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CMS RVU26D · Effective 2026-10-01

67916 in Delaware

Office / nonfacility

$605.93

Base rate per service

Facility setting

$368.99

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.

Ophthalmic surgery

About 67916: Ectropion repair with tarsal wedge

Reports surgical correction of ectropion by removing a tarsal wedge to shorten and reposition an outward-turning eyelid, typically the lower lid.

An ophthalmic or oculoplastic surgeon uses this procedure to correct ectropion, in which the eyelid turns outward and may expose the ocular surface. The surgeon removes a wedge of tarsal tissue to shorten the lid and improve its position against the eye. It is commonly used for lower-lid laxity, including involutional ectropion, and may be performed in an operating room or an appropriately equipped office procedure setting.

Choose this code when the operative technique includes tarsal wedge excision, rather than a suture-only or thermocautery repair or a more extensive repair. The operative note should identify the affected eyelid, the ectropion being corrected, and the wedge excision and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 67916

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 RVU5.34 · 29%
  • Practice expense (office) RVU12.52 · 68%
  • Malpractice RVU0.45 · 2%

1.4K

Medicare services in 2024 · #2711 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.

67916 compared with similar codes

Office rates for Delaware, from the same CMS release.

67914

Ectropion repair

Suture technique

$485.18

67914 is for ectropion repair using sutures. Use 67916 when the documented repair includes excision of a tarsal wedge.

67915

Ectropion repair

Thermocautery technique

$312.50

67915 describes ectropion repair by thermocautery. It is distinct from the tarsal wedge excision represented by 67916.

67917

Eyelid repair

Extensive entropion correction

$619.95

67917 is for an extensive ectropion repair, such as a tarsal strip operation; 67916 is selected for repair by tarsal wedge excision.

67923

Entropion repair

Tarsal wedge excision

$605.00

67923 treats entropion, where the eyelid turns inward, by tarsal wedge excision. Code 67916 is for outward-turning eyelid malposition, or ectropion.

The same code, a different location

How does Delaware compare?

67916 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $605.93

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

    $690.36

    $84.43 higher than Delaware

  3. Dc + Md/Va Suburbs

    $697.34

    $91.41 higher than Delaware

  4. Miami

    $651.70

    $45.77 higher than Delaware

  5. Chicago

    $634.37

    $28.44 higher than Delaware

  6. Manhattan

    $699.54

    $93.61 higher than Delaware

  7. Alaska*

    $721.18

    $115.25 higher than Delaware

Other payment areas listed in Delaware 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, 67916 ranges from $545.32 in Arkansas to $809.05 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

  • Alabama

    Alabama · 67916

    Office

    $552.77

    Facility

    $342.93

    $53.16 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 67916

    Office

    $545.32

    Facility

    $339.31

    $60.61 lower than Delaware for the office setting.

  • Arizona

    Arizona · 67916

    Office

    $596.44

    Facility

    $364.06

    $9.49 lower than Delaware for the office setting.

  • Bakersfield

    California · 67916

    Office

    $649.23

    Facility

    $386.39

    $43.30 higher than Delaware for the office setting.

  • Chico

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • El Centro

    California · 67916

    Office

    $647.85

    Facility

    $385.01

    $41.92 higher than Delaware for the office setting.

  • Fresno

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Madera

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Merced

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Modesto

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Napa

    California · 67916

    Office

    $748.39

    Facility

    $432.31

    $142.46 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67916

    Office

    $687.01

    Facility

    $403.54

    $81.08 higher than Delaware for the office setting.

  • Redding

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Rest Of California

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67916

    Office

    $652.72

    Facility

    $389.88

    $46.79 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67916

    Office

    $679.18

    Facility

    $400.27

    $73.25 higher than Delaware for the office setting.

  • Salinas

    California · 67916

    Office

    $676.62

    Facility

    $398.67

    $70.69 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67916

    Office

    $692.00

    Facility

    $405.18

    $86.07 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67916

    Office

    $791.84

    Facility

    $453.69

    $185.91 higher than Delaware for the office setting.

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

    California · 67916

    Office

    $791.33

    Facility

    $453.18

    $185.40 higher than Delaware for the office setting.

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

    California · 67916

    Office

    $809.05

    Facility

    $463.23

    $203.12 higher than Delaware for the office setting.

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

    California · 67916

    Office

    $806.96

    Facility

    $461.14

    $201.03 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67916

    Office

    $665.76

    Facility

    $392.60

    $59.83 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 67916

    Office

    $698.25

    Facility

    $406.87

    $92.32 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 67916

    Office

    $679.01

    Facility

    $399.38

    $73.08 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 67916

    Office

    $705.29

    Facility

    $410.79

    $99.36 higher than Delaware for the office setting.

  • Stockton

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Vallejo

    California · 67916

    Office

    $747.66

    Facility

    $431.58

    $141.73 higher than Delaware for the office setting.

  • Visalia

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Yuba City

    California · 67916

    Office

    $647.77

    Facility

    $384.93

    $41.84 higher than Delaware for the office setting.

  • Colorado

    Colorado · 67916

    Office

    $637.18

    Facility

    $382.02

    $31.25 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 67916

    Office

    $650.49

    Facility

    $392.21

    $44.56 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 67916

    Office

    $629.15

    Facility

    $386.22

    $23.22 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 67916

    Office

    $600.73

    Facility

    $371.46

    $5.20 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 67916

    Office

    $621.82

    Facility

    $378.16

    $15.89 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 67916

    Office

    $569.29

    Facility

    $355.37

    $36.64 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 67916

    Office

    $662.53

    Facility

    $389.86

    $56.60 higher than Delaware for the office setting.

  • Iowa

    Iowa · 67916

    Office

    $566.96

    Facility

    $347.53

    $38.97 lower than Delaware for the office setting.

  • Idaho

    Idaho · 67916

    Office

    $570.20

    Facility

    $349.56

    $35.73 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 67916

    Office

    $593.36

    Facility

    $372.72

    $12.57 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 67916

    Office

    $583.65

    Facility

    $364.70

    $22.28 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 67916

    Office

    $635.71

    Facility

    $389.42

    $29.78 higher than Delaware for the office setting.

  • Indiana

    Indiana · 67916

    Office

    $573.32

    Facility

    $351.01

    $32.61 lower than Delaware for the office setting.

  • Kansas

    Kansas · 67916

    Office

    $563.97

    Facility

    $347.17

    $41.96 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 67916

    Office

    $563.87

    Facility

    $350.68

    $42.06 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 67916

    Office

    $588.94

    Facility

    $363.27

    $16.99 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 67916

    Office

    $562.85

    Facility

    $350.61

    $43.08 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 67916

    Office

    $698.36

    Facility

    $412.01

    $92.43 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67916

    Office

    $633.54

    Facility

    $381.01

    $27.61 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67916

    Office

    $648.51

    Facility

    $391.19

    $42.58 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 67916

    Office

    $617.14

    Facility

    $374.44

    $11.21 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 67916

    Office

    $572.43

    Facility

    $351.80

    $33.50 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 67916

    Office

    $602.26

    Facility

    $364.60

    $3.67 lower than Delaware for the office setting.

  • Detroit

    Michigan · 67916

    Office

    $607.25

    Facility

    $375.82

    $1.32 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 67916

    Office

    $577.13

    Facility

    $358.17

    $28.80 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 67916

    Office

    $613.12

    Facility

    $366.34

    $7.19 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 67916

    Office

    $585.72

    Facility

    $360.53

    $20.21 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 67916

    Office

    $591.53

    Facility

    $363.22

    $14.40 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 67916

    Office

    $553.47

    Facility

    $346.75

    $52.46 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 67916

    Office

    $549.52

    Facility

    $343.04

    $56.41 lower than Delaware for the office setting.

  • Montana**

    Montana · 67916

    Office

    $611.54

    Facility

    $371.72

    $5.61 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 67916

    Office

    $578.13

    Facility

    $354.38

    $27.80 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 67916

    Office

    $602.64

    Facility

    $362.82

    $3.29 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 67916

    Office

    $570.02

    Facility

    $348.67

    $35.91 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 67916

    Office

    $626.84

    Facility

    $377.19

    $20.91 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 67916

    Office

    $690.74

    Facility

    $412.55

    $84.81 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 67916

    Office

    $658.64

    Facility

    $396.75

    $52.71 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 67916

    Office

    $579.88

    Facility

    $359.97

    $26.05 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 67916

    Office

    $609.48

    Facility

    $369.42

    $3.55 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67916

    Office

    $714.90

    Facility

    $429.76

    $108.97 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67916

    Office

    $662.48

    Facility

    $399.88

    $56.55 higher than Delaware for the office setting.

  • Queens

    New York · 67916

    Office

    $705.74

    Facility

    $422.27

    $99.81 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 67916

    Office

    $586.20

    Facility

    $358.37

    $19.73 lower than Delaware for the office setting.

  • Ohio

    Ohio · 67916

    Office

    $575.31

    Facility

    $356.35

    $30.62 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 67916

    Office

    $563.47

    Facility

    $349.32

    $42.46 lower than Delaware for the office setting.

  • Portland

    Oregon · 67916

    Office

    $656.99

    Facility

    $390.56

    $51.06 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 67916

    Office

    $605.43

    Facility

    $366.57

    $0.50 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67916

    Office

    $634.83

    Facility

    $385.18

    $28.90 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67916

    Office

    $576.45

    Facility

    $356.30

    $29.48 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 67916

    Office

    $615.94

    Facility

    $373.49

    $10.01 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 67916

    Office

    $627.14

    Facility

    $379.40

    $21.21 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 67916

    Office

    $577.53

    Facility

    $355.94

    $28.40 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 67916

    Office

    $601.59

    Facility

    $361.77

    $4.34 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 67916

    Office

    $566.56

    Facility

    $348.56

    $39.37 lower than Delaware for the office setting.

  • Austin

    Texas · 67916

    Office

    $634.47

    Facility

    $380.74

    $28.54 higher than Delaware for the office setting.

  • Beaumont

    Texas · 67916

    Office

    $572.87

    Facility

    $354.63

    $33.06 lower than Delaware for the office setting.

  • Brazoria

    Texas · 67916

    Office

    $605.93

    Facility

    $368.27

    The same base rate than Delaware for the office setting.

  • Dallas

    Texas · 67916

    Office

    $609.37

    Facility

    $370.51

    $3.44 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 67916

    Office

    $605.38

    Facility

    $368.92

    $0.55 lower than Delaware for the office setting.

  • Galveston

    Texas · 67916

    Office

    $607.48

    Facility

    $369.35

    $1.55 higher than Delaware for the office setting.

  • Houston

    Texas · 67916

    Office

    $615.72

    Facility

    $377.58

    $9.79 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 67916

    Office

    $588.79

    Facility

    $361.20

    $17.14 lower than Delaware for the office setting.

  • Utah

    Utah · 67916

    Office

    $584.95

    Facility

    $359.52

    $20.98 lower than Delaware for the office setting.

  • Virginia

    Virginia · 67916

    Office

    $600.04

    Facility

    $364.30

    $5.89 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67916

    Office

    $615.94

    Facility

    $373.49

    $10.01 higher than Delaware for the office setting.

  • Vermont

    Vermont · 67916

    Office

    $599.96

    Facility

    $362.54

    $5.97 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 67916

    Office

    $632.46

    Facility

    $379.93

    $26.53 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 67916

    Office

    $712.66

    Facility

    $418.41

    $106.73 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 67916

    Office

    $583.61

    Facility

    $353.86

    $22.32 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 67916

    Office

    $563.27

    Facility

    $354.86

    $42.66 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 67916

    Office

    $607.66

    Facility

    $367.84

    $1.73 higher than Delaware for the office setting.

See how rates vary across the country

67916 · 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.

$545.32

$728.41

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$721.181
AL$552.771
AR$545.321
AZ$596.441
CA$647.77–$809.0529
CO$637.181
CT$650.491
DC$697.341
DE$605.931
FL$600.73–$651.703
GA$569.29–$621.822
GU$662.531
HI$662.531
IA$566.961
ID$570.201
IL$583.65–$635.714
IN$573.321
KS$563.971
KY$563.871
LA$562.85–$588.942
MA$633.54–$698.362
MD$617.14–$697.343
ME$572.43–$602.262
MI$577.13–$607.252
MN$613.121
MO$553.47–$591.533
MS$549.521
MT$611.541
NC$578.131
ND$602.641
NE$570.021
NH$626.841
NJ$658.64–$690.742
NM$579.881
NV$609.481
NY$586.20–$714.905
OH$575.311
OK$563.471
OR$605.43–$656.992
PA$576.45–$634.832
PR$615.941
RI$627.141
SC$577.531
SD$601.591
TN$566.561
TX$572.87–$634.478
UT$584.951
VA$600.04–$697.342
VI$615.941
VT$599.961
WA$632.46–$712.662
WI$583.611
WV$563.271
WY$607.661

Explore 67916 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 67916 in Delaware, the physician’s office rate is $605.93 and the facility-setting rate is $368.99: a difference of $236.94.

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 67916 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$666.52

$605.93 × 110% = $666.52

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 67916 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,516

Code
67916
Physician work
5.34
Practice expense
12.52
Malpractice
0.45

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 67916 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.34× 1.0055.3667
Practice expense12.52× 0.98812.3698
Malpractice0.45× 0.8990.4046
Total RVUs18.1410
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$605.93

Open 67916 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.341.005
Practice expense12.520.988
Malpractice0.450.899

(5.34 × 1.005 + 12.52 × 0.988 + 0.45 × 0.899) × $33.4009 = $605.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.341.005
Practice expense5.340.988
Malpractice0.450.899

(5.34 × 1.005 + 5.34 × 0.988 + 0.45 × 0.899) × $33.4009 = $368.99

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

67916 · Office / nonfacility

$605.93

Effective 2026-10-01

The base rate is $26.33 higher than on 2025-10-01, moving from $579.60 to $605.93 (4.5%).

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

    $579.60changed to$605.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.48 changed to 5.34
    • Practice expense RVU 12.03 changed to 12.52
    • Malpractice RVU 0.48 changed to 0.45
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $579.60

    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$605.93$368.99RVU26D
2026-07-01$605.93$368.99RVU26C
2026-04-01$605.93$368.99RVU26B
2026-01-01$605.93$368.99RVU26A
2025-10-01$579.60$414.35RVU25D
2025-07-01$579.60$414.35RVU25C
2025-04-01$579.60$414.35RVU25B
2025-01-01$579.60$414.35RVU25A

67916 billing questions

When should 67916 be chosen over 67914 or 67915?

Use 67916 when the documented ectropion repair includes excision of a tarsal wedge. Suture-only repair and thermocautery repair are represented by 67914 and 67915, respectively.

How does 67916 differ from 67917?

67916 represents ectropion correction by tarsal wedge excision. Choose 67917 when the operative method is an extensive ectropion repair, such as a tarsal strip operation.

Can 67916 be reported for both eyelids?

For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%. Document the side treated and the work performed on each eyelid.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The procedure's routine closure and care are part of the repair.

How are other procedures in the same session paid?

CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others, which are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported for 67916?

CMS has 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 67916PPRRVU2026_Oct_nonQPP.csv, line 7,516 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet