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Billing code 67911: Eyelid retraction repairMedicare rate & RVUs

Corrects an abnormally retracted eyelid without an implant, commonly to address scleral show or protect the ocular surface.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.5K Medicare services in 2024

Medicare pays $477.30 for 67911 nationally in a facility.

Medicare rate · 67911

Eyelid retraction repair

Work RVUs
7.31
Total RVUs
14.29
Global days
090

National rate · 2026

$477.30

Facility setting, before claim adjustments.

See every locality for 67911 →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 67911 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 67911 covers

This procedure corrects an eyelid that sits too high or is pulled away from the eye, causing visible sclera, irritation, or exposure of the ocular surface. It is commonly performed by an ophthalmologist with oculoplastic expertise for retraction associated with thyroid eye disease, scarring, or prior eyelid surgery. The operative approach adjusts the eyelid position without insertion of an implant; a repair that includes an implant belongs to the related code 67912.

Report 67911 when the documented problem is eyelid retraction and the surgeon performs a corrective repair without an implant. The operative note should identify the affected eyelid, the retracted position and clinical effect, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, payment is 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 67911 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

67911 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$441.96
Alaska*Unavailable$604.23
ArizonaUnavailable$467.81
ArkansasUnavailable$437.53
AtlantaUnavailable$485.47
AustinUnavailable$487.86
BakersfieldUnavailable$494.56
Baltimore/Surr. CntysUnavailable$501.51
BeaumontUnavailable$456.70
BrazoriaUnavailable$472.93

67911 rates by state

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

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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
67911 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 67911 rate is calculated

Each of 67911’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 · 67911

RVUs × geographic indexes × conversion factor

Work7.31

7.31 RVUs× 1.000 GPCI

Practice expense6.38

6.38 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

14.2900

Conversion factor

$33.4009

Medicare rate

$477.30

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 67911

67911 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67911

Eyelid retraction repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67911

Eyelid retraction repair

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67911 without 50 · national facility

$477.30

Eyelid retraction repair

67911-50 · Bilateral: 150%

$715.95

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

67911 compared with similar codes

Compare codes · National

4 codes, side by side

  • 67911

    Eyelid retraction repair7.31 wRVU

    Not priced

  • 67912

    Eyelid weight6.2 wRVU

    $894.48

  • 67901

    Ptosis repair7.4 wRVU

    $793.61

  • 67914

    Ectropion repair3.66 wRVU

    $489.99

How to choose

67912Eyelid weight
Both codes correct eyelid retraction. Choose 67911 when no implant is inserted; choose 67912 when the repair includes an implant.
67901Ptosis repair
67901 addresses a drooping eyelid, not an eyelid pulled upward or away from the eye.
67914Ectropion repair
67914 treats ectropion, in which the eyelid turns outward. 67911 is for eyelid retraction.

Codes related to 67911

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

Codes related to 67911
CodeHow it relatesNational office range
Same family
67912Eyelid weightCorrects eyelid retraction when the repair includes insertion of an implant.$789.74–$1,200.50

67911 billing questions

When should 67911 be chosen over 67912?

Use 67911 for correction of eyelid retraction without an implant. When the repair includes insertion of an implant, report 67912 instead.

How is eyelid retraction different from eyelid ptosis?

Retraction means the eyelid is abnormally elevated or pulled away from the eye. Ptosis is a drooping eyelid; codes such as 67901–67908 address ptosis repair rather than retraction correction.

What documentation supports 67911?

Document the retracted eyelid and side, the effect on appearance or ocular-surface protection, and the corrective work performed. The note should also make clear whether an implant was inserted.

Does 67911 have a global period?

Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How is bilateral 67911 reported?

For bilateral procedures, report modifier 50; Medicare pays the bilateral service at 150%.

Can an assistant or co-surgeon be paid for 67911?

Medicare does not pay an assistant at surgery 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
RVUs for 67911PPRRVU2026_Oct_nonQPP.csv, line 7,512 (RVU26D)

Open CMS sourceHow we calculate rates

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