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CMS RVU26D · Effective 2026-10-01

67950 in Chico

Office / nonfacility

$620.63

Base rate per service

Facility setting

$410.87

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 67950: Canthal reconstruction by canthoplasty

Canthoplasty reconstructs the eyelid corner to address canthal malposition or deformity when the operation centers on reshaping or restoring the canthus.

Canthoplasty surgically reshapes or reconstructs the medial or lateral canthus, the corner where the upper and lower eyelids meet. Ophthalmologists, particularly oculoplastic surgeons, may perform it to restore canthal position or support when the canthus is lax, displaced, or deformed. The operative work is directed at the canthal angle itself, rather than simply removing an eyelid lesion or repairing a larger full-thickness eyelid defect.

Report the code when the documented procedure reconstructs the canthus; the operative note should identify the site, the abnormality addressed, and the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral canthoplasty reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 67950

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 RVU5.84 · 33%
  • Practice expense (office) RVU11.29 · 64%
  • Malpractice RVU0.50 · 3%

9.1K

Medicare services in 2024 · #1526 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.

67950 compared with similar codes

Office rates for Chico, from the same CMS release.

67961

Eyelid repair

Up to one-fourth of lid margin

$625.19

Choose 67961 for excision and repair of a full-thickness eyelid defect involving the canthus when the defect is up to one-fourth of the lid. Choose 67950 when the procedure is canthal reconstruction rather than defect excision and repair.

67966

Eyelid repair

Over one-fourth lid margin

$820.97

67966 describes excision and repair of a full-thickness eyelid defect involving more than one-fourth of the lid. Canthoplasty focuses on reconstructing the canthal angle.

67917

Eyelid repair

Extensive entropion correction

$661.43

67917 is for extensive repair of ectropion, or outward turning of the eyelid. Use 67950 when the documented operation reconstructs the canthus rather than primarily correcting ectropion.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 67950 is $622.24—$1.61 higher than the $620.63 rate in Chico. Both use the same code, release and participation basis.

67950 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $620.63

  2. $1.61 higher than Chico

  3. El Centro

    $620.71

    $0.08 higher than Chico

  4. Fresno

    $620.63

    The same base rate than Chico

  5. The same base rate than Chico

  6. $39.62 higher than Chico

  7. Madera

    $620.63

    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, 67950 ranges from $527.59 in Arkansas to $769.24 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 · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Modesto

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Napa

    California · 67950

    Office

    $712.85

    Facility

    $460.60

    $92.22 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67950

    Office

    $656.66

    Facility

    $430.44

    $36.03 higher than Chico for the office setting.

  • Redding

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67950

    Office

    $626.12

    Facility

    $416.35

    $5.49 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67950

    Office

    $649.60

    Facility

    $427.01

    $28.97 higher than Chico for the office setting.

  • Salinas

    California · 67950

    Office

    $647.11

    Facility

    $425.30

    $26.48 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67950

    Office

    $660.97

    Facility

    $432.07

    $40.34 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67950

    Office

    $752.96

    Facility

    $483.11

    $132.33 higher than Chico for the office setting.

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

    California · 67950

    Office

    $752.40

    Facility

    $482.54

    $131.77 higher than Chico for the office setting.

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

    California · 67950

    Office

    $769.24

    Facility

    $493.26

    $148.61 higher than Chico for the office setting.

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

    California · 67950

    Office

    $766.92

    Facility

    $490.94

    $146.29 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67950

    Office

    $636.84

    Facility

    $418.85

    $16.21 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 67950

    Office

    $666.28

    Facility

    $433.75

    $45.65 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 67950

    Office

    $649.17

    Facility

    $426.01

    $28.54 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 67950

    Office

    $672.94

    Facility

    $437.92

    $52.31 higher than Chico for the office setting.

  • Stockton

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 67950

    Office

    $712.03

    Facility

    $459.78

    $91.40 higher than Chico for the office setting.

  • Visalia

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 67950

    Office

    $620.63

    Facility

    $410.87

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67950

    Office

    $668.40

    Facility

    $442.95

    $47.77 higher than Chico for the office setting.

  • Miami

    Florida · 67950

    Office

    $629.85

    Facility

    $430.62

    $9.22 higher than Chico for the office setting.

  • Chicago

    Illinois · 67950

    Office

    $613.74

    Facility

    $421.39

    $6.89 lower than Chico for the office setting.

  • Manhattan

    New York · 67950

    Office

    $672.22

    Facility

    $449.83

    $51.59 higher than Chico for the office setting.

  • Alaska*

    Alaska · 67950

    Office

    $703.40

    Facility

    $499.57

    $82.77 higher than Chico for the office setting.

  • Alabama

    Alabama · 67950

    Office

    $534.47

    Facility

    $367.01

    $86.16 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 67950

    Office

    $527.59

    Facility

    $363.19

    $93.04 lower than Chico for the office setting.

  • Arizona

    Arizona · 67950

    Office

    $574.76

    Facility

    $389.31

    $45.87 lower than Chico for the office setting.

  • Colorado

    Colorado · 67950

    Office

    $611.68

    Facility

    $408.04

    $8.95 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 67950

    Office

    $625.30

    Facility

    $419.18

    $4.67 higher than Chico for the office setting.

  • Delaware

    Delaware · 67950

    Office

    $583.62

    Facility

    $394.53

    $37.01 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 67950

    Office

    $607.25

    Facility

    $413.38

    $13.38 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 67950

    Office

    $580.67

    Facility

    $397.70

    $39.96 lower than Chico for the office setting.

  • Atlanta

    Georgia · 67950

    Office

    $598.83

    Facility

    $404.38

    $21.80 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 67950

    Office

    $551.34

    Facility

    $380.62

    $69.29 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 67950

    Office

    $633.49

    Facility

    $415.88

    $12.86 higher than Chico for the office setting.

  • Iowa

    Iowa · 67950

    Office

    $546.73

    Facility

    $371.62

    $73.90 lower than Chico for the office setting.

  • Idaho

    Idaho · 67950

    Office

    $549.89

    Facility

    $373.81

    $70.74 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 67950

    Office

    $575.62

    Facility

    $399.55

    $45.01 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 67950

    Office

    $565.45

    Facility

    $390.72

    $55.18 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 67950

    Office

    $613.30

    Facility

    $416.74

    $7.33 lower than Chico for the office setting.

  • Indiana

    Indiana · 67950

    Office

    $552.75

    Facility

    $375.33

    $67.88 lower than Chico for the office setting.

  • Kansas

    Kansas · 67950

    Office

    $544.37

    Facility

    $371.36

    $76.26 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 67950

    Office

    $545.58

    Facility

    $375.44

    $75.05 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 67950

    Office

    $568.88

    Facility

    $388.79

    $51.75 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 67950

    Office

    $544.79

    Facility

    $375.41

    $75.84 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 67950

    Office

    $668.17

    Facility

    $439.66

    $47.54 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67950

    Office

    $608.57

    Facility

    $407.04

    $12.06 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67950

    Office

    $623.46

    Facility

    $418.11

    $2.83 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 67950

    Office

    $593.96

    Facility

    $400.28

    $26.67 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 67950

    Office

    $552.38

    Facility

    $376.30

    $68.25 lower than Chico for the office setting.

  • Southern Maine

    Maine · 67950

    Office

    $579.30

    Facility

    $389.64

    $41.33 lower than Chico for the office setting.

  • Detroit

    Michigan · 67950

    Office

    $587.12

    Facility

    $402.43

    $33.51 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 67950

    Office

    $558.20

    Facility

    $383.47

    $62.43 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 67950

    Office

    $588.04

    Facility

    $391.10

    $32.59 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 67950

    Office

    $565.47

    Facility

    $385.76

    $55.16 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 67950

    Office

    $570.79

    Facility

    $388.59

    $49.84 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 67950

    Office

    $536.38

    Facility

    $371.41

    $84.25 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 67950

    Office

    $532.08

    Facility

    $367.30

    $88.55 lower than Chico for the office setting.

  • Montana**

    Montana · 67950

    Office

    $588.82

    Facility

    $397.44

    $31.81 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 67950

    Office

    $557.56

    Facility

    $379.00

    $63.07 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 67950

    Office

    $578.94

    Facility

    $387.55

    $41.69 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 67950

    Office

    $549.43

    Facility

    $372.78

    $71.20 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 67950

    Office

    $602.23

    Facility

    $403.00

    $18.40 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 67950

    Office

    $662.62

    Facility

    $440.61

    $41.99 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 67950

    Office

    $632.97

    Facility

    $423.98

    $12.34 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 67950

    Office

    $560.92

    Facility

    $385.41

    $59.71 lower than Chico for the office setting.

  • Nevada**

    Nevada · 67950

    Office

    $586.45

    Facility

    $394.87

    $34.18 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67950

    Office

    $686.93

    Facility

    $459.37

    $66.30 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67950

    Office

    $636.97

    Facility

    $427.40

    $16.34 higher than Chico for the office setting.

  • Queens

    New York · 67950

    Office

    $677.35

    Facility

    $451.14

    $56.72 higher than Chico for the office setting.

  • Rest Of New York

    New York · 67950

    Office

    $565.04

    Facility

    $383.23

    $55.59 lower than Chico for the office setting.

  • Ohio

    Ohio · 67950

    Office

    $556.18

    Facility

    $381.45

    $64.45 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 67950

    Office

    $544.78

    Facility

    $373.88

    $75.85 lower than Chico for the office setting.

  • Portland

    Oregon · 67950

    Office

    $629.56

    Facility

    $416.93

    $8.93 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 67950

    Office

    $582.39

    Facility

    $391.77

    $38.24 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67950

    Office

    $611.05

    Facility

    $411.82

    $9.58 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67950

    Office

    $557.02

    Facility

    $381.32

    $63.61 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 67950

    Office

    $592.76

    Facility

    $399.26

    $27.87 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 67950

    Office

    $603.20

    Facility

    $405.50

    $17.43 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 67950

    Office

    $557.69

    Facility

    $380.85

    $62.94 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 67950

    Office

    $577.77

    Facility

    $386.38

    $42.86 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 67950

    Office

    $546.81

    Facility

    $372.84

    $73.82 lower than Chico for the office setting.

  • Austin

    Texas · 67950

    Office

    $609.22

    Facility

    $406.73

    $11.41 lower than Chico for the office setting.

  • Beaumont

    Texas · 67950

    Office

    $553.73

    Facility

    $379.57

    $66.90 lower than Chico for the office setting.

  • Brazoria

    Texas · 67950

    Office

    $583.35

    Facility

    $393.69

    $37.28 lower than Chico for the office setting.

  • Dallas

    Texas · 67950

    Office

    $586.73

    Facility

    $396.11

    $33.90 lower than Chico for the office setting.

  • Fort Worth

    Texas · 67950

    Office

    $583.18

    Facility

    $394.47

    $37.45 lower than Chico for the office setting.

  • Galveston

    Texas · 67950

    Office

    $584.91

    Facility

    $394.86

    $35.72 lower than Chico for the office setting.

  • Houston

    Texas · 67950

    Office

    $594.06

    Facility

    $404.01

    $26.57 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 67950

    Office

    $568.01

    Facility

    $386.38

    $52.62 lower than Chico for the office setting.

  • Utah

    Utah · 67950

    Office

    $564.53

    Facility

    $384.62

    $56.10 lower than Chico for the office setting.

  • Virginia

    Virginia · 67950

    Office

    $577.54

    Facility

    $389.40

    $43.09 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67950

    Office

    $592.76

    Facility

    $399.26

    $27.87 lower than Chico for the office setting.

  • Vermont

    Vermont · 67950

    Office

    $576.84

    Facility

    $387.36

    $43.79 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 67950

    Office

    $607.39

    Facility

    $405.86

    $13.24 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 67950

    Office

    $681.16

    Facility

    $446.32

    $60.53 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 67950

    Office

    $561.46

    Facility

    $378.11

    $59.17 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 67950

    Office

    $546.66

    Facility

    $380.34

    $73.97 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 67950

    Office

    $584.52

    Facility

    $393.13

    $36.11 lower than Chico for the office setting.

See how rates vary across the country

67950 · 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.

$527.59

$703.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$703.401
AL$534.471
AR$527.591
AZ$574.761
CA$620.63–$769.2429
CO$611.681
CT$625.301
DC$668.401
DE$583.621
FL$580.67–$629.853
GA$551.34–$598.832
GU$633.491
HI$633.491
IA$546.731
ID$549.891
IL$565.45–$613.744
IN$552.751
KS$544.371
KY$545.581
LA$544.79–$568.882
MA$608.57–$668.172
MD$593.96–$668.403
ME$552.38–$579.302
MI$558.20–$587.122
MN$588.041
MO$536.38–$570.793
MS$532.081
MT$588.821
NC$557.561
ND$578.941
NE$549.431
NH$602.231
NJ$632.97–$662.622
NM$560.921
NV$586.451
NY$565.04–$686.935
OH$556.181
OK$544.781
OR$582.39–$629.562
PA$557.02–$611.052
PR$592.761
RI$603.201
SC$557.691
SD$577.771
TN$546.811
TX$553.73–$609.228
UT$564.531
VA$577.54–$668.402
VI$592.761
VT$576.841
WA$607.39–$681.162
WI$561.461
WV$546.661
WY$584.521

Explore 67950 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.

Why are the office and facility amounts different?

For 67950 in Chico, the physician’s office rate is $620.63 and the facility-setting rate is $410.87: a difference of $209.76.

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 67950 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$682.69

$620.63 × 110% = $682.69

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.

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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 67950 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,525

Code
67950
Physician work
5.84
Practice expense
11.29
Malpractice
0.50

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67950 in Chico
ComponentRVULocality factorAdjusted
Physician work5.84× 1.0175.9393
Practice expense11.29× 1.09612.3738
Malpractice0.50× 0.5360.2680
Total RVUs18.5811
Conversion factor× 33.4009

Office / nonfacility rate, Chico$620.63

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 67950 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.841.017
Practice expense11.291.096
Malpractice0.50.536

(5.84 × 1.017 + 11.29 × 1.096 + 0.5 × 0.536) × $33.4009 = $620.63

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.841.017
Practice expense5.561.096
Malpractice0.50.536

(5.84 × 1.017 + 5.56 × 1.096 + 0.5 × 0.536) × $33.4009 = $410.87

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

67950 · Office / nonfacility

$620.63

Effective 2026-10-01

The base rate is $31.50 higher than on 2025-10-01, moving from $589.13 to $620.63 (5.3%).

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

    $589.13changed to$620.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.99 changed to 5.84
    • Practice expense RVU 10.84 changed to 11.29
    • Malpractice RVU 0.52 changed to 0.50
    • 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: $589.13

    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$620.63$410.87RVU26D
2026-07-01$620.63$410.87RVU26C
2026-04-01$620.63$410.87RVU26B
2026-01-01$620.63$410.87RVU26A
2025-10-01$589.13$462.21RVU25D
2025-07-01$589.13$462.21RVU25C
2025-04-01$589.13$462.21RVU25B
2025-01-01$589.13$462.21RVU25A

67950 billing questions

When should I choose canthoplasty rather than an eyelid defect repair code?

Use 67950 when the operative work reconstructs the canthal angle. Codes such as 67961 or 67966 describe excision and repair of a full-thickness eyelid defect, with the applicable extent determining the code.

Does the 90-day global period include postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How is bilateral canthoplasty reported under the CMS facts?

Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant-at-surgery or co-surgeon be paid?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

What happens when canthoplasty is performed with another procedure in the same session?

CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. The operative documentation should make clear what canthal reconstruction was 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 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 67950PPRRVU2026_Oct_nonQPP.csv, line 7,525 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)