No office rate
Both codes use an opposing-eyelid tarsoconjunctival flap, but 67973 is selected when the defect exceeds two-thirds of the eyelid.
On this page
CMS RVU26D · Effective 2026-10-01
67971 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$619.89
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Oculoplastic surgery
About 67971: Full-thickness eyelid reconstruction with flap
Reports full-thickness eyelid reconstruction using tissue transferred from the opposing eyelid for a defect involving up to two-thirds of the lid.
This procedure rebuilds a full-thickness eyelid defect by transferring a tarsoconjunctival flap from the opposing eyelid. It is commonly used for substantial lower-eyelid defects, such as after removal of an eyelid tumor, when local tissue alone cannot restore the lid. An ophthalmologist with oculoplastic expertise typically performs the surgery in an operating room. The code covers a one-stage reconstruction or the first stage of a staged repair; the flap is generally taken from the upper eyelid to reconstruct the lower lid.
Select this code when the defect involves up to two-thirds of the eyelid and the operative method uses the opposing-lid flap. Document the defect’s extent, the donor eyelid, the flap transfer, and whether this is the first or only stage. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 67971
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.76 · 54%
- Practice expense (office) RVU7.62 · 42%
- Malpractice RVU0.81 · 4%
1.5K
Medicare services in 2024 · #2650 by national volume
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.
67971 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
67971 describes the one-stage or first-stage flap reconstruction for a defect up to two-thirds of the eyelid; 67974 is a related later-stage code.
$807.41
Choose 67966 for full-thickness excision and repair of a large eyelid defect when the documented repair is not the opposing-eyelid flap reconstruction reported with 67971.
$613.17
67961 is for full-thickness excision and repair of a smaller eyelid defect; 67971 involves a larger defect and transfer of a tarsoconjunctival flap.
The same code, a different location
How does Austin compare?
67971 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 67971
Office
Unavailable
Facility
$591.96
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 67971
Office
Unavailable
Facility
$658.41
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67971
Office
Unavailable
Facility
$673.53
No comparable office rate is available.
Miami
Florida · 67971
Office
Unavailable
Facility
$659.36
No comparable office rate is available.
Chicago
Illinois · 67971
Office
Unavailable
Facility
$646.15
No comparable office rate is available.
Manhattan
New York · 67971
Office
Unavailable
Facility
$685.51
No comparable office rate is available.
Alaska*
Alaska · 67971
Office
Unavailable
Facility
$774.95
No comparable office rate is available.
Alabama
Alabama · 67971
Office
Unavailable
Facility
$564.01
No comparable office rate is available.
Arkansas
Arkansas · 67971
Office
Unavailable
Facility
$558.55
No comparable office rate is available.
Arizona
Arizona · 67971
Office
Unavailable
Facility
$595.78
No comparable office rate is available.
Bakersfield
California · 67971
Office
Unavailable
Facility
$627.61
No comparable office rate is available.
Chico
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
El Centro
California · 67971
Office
Unavailable
Facility
$625.12
No comparable office rate is available.
Fresno
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Hanford-Corcoran
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Madera
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Merced
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Modesto
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Napa
California · 67971
Office
Unavailable
Facility
$695.72
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67971
Office
Unavailable
Facility
$652.81
No comparable office rate is available.
Redding
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Rest Of California
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67971
Office
Unavailable
Facility
$633.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67971
Office
Unavailable
Facility
$648.23
No comparable office rate is available.
Salinas
California · 67971
Office
Unavailable
Facility
$645.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67971
Office
Unavailable
Facility
$654.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67971
Office
Unavailable
Facility
$728.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67971
Office
Unavailable
Facility
$727.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67971
Office
Unavailable
Facility
$743.36
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67971
Office
Unavailable
Facility
$739.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67971
Office
Unavailable
Facility
$635.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67971
Office
Unavailable
Facility
$656.58
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67971
Office
Unavailable
Facility
$646.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67971
Office
Unavailable
Facility
$662.82
No comparable office rate is available.
Stockton
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Vallejo
California · 67971
Office
Unavailable
Facility
$694.40
No comparable office rate is available.
Visalia
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Yuba City
California · 67971
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
Colorado
Colorado · 67971
Office
Unavailable
Facility
$621.84
No comparable office rate is available.
Connecticut
Connecticut · 67971
Office
Unavailable
Facility
$639.36
No comparable office rate is available.
Delaware
Delaware · 67971
Office
Unavailable
Facility
$603.41
No comparable office rate is available.
Fort Lauderdale
Florida · 67971
Office
Unavailable
Facility
$632.73
No comparable office rate is available.
Rest Of Florida
Florida · 67971
Office
Unavailable
Facility
$609.97
No comparable office rate is available.
Atlanta
Georgia · 67971
Office
Unavailable
Facility
$618.05
No comparable office rate is available.
Rest Of Georgia
Georgia · 67971
Office
Unavailable
Facility
$585.27
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67971
Office
Unavailable
Facility
$631.04
No comparable office rate is available.
Iowa
Iowa · 67971
Office
Unavailable
Facility
$569.61
No comparable office rate is available.
Idaho
Idaho · 67971
Office
Unavailable
Facility
$572.94
No comparable office rate is available.
East St. Louis
Illinois · 67971
Office
Unavailable
Facility
$614.63
No comparable office rate is available.
Rest Of Illinois
Illinois · 67971
Office
Unavailable
Facility
$600.65
No comparable office rate is available.
Suburban Chicago
Illinois · 67971
Office
Unavailable
Facility
$637.60
No comparable office rate is available.
Indiana
Indiana · 67971
Office
Unavailable
Facility
$575.08
No comparable office rate is available.
Kansas
Kansas · 67971
Office
Unavailable
Facility
$569.71
No comparable office rate is available.
Kentucky
Kentucky · 67971
Office
Unavailable
Facility
$577.01
No comparable office rate is available.
New Orleans
Louisiana · 67971
Office
Unavailable
Facility
$596.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67971
Office
Unavailable
Facility
$577.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67971
Office
Unavailable
Facility
$667.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67971
Office
Unavailable
Facility
$620.78
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67971
Office
Unavailable
Facility
$637.77
No comparable office rate is available.
Rest Of Maryland
Maryland · 67971
Office
Unavailable
Facility
$611.66
No comparable office rate is available.
Rest Of Maine
Maine · 67971
Office
Unavailable
Facility
$576.97
No comparable office rate is available.
Southern Maine
Maine · 67971
Office
Unavailable
Facility
$595.29
No comparable office rate is available.
Detroit
Michigan · 67971
Office
Unavailable
Facility
$617.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 67971
Office
Unavailable
Facility
$588.91
No comparable office rate is available.
Minnesota
Minnesota · 67971
Office
Unavailable
Facility
$595.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67971
Office
Unavailable
Facility
$591.41
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67971
Office
Unavailable
Facility
$595.40
No comparable office rate is available.
Rest Of Missouri
Missouri · 67971
Office
Unavailable
Facility
$571.74
No comparable office rate is available.
Mississippi
Mississippi · 67971
Office
Unavailable
Facility
$565.12
No comparable office rate is available.
Montana**
Montana · 67971
Office
Unavailable
Facility
$607.51
No comparable office rate is available.
North Carolina
North Carolina · 67971
Office
Unavailable
Facility
$580.74
No comparable office rate is available.
North Dakota**
North Dakota · 67971
Office
Unavailable
Facility
$591.49
No comparable office rate is available.
Nebraska
Nebraska · 67971
Office
Unavailable
Facility
$571.14
No comparable office rate is available.
New Hampshire
New Hampshire · 67971
Office
Unavailable
Facility
$614.62
No comparable office rate is available.
Northern Nj
New Jersey · 67971
Office
Unavailable
Facility
$670.66
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67971
Office
Unavailable
Facility
$646.64
No comparable office rate is available.
New Mexico
New Mexico · 67971
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Nevada**
Nevada · 67971
Office
Unavailable
Facility
$603.30
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67971
Office
Unavailable
Facility
$699.72
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67971
Office
Unavailable
Facility
$652.09
No comparable office rate is available.
Queens
New York · 67971
Office
Unavailable
Facility
$686.71
No comparable office rate is available.
Rest Of New York
New York · 67971
Office
Unavailable
Facility
$586.80
No comparable office rate is available.
Ohio
Ohio · 67971
Office
Unavailable
Facility
$585.64
No comparable office rate is available.
Oklahoma
Oklahoma · 67971
Office
Unavailable
Facility
$574.30
No comparable office rate is available.
Portland
Oregon · 67971
Office
Unavailable
Facility
$634.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 67971
Office
Unavailable
Facility
$598.51
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67971
Office
Unavailable
Facility
$629.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67971
Office
Unavailable
Facility
$585.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67971
Office
Unavailable
Facility
$609.96
No comparable office rate is available.
Rhode Island
Rhode Island · 67971
Office
Unavailable
Facility
$619.23
No comparable office rate is available.
South Carolina
South Carolina · 67971
Office
Unavailable
Facility
$584.16
No comparable office rate is available.
South Dakota**
South Dakota · 67971
Office
Unavailable
Facility
$589.60
No comparable office rate is available.
Tennessee
Tennessee · 67971
Office
Unavailable
Facility
$571.88
No comparable office rate is available.
Utah
Utah · 67971
Office
Unavailable
Facility
$589.53
No comparable office rate is available.
Virginia
Virginia · 67971
Office
Unavailable
Facility
$595.28
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67971
Office
Unavailable
Facility
$609.96
No comparable office rate is available.
Vermont
Vermont · 67971
Office
Unavailable
Facility
$591.65
No comparable office rate is available.
Rest Of Washington
Washington · 67971
Office
Unavailable
Facility
$618.82
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67971
Office
Unavailable
Facility
$676.69
No comparable office rate is available.
Wisconsin
Wisconsin · 67971
Office
Unavailable
Facility
$578.15
No comparable office rate is available.
West Virginia
West Virginia · 67971
Office
Unavailable
Facility
$585.88
No comparable office rate is available.
Wyoming**
Wyoming · 67971
Office
Unavailable
Facility
$600.53
No comparable office rate is available.
See how rates vary across the country
67971 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 67971 in Austin
Multiple payment areas
- 67971 in Barton Creek
- 67971 in Bee Cave
- 67971 in Briarcliff
- 67971 in Cedar Park
Multiple payment areas
- 67971 in Creedmoor
Multiple payment areas
- 67971 in Elgin
Multiple payment areas
- 67971 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67971 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$681.88
$619.89 × 110% = $681.88
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67971 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,528
- Code
- 67971
- Physician work
- 9.76
- Practice expense
- 7.62
- Malpractice
- 0.81
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.76 | × 1.002 | 9.7795 |
| Practice expense | 7.62 | × 1.058 | 8.0620 |
| Malpractice | 0.81 | × 0.886 | 0.7177 |
| Total RVUs | 18.5591 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$619.89
Open 67971 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.76 | 1.002 |
| Practice expense | 7.62 | 1.058 |
| Malpractice | 0.81 | 0.886 |
(9.76 × 1.002 + 7.62 × 1.058 + 0.81 × 0.886) × $33.4009 = $619.89
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
67971 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $619.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $619.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $619.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $619.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $703.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $703.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $703.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $703.63 | RVU25A |
67971 billing questions
How do I choose this code instead of 67973?
Use 67971 for an eyelid defect involving up to two-thirds of the lid. Code 67973 is the sibling for a defect involving more than two-thirds.
Can this code represent the first stage of a staged repair?
Yes. It represents either a one-stage reconstruction or the first stage using a tarsoconjunctival flap from the opposing eyelid.
What documentation supports the code?
Record the full-thickness defect, its extent, the source and transfer of the tarsoconjunctival flap, and whether the procedure is the first or only stage.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and related postoperative care through 90 days are included in the global period.
How is bilateral reporting handled?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services are not paid. Co-surgeons are paid only with supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,52567950,,Revision of eyelid,A,,5.84,11.29,,5.56,,0.50,17.63,11.90,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52667961,,Revision of eyelid,A,,5.71,11.55,,5.51,,0.47,17.73,11.69,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52767966,,Revision of eyelid,A,,8.75,13.95,,7.13,,0.73,23.43,16.61,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52867971,,Reconstruction of eyelid,A,,9.76,7.62,NA,7.62,,0.81,18.19,18.19,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52967973,,Reconstruction of eyelid,A,,12.80,9.39,NA,9.39,,1.07,23.26,23.26,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53067974,,Reconstruction of eyelid,A,,12.77,9.38,NA,9.38,,1.06,23.21,23.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53167975,,Reconstruction of eyelid,A,,9.12,7.41,NA,7.41,,0.79,17.32,17.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858