Billing code 67930: Eyelid wound repairMedicare rate & RVUs

Medicare pays $373.76 for 67930 nationally in the office and $196.73 in a hospital or facility. Local office rates run $334.03–$489.49.

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

What 67930 covers

An ophthalmologist or oculoplastic surgeon repairs an acute eyelid laceration by directly closing the wound. The injury is partial thickness and involves the lid margin, tarsal plate, and/or palpebral conjunctiva. Repairs may occur in an office or facility, depending on the injury and care setting. A superficial skin-only cut without involvement of these structures is a different repair scenario.

Choose this code for a partial-thickness wound; a full-thickness laceration is reported with 67935. Document the injured eyelid and side, wound depth, involved structures, and direct closure. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. 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 67930 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

67930 rates by state

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

How the 67930 rate is calculated

Each of 67930’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 67930

67930 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

67930 compared with similar codes

How to choose

67935Eyelid repair

Choose 67935 when the eyelid laceration is full thickness. Code 67930 is for partial-thickness injury repaired by direct closure.

12011Wound repair

Code 12011 is for a simple superficial facial wound, including an eyelid wound, up to 2.5 cm. Code 67930 describes a partial-thickness eyelid injury involving specified lid structures.

67961Eyelid repair

Code 67961 is used for excision and repair of an eyelid defect involving structures such as the lid margin or tarsus. Code 67930 is for direct closure of a partial-thickness laceration.

Codes related to 67930

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