 |
| Southern Maine | $544.00 | $371.22 |
| Stockton | $582.91 | $391.82 |
| Suburban Chicago | $576.37 | $397.31 |
| Tennessee | $513.33 | $354.84 |
| Utah | $530.14 | $366.25 |
| Vallejo | $668.99 | $439.19 |
| Vermont | $541.64 | $369.03 |
| Virgin Islands | $556.79 | $380.52 |
| Virginia | $542.36 | $370.97 |
| Visalia | $582.91 | $391.82 |
| West Virginia | $513.43 | $361.92 |
| Wisconsin | $527.08 | $360.05 |
| Wyoming** | $548.95 | $374.60 |
| Yuba City | $582.91 | $391.82 |
67909 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$495.19
$659.73
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $659.73 | 1 |
| AL | $501.70 | 1 |
| AR | $495.19 | 1 |
| AZ | $539.78 | 1 |
| CA | $582.91–$722.86 | 29 |
| CO | $574.55 | 1 |
| CT | $587.50 | 1 |
| DC | $628.04 | 1 |
| DE | $548.14 | 1 |
| FL | $545.53–$592.22 | 3 |
| GA | $517.78–$562.58 | 2 |
| GU | $595.10 | 1 |
| HI | $595.10 | 1 |
| IA | $513.22 | 1 |
| ID | $516.21 | 1 |
| IL | $531.20–$576.93 | 4 |
| IN | $518.91 | 1 |
| KS | $511.02 | 1 |
| KY | $512.27 | 1 |
| LA | $511.54–$534.31 | 2 |
| MA | $571.62–$627.80 | 2 |
| MD | $557.89–$628.04 | 3 |
| ME | $518.60–$544.00 | 2 |
| MI | $524.24–$551.67 | 2 |
| MN | $552.15 | 1 |
| MO | $503.61–$536.08 | 3 |
| MS | $499.49 | 1 |
| MT | $553.09 | 1 |
| NC | $523.50 | 1 |
| ND | $543.60 | 1 |
| NE | $515.76 | 1 |
| NH | $565.70 | 1 |
| NJ | $594.65–$622.55 | 2 |
| NM | $526.82 | 1 |
| NV | $550.80 | 1 |
| NY | $530.57–$645.70 | 5 |
| OH | $522.30 | 1 |
| OK | $511.48 | 1 |
| OR | $546.93–$591.40 | 2 |
| PA | $523.07–$574.06 | 2 |
| PR | $556.79 | 1 |
| RI | $566.57 | 1 |
| SC | $523.68 | 1 |
| SD | $542.47 | 1 |
| TN | $513.33 | 1 |
| TX | $519.97–$572.29 | 8 |
| UT | $530.14 | 1 |
| VA | $542.36–$628.04 | 2 |
| VI | $556.79 | 1 |
| VT | $541.64 | 1 |
| WA | $570.50–$640.00 | 2 |
| WI | $527.08 | 1 |
| WV | $513.43 | 1 |
| WY | $548.95 | 1 |
How the 67909 rate is calculated
Each of 67909’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 · 67909
RVUs × geographic indexes × conversion factor
Work5.43
5.43 RVUs× 1.000 GPCI
Practice expense10.65
10.65 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
16.5600
Conversion factor
$33.4009
Medicare rate
$553.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67909
67909 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67909
Eyelid revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67909
Eyelid revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67909 without 50 · national office
$553.12
Eyelid revision
67909-50 · Bilateral: 150%
$829.68
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).
67909 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67911Eyelid retraction repair
- 67909 addresses a defect revision limited to skin. 67911 is for correction of eyelid retraction.
- 67961Eyelid repair
- 67961 describes excision and repair of an eyelid defect. Use 67909 when the service is a skin-only revision rather than that excision-and-repair procedure.
- 67971Eyelid reconstruction
- 67971 is a full-thickness reconstruction using tissue from the opposing eyelid. 67909 is limited to skin revision.
67909 billing questions
When is 67909 appropriate instead of an eyelid reconstruction code?
Use 67909 when the revision is limited to eyelid skin. A defect that requires full-thickness reconstruction calls for a reconstruction code selected for the procedure performed.
How is 67909 distinguished from 67911?
67909 is for revision involving skin only. Use 67911 when the service is correction of eyelid retraction rather than a skin-only defect revision.
What documentation supports 67909?
Document the eyelid and side, the skin defect or deformity, its relationship to prior surgery or injury when relevant, and the tissues revised.
Can 67909 be reported for both eyelids?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid 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 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
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