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CMS RVU26D · Effective 2026-10-01

67922 in Chico

Office / nonfacility

$330.03

Base rate per service

Facility setting

$189.10

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 67922: Entropion repair by thermocautery

Reports thermocautery treatment of entropion, an inward-turning eyelid that can cause lashes to rub against the eye and irritate its surface.

Entropion turns the eyelid margin inward, bringing the lashes into contact with the ocular surface. For this procedure, an ophthalmologist or oculoplastic surgeon uses controlled heat to create tissue contraction that helps evert the lid. It is a technique-specific option for correcting eyelid malposition; it is distinct from suture repair, tarsal wedge excision, or more extensive reconstruction. The record should identify the affected lid, the entropion and its clinical effect, and the thermocautery technique performed.

Report this code when the documented repair uses thermocautery, not simply because the patient has entropion. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

CMS billing rules for 67922

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 RVU1.98 · 21%
  • Practice expense (office) RVU7.10 · 77%
  • Malpractice RVU0.16 · 2%

117

Medicare services in 2024 · #4763 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.

67922 compared with similar codes

Office rates for Chico, from the same CMS release.

67921

Entropion repair

Suture technique

$509.34

Choose 67922 when the repair uses thermocautery; choose 67921 when the documented method is suture repair.

67923

Entropion repair

Tarsal wedge excision

$647.05

67923 describes entropion repair with tarsal wedge excision. It is not the thermocautery technique reported with 67922.

67924

Entropion repair

Extensive repair

$689.44

67924 is for an extensive entropion repair. Use 67922 when the documented corrective method is thermocautery.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 67922 is $330.56—$0.53 higher than the $330.03 rate in Chico. Both use the same code, release and participation basis.

67922 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $330.03

  2. Bakersfield

    $330.56

    $0.53 higher than Chico

  3. El Centro

    $330.06

    $0.03 higher than Chico

  4. Fresno

    $330.03

    The same base rate than Chico

  5. Hanford-Corcoran

    $330.03

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $352.94

    $22.91 higher than Chico

  7. Madera

    $330.03

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 67922 ranges from $272.59 in Arkansas to $418.24 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Modesto

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Napa

    California · 67922

    Office

    $385.57

    Facility

    $216.09

    $55.54 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67922

    Office

    $351.62

    Facility

    $199.62

    $21.59 higher than Chico for the office setting.

  • Redding

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67922

    Office

    $331.80

    Facility

    $190.86

    $1.77 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67922

    Office

    $347.18

    Facility

    $197.63

    $17.15 higher than Chico for the office setting.

  • Salinas

    California · 67922

    Office

    $345.90

    Facility

    $196.86

    $15.87 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67922

    Office

    $354.64

    Facility

    $200.84

    $24.61 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67922

    Office

    $409.25

    Facility

    $227.93

    $79.22 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 67922

    Office

    $409.06

    Facility

    $227.75

    $79.03 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 67922

    Office

    $418.24

    Facility

    $232.81

    $88.21 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 67922

    Office

    $417.50

    Facility

    $232.06

    $87.47 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67922

    Office

    $340.23

    Facility

    $193.76

    $10.20 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 67922

    Office

    $358.52

    Facility

    $202.28

    $28.49 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 67922

    Office

    $347.36

    Facility

    $197.42

    $17.33 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 67922

    Office

    $362.20

    Facility

    $204.29

    $32.17 higher than Chico for the office setting.

  • Stockton

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 67922

    Office

    $385.31

    Facility

    $215.83

    $55.28 higher than Chico for the office setting.

  • Visalia

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 67922

    Office

    $330.03

    Facility

    $189.10

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67922

    Office

    $355.01

    Facility

    $203.53

    $24.98 higher than Chico for the office setting.

  • Miami

    Florida · 67922

    Office

    $326.52

    Facility

    $192.65

    $3.51 lower than Chico for the office setting.

  • Chicago

    Illinois · 67922

    Office

    $317.19

    Facility

    $187.96

    $12.84 lower than Chico for the office setting.

  • Manhattan

    New York · 67922

    Office

    $354.41

    Facility

    $204.98

    $24.38 higher than Chico for the office setting.

  • Alaska*

    Alaska · 67922

    Office

    $354.71

    Facility

    $217.75

    $24.68 higher than Chico for the office setting.

  • Alabama

    Alabama · 67922

    Office

    $276.66

    Facility

    $164.14

    $53.37 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 67922

    Office

    $272.59

    Facility

    $162.13

    $57.44 lower than Chico for the office setting.

  • Arizona

    Arizona · 67922

    Office

    $300.50

    Facility

    $175.90

    $29.53 lower than Chico for the office setting.

  • Colorado

    Colorado · 67922

    Office

    $323.42

    Facility

    $186.60

    $6.61 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 67922

    Office

    $329.33

    Facility

    $190.83

    $0.70 lower than Chico for the office setting.

  • Delaware

    Delaware · 67922

    Office

    $305.57

    Facility

    $178.52

    $24.46 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 67922

    Office

    $316.03

    Facility

    $185.76

    $14.00 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 67922

    Office

    $300.88

    Facility

    $177.94

    $29.15 lower than Chico for the office setting.

  • Atlanta

    Georgia · 67922

    Office

    $313.69

    Facility

    $183.04

    $16.34 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 67922

    Office

    $284.04

    Facility

    $169.33

    $45.99 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 67922

    Office

    $338.86

    Facility

    $192.65

    $8.83 higher than Chico for the office setting.

  • Iowa

    Iowa · 67922

    Office

    $285.24

    Facility

    $167.58

    $44.79 lower than Chico for the office setting.

  • Idaho

    Idaho · 67922

    Office

    $286.84

    Facility

    $168.53

    $43.19 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 67922

    Office

    $295.07

    Facility

    $176.77

    $34.96 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 67922

    Office

    $291.00

    Facility

    $173.60

    $39.03 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 67922

    Office

    $319.62

    Facility

    $187.55

    $10.41 lower than Chico for the office setting.

  • Indiana

    Indiana · 67922

    Office

    $288.57

    Facility

    $169.36

    $41.46 lower than Chico for the office setting.

  • Kansas

    Kansas · 67922

    Office

    $283.21

    Facility

    $166.96

    $46.82 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 67922

    Office

    $281.85

    Facility

    $167.53

    $48.18 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 67922

    Office

    $295.36

    Facility

    $174.35

    $34.67 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 67922

    Office

    $281.13

    Facility

    $167.32

    $48.90 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 67922

    Office

    $356.75

    Facility

    $203.21

    $26.72 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67922

    Office

    $321.17

    Facility

    $185.76

    $8.86 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67922

    Office

    $328.26

    Facility

    $190.28

    $1.77 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 67922

    Office

    $311.69

    Facility

    $181.56

    $18.34 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 67922

    Office

    $287.63

    Facility

    $169.33

    $42.40 lower than Chico for the office setting.

  • Southern Maine

    Maine · 67922

    Office

    $304.52

    Facility

    $177.08

    $25.51 lower than Chico for the office setting.

  • Detroit

    Michigan · 67922

    Office

    $303.99

    Facility

    $179.90

    $26.04 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 67922

    Office

    $288.68

    Facility

    $171.28

    $41.35 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 67922

    Office

    $311.74

    Facility

    $179.42

    $18.29 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 67922

    Office

    $294.04

    Facility

    $173.29

    $35.99 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 67922

    Office

    $297.25

    Facility

    $174.83

    $32.78 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 67922

    Office

    $275.76

    Facility

    $164.91

    $54.27 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 67922

    Office

    $274.27

    Facility

    $163.55

    $55.76 lower than Chico for the office setting.

  • Montana**

    Montana · 67922

    Office

    $308.61

    Facility

    $180.02

    $21.42 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 67922

    Office

    $290.81

    Facility

    $170.83

    $39.22 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 67922

    Office

    $305.45

    Facility

    $176.86

    $24.58 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 67922

    Office

    $287.04

    Facility

    $168.35

    $42.99 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 67922

    Office

    $317.68

    Facility

    $183.81

    $12.35 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 67922

    Office

    $351.10

    Facility

    $201.93

    $21.07 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 67922

    Office

    $333.61

    Facility

    $193.18

    $3.58 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 67922

    Office

    $290.02

    Facility

    $172.10

    $40.01 lower than Chico for the office setting.

  • Nevada**

    Nevada · 67922

    Office

    $307.97

    Facility

    $179.25

    $22.06 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67922

    Office

    $362.26

    Facility

    $209.36

    $32.23 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67922

    Office

    $335.25

    Facility

    $194.44

    $5.22 higher than Chico for the office setting.

  • Queens

    New York · 67922

    Office

    $358.38

    Facility

    $206.38

    $28.35 higher than Chico for the office setting.

  • Rest Of New York

    New York · 67922

    Office

    $295.18

    Facility

    $173.02

    $34.85 lower than Chico for the office setting.

  • Ohio

    Ohio · 67922

    Office

    $288.04

    Facility

    $170.63

    $41.99 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 67922

    Office

    $282.06

    Facility

    $167.22

    $47.97 lower than Chico for the office setting.

  • Portland

    Oregon · 67922

    Office

    $334.64

    Facility

    $191.77

    $4.61 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 67922

    Office

    $306.09

    Facility

    $178.01

    $23.94 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67922

    Office

    $320.57

    Facility

    $186.70

    $9.46 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67922

    Office

    $288.88

    Facility

    $170.84

    $41.15 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 67922

    Office

    $311.15

    Facility

    $181.14

    $18.88 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 67922

    Office

    $317.13

    Facility

    $184.29

    $12.90 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 67922

    Office

    $289.80

    Facility

    $170.98

    $40.23 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 67922

    Office

    $305.08

    Facility

    $176.48

    $24.95 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 67922

    Office

    $284.57

    Facility

    $167.68

    $45.46 lower than Chico for the office setting.

  • Austin

    Texas · 67922

    Office

    $321.90

    Facility

    $185.85

    $8.13 lower than Chico for the office setting.

  • Beaumont

    Texas · 67922

    Office

    $286.90

    Facility

    $169.88

    $43.13 lower than Chico for the office setting.

  • Brazoria

    Texas · 67922

    Office

    $305.84

    Facility

    $178.41

    $24.19 lower than Chico for the office setting.

  • Dallas

    Texas · 67922

    Office

    $307.51

    Facility

    $179.43

    $22.52 lower than Chico for the office setting.

  • Fort Worth

    Texas · 67922

    Office

    $305.21

    Facility

    $178.42

    $24.82 lower than Chico for the office setting.

  • Galveston

    Texas · 67922

    Office

    $306.57

    Facility

    $178.88

    $23.46 lower than Chico for the office setting.

  • Houston

    Texas · 67922

    Office

    $309.50

    Facility

    $181.81

    $20.53 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 67922

    Office

    $296.01

    Facility

    $173.98

    $34.02 lower than Chico for the office setting.

  • Utah

    Utah · 67922

    Office

    $293.85

    Facility

    $172.97

    $36.18 lower than Chico for the office setting.

  • Virginia

    Virginia · 67922

    Office

    $303.02

    Facility

    $176.61

    $27.01 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67922

    Office

    $311.15

    Facility

    $181.14

    $18.88 lower than Chico for the office setting.

  • Vermont

    Vermont · 67922

    Office

    $303.61

    Facility

    $176.31

    $26.42 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 67922

    Office

    $320.78

    Facility

    $185.37

    $9.25 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 67922

    Office

    $364.79

    Facility

    $207.00

    $34.76 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 67922

    Office

    $294.97

    Facility

    $171.77

    $35.06 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 67922

    Office

    $279.86

    Facility

    $168.11

    $50.17 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 67922

    Office

    $307.23

    Facility

    $178.64

    $22.80 lower than Chico for the office setting.

See how rates vary across the country

67922 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$272.59

$374.14

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$354.711
AL$276.661
AR$272.591
AZ$300.501
CA$330.03–$418.2429
CO$323.421
CT$329.331
DC$355.011
DE$305.571
FL$300.88–$326.523
GA$284.04–$313.692
GU$338.861
HI$338.861
IA$285.241
ID$286.841
IL$291.00–$319.624
IN$288.571
KS$283.211
KY$281.851
LA$281.13–$295.362
MA$321.17–$356.752
MD$311.69–$355.013
ME$287.63–$304.522
MI$288.68–$303.992
MN$311.741
MO$275.76–$297.253
MS$274.271
MT$308.611
NC$290.811
ND$305.451
NE$287.041
NH$317.681
NJ$333.61–$351.102
NM$290.021
NV$307.971
NY$295.18–$362.265
OH$288.041
OK$282.061
OR$306.09–$334.642
PA$288.88–$320.572
PR$311.151
RI$317.131
SC$289.801
SD$305.081
TN$284.571
TX$286.90–$321.908
UT$293.851
VA$303.02–$355.012
VI$311.151
VT$303.611
WA$320.78–$364.792
WI$294.971
WV$279.861
WY$307.231

Explore 67922 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 67922 in Chico, the physician’s office rate is $330.03 and the facility-setting rate is $189.10: a difference of $140.93.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67922 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$363.03

$330.03 × 110% = $363.03

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.

Compare your contract offer →

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 67922 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,519

Code
67922
Physician work
1.98
Practice expense
7.10
Malpractice
0.16

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67922 in Chico
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0172.0137
Practice expense7.10× 1.0967.7816
Malpractice0.16× 0.5360.0858
Total RVUs9.8810
Conversion factor× 33.4009

Office / nonfacility rate, Chico$330.03

Open 67922 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.981.017
Practice expense7.11.096
Malpractice0.160.536

(1.98 × 1.017 + 7.1 × 1.096 + 0.16 × 0.536) × $33.4009 = $330.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.981.017
Practice expense3.251.096
Malpractice0.160.536

(1.98 × 1.017 + 3.25 × 1.096 + 0.16 × 0.536) × $33.4009 = $189.10

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

67922 · Office / nonfacility

$330.03

Effective 2026-10-01

The base rate is $18.37 higher than on 2025-10-01, moving from $311.66 to $330.03 (5.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $311.66changed to$330.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 6.85 changed to 7.10
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $311.66

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$330.03$189.10RVU26D
2026-07-01$330.03$189.10RVU26C
2026-04-01$330.03$189.10RVU26B
2026-01-01$330.03$189.10RVU26A
2025-10-01$311.66$203.83RVU25D
2025-07-01$311.66$203.83RVU25C
2025-04-01$311.66$203.83RVU25B
2025-01-01$311.66$203.83RVU25A

67922 billing questions

How does this code differ from 67921?

Both address entropion, but 67922 identifies repair using thermocautery. Code 67921 is the suture-repair approach.

When should 67923 or 67924 be considered instead?

Use 67923 when the documented repair uses tarsal wedge excision. Code 67924 describes an extensive entropion repair, rather than thermocautery.

How is bilateral treatment reported?

CMS specifies modifier 50 for bilateral reporting, with payment at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

What documentation supports 67922?

Document the affected eyelid, the entropion being treated, and that thermocautery was the repair method. The technique distinguishes this code from other entropion repair options.

Can an assistant or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment 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.

RVUs for 67922PPRRVU2026_Oct_nonQPP.csv, line 7,519 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet