No office rate
67311 reports the primary recession or resection procedure for one horizontal muscle. Add 67331 only when the prior-surgery or restrictive-myopathy circumstance also applies.
On this page
CMS RVU26D · Effective 2026-10-01
67331 in Manhattan
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$113.09
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 67331: Complex strabismus surgery add-on
This add-on reports added complexity during strabismus surgery when prior eye surgery or restrictive myopathy affects one or more extraocular muscles.
An ophthalmologist reports this add-on with a primary strabismus procedure when prior eye surgery or restrictive myopathy, such as thyroid-related restriction, makes surgery on one or more extraocular muscles more complex. It represents added work during the muscle operation, not a separate postoperative examination. These cases are generally managed in an operating room, with the surgeon addressing the alignment problem and the effects of prior surgery or muscle restriction.
Report 67331 only with the primary procedure; it is paid within that procedure’s global period. The operative report should support the underlying strabismus procedure and document the prior eye surgery or restrictive myopathy affecting the surgical work. CMS lists bilateral reporting with modifier 50 as paid at 150%. The primary procedure identifies the muscle surgery performed; this add-on identifies the qualifying complexity.
CMS billing rules for 67331
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU1.95 · 65%
- Practice expense (office) RVU0.91 · 30%
- Malpractice RVU0.16 · 5%
1K
Medicare services in 2024 · #2971 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.
67331 compared with similar codes
Office rates for Manhattan, from the same CMS release.
No office rate
67314 reports the primary procedure for one vertical muscle. It does not by itself represent the added complexity captured by 67331.
No office rate
Both are strabismus-surgery add-ons, but 67332 is associated with reoperation. Use 67331 for the prior-eye-surgery or restrictive-myopathy circumstance described for that code.
The same code, a different location
How does Manhattan compare?
67331 across payment areas
Same release and payment basis · bars start at $0
Manhattan · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in New York appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Miami
Florida · 67331
Office
Unavailable
Facility
$110.29
No comparable office rate is available.
Chicago
Illinois · 67331
Office
Unavailable
Facility
$108.40
No comparable office rate is available.
Alaska*
Alaska · 67331
Office
Unavailable
Facility
$133.01
No comparable office rate is available.
Alabama
Alabama · 67331
Office
Unavailable
Facility
$94.75
No comparable office rate is available.
Arkansas
Arkansas · 67331
Office
Unavailable
Facility
$93.99
No comparable office rate is available.
Arizona
Arizona · 67331
Office
Unavailable
Facility
$99.16
No comparable office rate is available.
Bakersfield
California · 67331
Office
Unavailable
Facility
$102.94
No comparable office rate is available.
Chico
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
El Centro
California · 67331
Office
Unavailable
Facility
$102.44
No comparable office rate is available.
Fresno
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Hanford-Corcoran
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Madera
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Merced
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Modesto
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Napa
California · 67331
Office
Unavailable
Facility
$112.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67331
Office
Unavailable
Facility
$106.21
No comparable office rate is available.
Redding
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Rest Of California
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67331
Office
Unavailable
Facility
$104.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67331
Office
Unavailable
Facility
$105.69
No comparable office rate is available.
Salinas
California · 67331
Office
Unavailable
Facility
$105.24
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67331
Office
Unavailable
Facility
$106.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67331
Office
Unavailable
Facility
$116.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67331
Office
Unavailable
Facility
$116.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67331
Office
Unavailable
Facility
$118.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67331
Office
Unavailable
Facility
$118.25
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67331
Office
Unavailable
Facility
$103.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67331
Office
Unavailable
Facility
$106.29
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67331
Office
Unavailable
Facility
$105.26
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67331
Office
Unavailable
Facility
$107.28
No comparable office rate is available.
Stockton
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Vallejo
California · 67331
Office
Unavailable
Facility
$111.75
No comparable office rate is available.
Visalia
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Yuba City
California · 67331
Office
Unavailable
Facility
$102.42
No comparable office rate is available.
Colorado
Colorado · 67331
Office
Unavailable
Facility
$102.43
No comparable office rate is available.
Connecticut
Connecticut · 67331
Office
Unavailable
Facility
$105.64
No comparable office rate is available.
Delaware
Delaware · 67331
Office
Unavailable
Facility
$100.29
No comparable office rate is available.
Fort Lauderdale
Florida · 67331
Office
Unavailable
Facility
$105.58
No comparable office rate is available.
Rest Of Florida
Florida · 67331
Office
Unavailable
Facility
$102.22
No comparable office rate is available.
Atlanta
Georgia · 67331
Office
Unavailable
Facility
$102.63
No comparable office rate is available.
Rest Of Georgia
Georgia · 67331
Office
Unavailable
Facility
$98.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67331
Office
Unavailable
Facility
$102.78
No comparable office rate is available.
Iowa
Iowa · 67331
Office
Unavailable
Facility
$95.06
No comparable office rate is available.
Idaho
Idaho · 67331
Office
Unavailable
Facility
$95.62
No comparable office rate is available.
East St. Louis
Illinois · 67331
Office
Unavailable
Facility
$103.86
No comparable office rate is available.
Rest Of Illinois
Illinois · 67331
Office
Unavailable
Facility
$101.24
No comparable office rate is available.
Suburban Chicago
Illinois · 67331
Office
Unavailable
Facility
$106.27
No comparable office rate is available.
Indiana
Indiana · 67331
Office
Unavailable
Facility
$95.91
No comparable office rate is available.
Kansas
Kansas · 67331
Office
Unavailable
Facility
$95.30
No comparable office rate is available.
Kentucky
Kentucky · 67331
Office
Unavailable
Facility
$97.04
No comparable office rate is available.
New Orleans
Louisiana · 67331
Office
Unavailable
Facility
$99.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67331
Office
Unavailable
Facility
$97.15
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67331
Office
Unavailable
Facility
$108.85
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67331
Office
Unavailable
Facility
$102.44
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67331
Office
Unavailable
Facility
$105.40
No comparable office rate is available.
Rest Of Maryland
Maryland · 67331
Office
Unavailable
Facility
$101.45
No comparable office rate is available.
Rest Of Maine
Maine · 67331
Office
Unavailable
Facility
$96.42
No comparable office rate is available.
Southern Maine
Maine · 67331
Office
Unavailable
Facility
$98.63
No comparable office rate is available.
Detroit
Michigan · 67331
Office
Unavailable
Facility
$103.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 67331
Office
Unavailable
Facility
$98.92
No comparable office rate is available.
Minnesota
Minnesota · 67331
Office
Unavailable
Facility
$97.99
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67331
Office
Unavailable
Facility
$98.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67331
Office
Unavailable
Facility
$99.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 67331
Office
Unavailable
Facility
$96.54
No comparable office rate is available.
Mississippi
Mississippi · 67331
Office
Unavailable
Facility
$95.25
No comparable office rate is available.
Montana**
Montana · 67331
Office
Unavailable
Facility
$100.86
No comparable office rate is available.
North Carolina
North Carolina · 67331
Office
Unavailable
Facility
$96.91
No comparable office rate is available.
North Dakota**
North Dakota · 67331
Office
Unavailable
Facility
$97.70
No comparable office rate is available.
Nebraska
Nebraska · 67331
Office
Unavailable
Facility
$95.21
No comparable office rate is available.
New Hampshire
New Hampshire · 67331
Office
Unavailable
Facility
$101.45
No comparable office rate is available.
Northern Nj
New Jersey · 67331
Office
Unavailable
Facility
$110.20
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67331
Office
Unavailable
Facility
$106.79
No comparable office rate is available.
New Mexico
New Mexico · 67331
Office
Unavailable
Facility
$99.42
No comparable office rate is available.
Nevada**
Nevada · 67331
Office
Unavailable
Facility
$100.01
No comparable office rate is available.
Ohio
Ohio · 67331
Office
Unavailable
Facility
$98.27
No comparable office rate is available.
Oklahoma
Oklahoma · 67331
Office
Unavailable
Facility
$96.43
No comparable office rate is available.
Portland
Oregon · 67331
Office
Unavailable
Facility
$103.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 67331
Office
Unavailable
Facility
$99.16
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67331
Office
Unavailable
Facility
$104.32
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67331
Office
Unavailable
Facility
$98.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67331
Office
Unavailable
Facility
$101.12
No comparable office rate is available.
Rhode Island
Rhode Island · 67331
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
South Carolina
South Carolina · 67331
Office
Unavailable
Facility
$97.76
No comparable office rate is available.
South Dakota**
South Dakota · 67331
Office
Unavailable
Facility
$97.32
No comparable office rate is available.
Tennessee
Tennessee · 67331
Office
Unavailable
Facility
$95.63
No comparable office rate is available.
Austin
Texas · 67331
Office
Unavailable
Facility
$102.15
No comparable office rate is available.
Beaumont
Texas · 67331
Office
Unavailable
Facility
$97.76
No comparable office rate is available.
Brazoria
Texas · 67331
Office
Unavailable
Facility
$99.94
No comparable office rate is available.
Dallas
Texas · 67331
Office
Unavailable
Facility
$100.58
No comparable office rate is available.
Fort Worth
Texas · 67331
Office
Unavailable
Facility
$100.34
No comparable office rate is available.
Galveston
Texas · 67331
Office
Unavailable
Facility
$100.26
No comparable office rate is available.
Houston
Texas · 67331
Office
Unavailable
Facility
$103.19
No comparable office rate is available.
Rest Of Texas
Texas · 67331
Office
Unavailable
Facility
$98.80
No comparable office rate is available.
Utah
Utah · 67331
Office
Unavailable
Facility
$98.50
No comparable office rate is available.
Virginia
Virginia · 67331
Office
Unavailable
Facility
$98.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67331
Office
Unavailable
Facility
$101.12
No comparable office rate is available.
Vermont
Vermont · 67331
Office
Unavailable
Facility
$97.93
No comparable office rate is available.
Rest Of Washington
Washington · 67331
Office
Unavailable
Facility
$102.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67331
Office
Unavailable
Facility
$110.05
No comparable office rate is available.
Wisconsin
Wisconsin · 67331
Office
Unavailable
Facility
$95.90
No comparable office rate is available.
West Virginia
West Virginia · 67331
Office
Unavailable
Facility
$99.19
No comparable office rate is available.
Wyoming**
Wyoming · 67331
Office
Unavailable
Facility
$99.48
No comparable office rate is available.
See how rates vary across the country
67331 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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.
- 67331 in New York
Multiple payment areas
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67331 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$124.40
$113.09 × 110% = $124.40
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67331 in Manhattan.
PPRRVU2026_Oct_nonQPP.csv
7,459
- Code
- 67331
- Physician work
- 1.95
- Practice expense
- 0.91
- Malpractice
- 0.16
GPCI2026.csv
78
- Locality
- Manhattan
- Physician work
- 1.064
- Practice expense
- 1.162
- Malpractice
- 1.586
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.064 | 2.0748 |
| Practice expense | 0.91 | × 1.162 | 1.0574 |
| Malpractice | 0.16 | × 1.586 | 0.2538 |
| Total RVUs | 3.3860 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Manhattan$113.09
Open 67331 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1.064 |
| Practice expense | 0.91 | 1.162 |
| Malpractice | 0.16 | 1.586 |
(1.95 × 1.064 + 0.91 × 1.162 + 0.16 × 1.586) × $33.4009 = $113.09
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
67331 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $113.09 | RVU26D |
| 2026-07-01 | Not available in this setting | $113.09 | RVU26C |
| 2026-04-01 | Not available in this setting | $113.09 | RVU26B |
| 2026-01-01 | Not available in this setting | $113.09 | RVU26A |
| 2025-10-01 | Not available in this setting | $136.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $136.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $136.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $136.68 | RVU25A |
67331 billing questions
When is 67331 reported with strabismus surgery?
Report it with a primary strabismus procedure when prior eye surgery or restrictive myopathy affects the work on one or more extraocular muscles. It is an add-on, not a standalone follow-up service.
What documentation supports 67331?
The operative report should identify the primary muscle procedure and describe the prior eye surgery or restrictive myopathy that affected the surgical work.
Can 67331 be billed by itself?
No. CMS identifies it as an add-on that must be billed with a primary procedure, and payment is within that procedure’s global period.
How is bilateral 67331 reported?
CMS lists bilateral reporting with modifier 50, paid at 150%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,45667316,,Revise two eye muscles,A,,10.05,6.99,NA,6.99,,0.81,17.85,17.85,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45767318,,Revise eye muscle(s),A,,9.56,7.01,NA,7.01,,0.76,17.33,17.33,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45867320,,Revise eye muscle(s) add-on,A,,2.93,1.03,NA,1.03,,0.22,4.18,4.18,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45967331,,Eye surgery follow-up add-on,A,,1.95,0.91,NA,0.91,,0.16,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46067332,,Rerevise eye muscles add-on,A,,3.41,1.19,NA,1.19,,0.26,4.86,4.86,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46167334,,Revise eye muscle w/suture,A,,2.01,0.81,NA,0.81,,0.16,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46267335,,Eye suture during surgery,A,,3.15,1.09,NA,1.09,,0.24,4.48,4.48,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210
8113292,NY,04,QUEENS,1.064,1.182,1.442