$951.27
Both codes correct eyelid retraction. Choose 67911 when no implant is inserted; choose 67912 when the repair includes an implant.
On this page
CMS RVU26D · Effective 2026-10-01
67911 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$492.61
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 67911: Eyelid retraction correction without implant
Corrects an abnormally retracted eyelid without an implant, commonly to address scleral show or protect the ocular surface.
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.
CMS billing rules for 67911
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.31 · 51%
- Practice expense (office) RVU6.38 · 45%
- Malpractice RVU0.60 · 4%
3.5K
Medicare services in 2024 · #2084 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.
67911 compared with similar codes
Office rates for Chico, from the same CMS release.
The same code, a different location
How does Chico compare?
67911 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Modesto
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Napa
California · 67911
Office
Unavailable
Facility
$550.59
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67911
Office
Unavailable
Facility
$515.36
No comparable office rate is available.
Redding
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Rest Of California
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67911
Office
Unavailable
Facility
$499.21
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67911
Office
Unavailable
Facility
$511.52
No comparable office rate is available.
Salinas
California · 67911
Office
Unavailable
Facility
$509.45
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67911
Office
Unavailable
Facility
$517.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67911
Office
Unavailable
Facility
$577.02
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67911
Office
Unavailable
Facility
$576.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67911
Office
Unavailable
Facility
$589.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67911
Office
Unavailable
Facility
$586.26
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67911
Office
Unavailable
Facility
$501.77
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67911
Office
Unavailable
Facility
$518.94
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67911
Office
Unavailable
Facility
$510.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67911
Office
Unavailable
Facility
$523.91
No comparable office rate is available.
Stockton
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Vallejo
California · 67911
Office
Unavailable
Facility
$549.60
No comparable office rate is available.
Visalia
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Yuba City
California · 67911
Office
Unavailable
Facility
$492.61
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67911
Office
Unavailable
Facility
$530.68
No comparable office rate is available.
Miami
Florida · 67911
Office
Unavailable
Facility
$516.68
No comparable office rate is available.
Chicago
Illinois · 67911
Office
Unavailable
Facility
$506.03
No comparable office rate is available.
Manhattan
New York · 67911
Office
Unavailable
Facility
$539.19
No comparable office rate is available.
Alaska*
Alaska · 67911
Office
Unavailable
Facility
$604.23
No comparable office rate is available.
Alabama
Alabama · 67911
Office
Unavailable
Facility
$441.96
No comparable office rate is available.
Arkansas
Arkansas · 67911
Office
Unavailable
Facility
$437.53
No comparable office rate is available.
Arizona
Arizona · 67911
Office
Unavailable
Facility
$467.81
No comparable office rate is available.
Colorado
Colorado · 67911
Office
Unavailable
Facility
$489.48
No comparable office rate is available.
Connecticut
Connecticut · 67911
Office
Unavailable
Facility
$502.80
No comparable office rate is available.
Delaware
Delaware · 67911
Office
Unavailable
Facility
$473.94
No comparable office rate is available.
Fort Lauderdale
Florida · 67911
Office
Unavailable
Facility
$496.26
No comparable office rate is available.
Rest Of Florida
Florida · 67911
Office
Unavailable
Facility
$478.00
No comparable office rate is available.
Atlanta
Georgia · 67911
Office
Unavailable
Facility
$485.47
No comparable office rate is available.
Rest Of Georgia
Georgia · 67911
Office
Unavailable
Facility
$458.13
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67911
Office
Unavailable
Facility
$498.06
No comparable office rate is available.
Iowa
Iowa · 67911
Office
Unavailable
Facility
$447.10
No comparable office rate is available.
Idaho
Idaho · 67911
Office
Unavailable
Facility
$449.69
No comparable office rate is available.
East St. Louis
Illinois · 67911
Office
Unavailable
Facility
$480.57
No comparable office rate is available.
Rest Of Illinois
Illinois · 67911
Office
Unavailable
Facility
$470.04
No comparable office rate is available.
Suburban Chicago
Illinois · 67911
Office
Unavailable
Facility
$500.23
No comparable office rate is available.
Indiana
Indiana · 67911
Office
Unavailable
Facility
$451.44
No comparable office rate is available.
Kansas
Kansas · 67911
Office
Unavailable
Facility
$446.90
No comparable office rate is available.
Kentucky
Kentucky · 67911
Office
Unavailable
Facility
$451.94
No comparable office rate is available.
New Orleans
Louisiana · 67911
Office
Unavailable
Facility
$467.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67911
Office
Unavailable
Facility
$451.95
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67911
Office
Unavailable
Facility
$526.45
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67911
Office
Unavailable
Facility
$488.43
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67911
Office
Unavailable
Facility
$501.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 67911
Office
Unavailable
Facility
$480.65
No comparable office rate is available.
Rest Of Maine
Maine · 67911
Office
Unavailable
Facility
$452.68
No comparable office rate is available.
Southern Maine
Maine · 67911
Office
Unavailable
Facility
$467.99
No comparable office rate is available.
Detroit
Michigan · 67911
Office
Unavailable
Facility
$483.59
No comparable office rate is available.
Rest Of Michigan
Michigan · 67911
Office
Unavailable
Facility
$461.34
No comparable office rate is available.
Minnesota
Minnesota · 67911
Office
Unavailable
Facility
$469.37
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67911
Office
Unavailable
Facility
$463.84
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67911
Office
Unavailable
Facility
$467.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 67911
Office
Unavailable
Facility
$447.37
No comparable office rate is available.
Mississippi
Mississippi · 67911
Office
Unavailable
Facility
$442.45
No comparable office rate is available.
Montana**
Montana · 67911
Office
Unavailable
Facility
$477.26
No comparable office rate is available.
North Carolina
North Carolina · 67911
Office
Unavailable
Facility
$455.79
No comparable office rate is available.
North Dakota**
North Dakota · 67911
Office
Unavailable
Facility
$465.39
No comparable office rate is available.
Nebraska
Nebraska · 67911
Office
Unavailable
Facility
$448.43
No comparable office rate is available.
New Hampshire
New Hampshire · 67911
Office
Unavailable
Facility
$483.53
No comparable office rate is available.
Northern Nj
New Jersey · 67911
Office
Unavailable
Facility
$528.14
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67911
Office
Unavailable
Facility
$508.61
No comparable office rate is available.
New Mexico
New Mexico · 67911
Office
Unavailable
Facility
$463.64
No comparable office rate is available.
Nevada**
Nevada · 67911
Office
Unavailable
Facility
$474.17
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67911
Office
Unavailable
Facility
$550.38
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67911
Office
Unavailable
Facility
$512.74
No comparable office rate is available.
Queens
New York · 67911
Office
Unavailable
Facility
$540.57
No comparable office rate is available.
Rest Of New York
New York · 67911
Office
Unavailable
Facility
$460.69
No comparable office rate is available.
Ohio
Ohio · 67911
Office
Unavailable
Facility
$458.92
No comparable office rate is available.
Oklahoma
Oklahoma · 67911
Office
Unavailable
Facility
$450.03
No comparable office rate is available.
Portland
Oregon · 67911
Office
Unavailable
Facility
$499.73
No comparable office rate is available.
Rest Of Oregon
Oregon · 67911
Office
Unavailable
Facility
$470.49
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67911
Office
Unavailable
Facility
$494.30
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67911
Office
Unavailable
Facility
$458.72
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67911
Office
Unavailable
Facility
$479.34
No comparable office rate is available.
Rhode Island
Rhode Island · 67911
Office
Unavailable
Facility
$486.81
No comparable office rate is available.
South Carolina
South Carolina · 67911
Office
Unavailable
Facility
$458.10
No comparable office rate is available.
South Dakota**
South Dakota · 67911
Office
Unavailable
Facility
$463.99
No comparable office rate is available.
Tennessee
Tennessee · 67911
Office
Unavailable
Facility
$448.63
No comparable office rate is available.
Austin
Texas · 67911
Office
Unavailable
Facility
$487.86
No comparable office rate is available.
Beaumont
Texas · 67911
Office
Unavailable
Facility
$456.70
No comparable office rate is available.
Brazoria
Texas · 67911
Office
Unavailable
Facility
$472.93
No comparable office rate is available.
Dallas
Texas · 67911
Office
Unavailable
Facility
$475.80
No comparable office rate is available.
Fort Worth
Texas · 67911
Office
Unavailable
Facility
$473.93
No comparable office rate is available.
Galveston
Texas · 67911
Office
Unavailable
Facility
$474.31
No comparable office rate is available.
Houston
Texas · 67911
Office
Unavailable
Facility
$485.30
No comparable office rate is available.
Rest Of Texas
Texas · 67911
Office
Unavailable
Facility
$464.49
No comparable office rate is available.
Utah
Utah · 67911
Office
Unavailable
Facility
$462.47
No comparable office rate is available.
Virginia
Virginia · 67911
Office
Unavailable
Facility
$467.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67911
Office
Unavailable
Facility
$479.34
No comparable office rate is available.
Vermont
Vermont · 67911
Office
Unavailable
Facility
$465.27
No comparable office rate is available.
Rest Of Washington
Washington · 67911
Office
Unavailable
Facility
$486.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67911
Office
Unavailable
Facility
$534.21
No comparable office rate is available.
Wisconsin
Wisconsin · 67911
Office
Unavailable
Facility
$454.48
No comparable office rate is available.
West Virginia
West Virginia · 67911
Office
Unavailable
Facility
$458.02
No comparable office rate is available.
Wyoming**
Wyoming · 67911
Office
Unavailable
Facility
$472.09
No comparable office rate is available.
See how rates vary across the country
67911 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67911 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$541.87
$492.61 × 110% = $541.87
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 67911 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,512
- Code
- 67911
- Physician work
- 7.31
- Practice expense
- 6.38
- Malpractice
- 0.60
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.017 | 7.4343 |
| Practice expense | 6.38 | × 1.096 | 6.9925 |
| Malpractice | 0.60 | × 0.536 | 0.3216 |
| Total RVUs | 14.7483 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$492.61
Open 67911 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1.017 |
| Practice expense | 6.38 | 1.096 |
| Malpractice | 0.6 | 0.536 |
(7.31 × 1.017 + 6.38 × 1.096 + 0.6 × 0.536) × $33.4009 = $492.61
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
67911 · 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 | $492.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $492.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $492.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $492.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $558.62 | RVU25D |
| 2025-07-01 | Not available in this setting | $558.62 | RVU25C |
| 2025-04-01 | Not available in this setting | $558.62 | RVU25B |
| 2025-01-01 | Not available in this setting | $558.62 | RVU25A |
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 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.
7,50967906,,Repair eyelid defect,A,,6.76,5.51,NA,5.51,,0.53,12.80,12.80,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51067908,,Repair eyelid defect,A,,5.17,10.77,,5.64,,0.42,16.36,11.23,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51167909,,Revise eyelid defect,A,,5.43,10.65,,5.43,,0.48,16.56,11.34,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51267911,,Revise eyelid defect,A,,7.31,6.38,NA,6.38,,0.60,14.29,14.29,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51367912,,Correction eyelid w/implant,A,,6.20,19.90,,5.81,,0.68,26.78,12.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51467914,,Repair eyelid defect,A,,3.66,10.67,,4.73,,0.34,14.67,8.73,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51567915,,Repair eyelid defect,A,,1.98,7.31,,3.25,,0.16,9.45,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536