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CMS RVU26D · Effective 2026-10-01

67930 in Delaware

Office / nonfacility

$370.31

Base rate per service

Facility setting

$195.41

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 67930: Partial-thickness eyelid laceration repair

Report this service for direct closure of a partial-thickness eyelid laceration involving the lid margin, tarsal plate, or inner eyelid lining.

An ophthalmologist or oculoplastic surgeon repairs an acute eyelid laceration by directly closing the wound. The injury is partial thickness and involves the lid margin, tarsal plate, and/or palpebral conjunctiva. Repairs may occur in an office or facility, depending on the injury and care setting. A superficial skin-only cut without involvement of these structures is a different repair scenario.

Choose this code for a partial-thickness wound; a full-thickness laceration is reported with 67935. Document the injured eyelid and side, wound depth, involved structures, and direct closure. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 67930

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU3.56 · 32%
  • Practice expense (office) RVU7.30 · 65%
  • Malpractice RVU0.33 · 3%

240

Medicare services in 2024 · #4165 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.

67930 compared with similar codes

Office rates for Delaware, from the same CMS release.

67935

Eyelid repair

Margin, tarsus, or canthus involved

$600.78

Choose 67935 when the eyelid laceration is full thickness. Code 67930 is for partial-thickness injury repaired by direct closure.

12011

Wound repair

Face, 2.5 cm or less

$137.85

Code 12011 is for a simple superficial facial wound, including an eyelid wound, up to 2.5 cm. Code 67930 describes a partial-thickness eyelid injury involving specified lid structures.

67961

Eyelid repair

Up to one-fourth of lid margin

$586.94

Code 67961 is used for excision and repair of an eyelid defect involving structures such as the lid margin or tarsus. Code 67930 is for direct closure of a partial-thickness laceration.

The same code, a different location

How does Delaware compare?

67930 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $370.31

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

    $419.55

    $49.24 higher than Delaware

  3. Dc + Md/Va Suburbs

    $424.82

    $54.51 higher than Delaware

  4. Miami

    $400.61

    $30.30 higher than Delaware

  5. Chicago

    $390.08

    $19.77 higher than Delaware

  6. Manhattan

    $427.33

    $57.02 higher than Delaware

  7. Alaska*

    $444.11

    $73.80 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, 67930 ranges from $334.03 in Arkansas to $489.49 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 · 67930

    Office

    $338.49

    Facility

    $183.60

    $31.82 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 67930

    Office

    $334.03

    Facility

    $181.97

    $36.28 lower than Delaware for the office setting.

  • Arizona

    Arizona · 67930

    Office

    $364.61

    Facility

    $193.07

    $5.70 lower than Delaware for the office setting.

  • Bakersfield

    California · 67930

    Office

    $395.11

    Facility

    $201.09

    $24.80 higher than Delaware for the office setting.

  • Chico

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • El Centro

    California · 67930

    Office

    $394.13

    Facility

    $200.11

    $23.82 higher than Delaware for the office setting.

  • Fresno

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Madera

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Merced

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Modesto

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Napa

    California · 67930

    Office

    $453.36

    Facility

    $220.04

    $83.05 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67930

    Office

    $417.31

    Facility

    $208.06

    $47.00 higher than Delaware for the office setting.

  • Redding

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Rest Of California

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67930

    Office

    $397.68

    Facility

    $203.66

    $27.37 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67930

    Office

    $412.67

    Facility

    $206.79

    $42.36 higher than Delaware for the office setting.

  • Salinas

    California · 67930

    Office

    $411.10

    Facility

    $205.92

    $40.79 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67930

    Office

    $420.07

    Facility

    $208.34

    $49.76 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67930

    Office

    $479.06

    Facility

    $229.45

    $108.75 higher than Delaware for the office setting.

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

    California · 67930

    Office

    $478.68

    Facility

    $229.08

    $108.37 higher than Delaware for the office setting.

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

    California · 67930

    Office

    $489.49

    Facility

    $234.22

    $119.18 higher than Delaware for the office setting.

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

    California · 67930

    Office

    $487.96

    Facility

    $232.69

    $117.65 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67930

    Office

    $404.56

    Facility

    $202.92

    $34.25 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 67930

    Office

    $423.56

    Facility

    $208.48

    $53.25 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 67930

    Office

    $412.45

    Facility

    $206.04

    $42.14 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 67930

    Office

    $427.80

    Facility

    $210.41

    $57.49 higher than Delaware for the office setting.

  • Stockton

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Vallejo

    California · 67930

    Office

    $452.82

    Facility

    $219.50

    $82.51 higher than Delaware for the office setting.

  • Visalia

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Yuba City

    California · 67930

    Office

    $394.07

    Facility

    $200.05

    $23.76 higher than Delaware for the office setting.

  • Colorado

    Colorado · 67930

    Office

    $388.37

    Facility

    $200.02

    $18.06 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 67930

    Office

    $397.22

    Facility

    $206.57

    $26.91 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 67930

    Office

    $385.83

    Facility

    $206.51

    $15.52 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 67930

    Office

    $368.57

    Facility

    $199.34

    $1.74 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 67930

    Office

    $380.23

    Facility

    $200.37

    $9.92 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 67930

    Office

    $349.54

    Facility

    $191.63

    $20.77 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 67930

    Office

    $402.52

    Facility

    $201.24

    $32.21 higher than Delaware for the office setting.

  • Iowa

    Iowa · 67930

    Office

    $346.38

    Facility

    $184.41

    $23.93 lower than Delaware for the office setting.

  • Idaho

    Idaho · 67930

    Office

    $348.44

    Facility

    $185.58

    $21.87 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 67930

    Office

    $365.43

    Facility

    $202.56

    $4.88 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 67930

    Office

    $358.75

    Facility

    $197.13

    $11.56 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 67930

    Office

    $389.68

    Facility

    $207.88

    $19.37 higher than Delaware for the office setting.

  • Indiana

    Indiana · 67930

    Office

    $350.29

    Facility

    $186.19

    $20.02 lower than Delaware for the office setting.

  • Kansas

    Kansas · 67930

    Office

    $344.88

    Facility

    $184.85

    $25.43 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 67930

    Office

    $345.75

    Facility

    $188.38

    $24.56 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 67930

    Office

    $360.87

    Facility

    $194.29

    $9.44 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 67930

    Office

    $345.25

    Facility

    $188.59

    $25.06 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 67930

    Office

    $424.72

    Facility

    $213.35

    $54.41 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67930

    Office

    $386.34

    Facility

    $199.94

    $16.03 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67930

    Office

    $396.07

    Facility

    $206.12

    $25.76 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 67930

    Office

    $376.97

    Facility

    $197.82

    $6.66 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 67930

    Office

    $350.08

    Facility

    $187.22

    $20.23 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 67930

    Office

    $367.49

    Facility

    $192.06

    $2.82 lower than Delaware for the office setting.

  • Detroit

    Michigan · 67930

    Office

    $372.78

    Facility

    $201.95

    $2.47 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 67930

    Office

    $353.97

    Facility

    $192.34

    $16.34 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 67930

    Office

    $373.07

    Facility

    $190.91

    $2.76 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 67930

    Office

    $358.63

    Facility

    $192.40

    $11.68 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 67930

    Office

    $362.07

    Facility

    $193.55

    $8.24 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 67930

    Office

    $339.82

    Facility

    $187.23

    $30.49 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 67930

    Office

    $336.99

    Facility

    $184.57

    $33.32 lower than Delaware for the office setting.

  • Montana**

    Montana · 67930

    Office

    $373.73

    Facility

    $196.71

    $3.42 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 67930

    Office

    $353.44

    Facility

    $188.28

    $16.87 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 67930

    Office

    $367.21

    Facility

    $190.18

    $3.10 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 67930

    Office

    $348.13

    Facility

    $184.73

    $22.18 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 67930

    Office

    $382.38

    Facility

    $198.09

    $12.07 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 67930

    Office

    $421.01

    Facility

    $215.66

    $50.70 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 67930

    Office

    $402.01

    Facility

    $208.70

    $31.70 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 67930

    Office

    $355.73

    Facility

    $193.40

    $14.58 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 67930

    Office

    $372.16

    Facility

    $194.96

    $1.85 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67930

    Office

    $436.90

    Facility

    $226.41

    $66.59 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67930

    Office

    $404.59

    Facility

    $210.74

    $34.28 higher than Delaware for the office setting.

  • Queens

    New York · 67930

    Office

    $430.61

    Facility

    $221.37

    $60.30 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 67930

    Office

    $358.29

    Facility

    $190.12

    $12.02 lower than Delaware for the office setting.

  • Ohio

    Ohio · 67930

    Office

    $352.63

    Facility

    $191.01

    $17.68 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 67930

    Office

    $345.21

    Facility

    $187.13

    $25.10 lower than Delaware for the office setting.

  • Portland

    Oregon · 67930

    Office

    $399.90

    Facility

    $203.23

    $29.59 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 67930

    Office

    $369.51

    Facility

    $193.19

    $0.80 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67930

    Office

    $388.02

    Facility

    $203.74

    $17.71 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67930

    Office

    $353.16

    Facility

    $190.65

    $17.15 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 67930

    Office

    $376.27

    Facility

    $197.30

    $5.96 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 67930

    Office

    $382.87

    Facility

    $200.00

    $12.56 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 67930

    Office

    $353.57

    Facility

    $190.00

    $16.74 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 67930

    Office

    $366.44

    Facility

    $189.41

    $3.87 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 67930

    Office

    $346.46

    Facility

    $185.55

    $23.85 lower than Delaware for the office setting.

  • Austin

    Texas · 67930

    Office

    $386.88

    Facility

    $199.59

    $16.57 higher than Delaware for the office setting.

  • Beaumont

    Texas · 67930

    Office

    $351.03

    Facility

    $189.94

    $19.28 lower than Delaware for the office setting.

  • Brazoria

    Texas · 67930

    Office

    $370.09

    Facility

    $194.66

    $0.22 lower than Delaware for the office setting.

  • Dallas

    Texas · 67930

    Office

    $372.29

    Facility

    $195.97

    $1.98 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 67930

    Office

    $369.99

    Facility

    $195.44

    $0.32 lower than Delaware for the office setting.

  • Galveston

    Texas · 67930

    Office

    $371.10

    Facility

    $195.32

    $0.79 higher than Delaware for the office setting.

  • Houston

    Texas · 67930

    Office

    $377.14

    Facility

    $201.36

    $6.83 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 67930

    Office

    $360.25

    Facility

    $192.26

    $10.06 lower than Delaware for the office setting.

  • Utah

    Utah · 67930

    Office

    $358.00

    Facility

    $191.60

    $12.31 lower than Delaware for the office setting.

  • Virginia

    Virginia · 67930

    Office

    $366.37

    Facility

    $192.36

    $3.94 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67930

    Office

    $376.27

    Facility

    $197.30

    $5.96 higher than Delaware for the office setting.

  • Vermont

    Vermont · 67930

    Office

    $365.87

    Facility

    $190.62

    $4.44 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 67930

    Office

    $385.59

    Facility

    $199.18

    $15.28 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 67930

    Office

    $433.03

    Facility

    $215.82

    $62.72 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 67930

    Office

    $355.89

    Facility

    $186.30

    $14.42 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 67930

    Office

    $346.57

    Facility

    $192.73

    $23.74 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 67930

    Office

    $370.89

    Facility

    $193.87

    $0.58 higher than Delaware for the office setting.

See how rates vary across the country

67930 · 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.

$334.03

$444.11

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$444.111
AL$338.491
AR$334.031
AZ$364.611
CA$394.07–$489.4929
CO$388.371
CT$397.221
DC$424.821
DE$370.311
FL$368.57–$400.613
GA$349.54–$380.232
GU$402.521
HI$402.521
IA$346.381
ID$348.441
IL$358.75–$390.084
IN$350.291
KS$344.881
KY$345.751
LA$345.25–$360.872
MA$386.34–$424.722
MD$376.97–$424.823
ME$350.08–$367.492
MI$353.97–$372.782
MN$373.071
MO$339.82–$362.073
MS$336.991
MT$373.731
NC$353.441
ND$367.211
NE$348.131
NH$382.381
NJ$402.01–$421.012
NM$355.731
NV$372.161
NY$358.29–$436.905
OH$352.631
OK$345.211
OR$369.51–$399.902
PA$353.16–$388.022
PR$376.271
RI$382.871
SC$353.571
SD$366.441
TN$346.461
TX$351.03–$386.888
UT$358.001
VA$366.37–$424.822
VI$376.271
VT$365.871
WA$385.59–$433.032
WI$355.891
WV$346.571
WY$370.891

Explore 67930 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 67930 in Delaware, the physician’s office rate is $370.31 and the facility-setting rate is $195.41: a difference of $174.90.

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 67930 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$407.34

$370.31 × 110% = $407.34

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 67930 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,522

Code
67930
Physician work
3.56
Practice expense
7.30
Malpractice
0.33

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 67930 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.56× 1.0053.5778
Practice expense7.30× 0.9887.2124
Malpractice0.33× 0.8990.2967
Total RVUs11.0869
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$370.31

Open 67930 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.561.005
Practice expense7.30.988
Malpractice0.330.899

(3.56 × 1.005 + 7.3 × 0.988 + 0.33 × 0.899) × $33.4009 = $370.31

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.561.005
Practice expense20.988
Malpractice0.330.899

(3.56 × 1.005 + 2 × 0.988 + 0.33 × 0.899) × $33.4009 = $195.41

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

67930 · Office / nonfacility

$370.31

Effective 2026-10-01

The base rate is $16.76 higher than on 2025-10-01, moving from $353.55 to $370.31 (4.7%).

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

    $353.55changed to$370.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.65 changed to 3.56
    • Practice expense RVU 6.99 changed to 7.30
    • 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: $353.55

    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$370.31$195.41RVU26D
2026-07-01$370.31$195.41RVU26C
2026-04-01$370.31$195.41RVU26B
2026-01-01$370.31$195.41RVU26A
2025-10-01$353.55$226.16RVU25D
2025-07-01$353.55$226.16RVU25C
2025-04-01$353.55$226.16RVU25B
2025-01-01$353.55$226.16RVU25A

67930 billing questions

How does 67930 differ from 67935?

67930 is for a partial-thickness eyelid laceration repaired by direct closure. Use 67935 for a full-thickness laceration.

Can a superficial eyelid skin cut be reported with 67930?

Not when the injury is limited to superficial skin and does not involve the lid margin, tarsal plate, or palpebral conjunctiva. A simple facial wound repair code such as 12011 may be appropriate based on the wound.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How is bilateral repair reported?

For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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 67930PPRRVU2026_Oct_nonQPP.csv, line 7,522 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet