No office rate
Both use an opposing-eyelid tarsoconjunctival flap. Choose 67973 when the full-thickness defect exceeds two-thirds of the eyelid; 67971 is for defects up to two-thirds.
On this page
CMS RVU26D · Effective 2026-10-01
67973 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$823.44
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 67973: Large full-thickness eyelid flap reconstruction
Reports reconstruction of a full-thickness eyelid defect exceeding two-thirds of the lid using tissue transferred from the opposing eyelid.
An oculoplastic surgeon typically uses this service to rebuild a very large, full-thickness eyelid defect by transferring a tarsoconjunctival flap from the opposing eyelid. A common setting is reconstruction after removal of an eyelid tumor when the resulting defect involves more than two-thirds of the lid. The transferred tissue provides the inner-lid lining and structural support; the approach is associated with staged reconstruction.
Select this code when the defect size and flap method match, rather than choosing by the diagnosis alone. The operative report should identify the affected eyelid, the extent of full-thickness tissue loss, and the opposing-lid flap used. 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 is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 67973
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.80 · 55%
- Practice expense (office) RVU9.39 · 40%
- Malpractice RVU1.07 · 5%
1.3K
Medicare services in 2024 · #2794 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.
67973 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
67974 describes the second-stage division of the transferred flap, whereas 67973 describes the reconstruction using the flap.
$854.41
67966 is an eyelid excision-and-repair code. Use 67973 when the documented reconstruction uses the opposing-eyelid tarsoconjunctival flap for a defect exceeding two-thirds of the lid.
The same code, a different location
How does Salinas compare?
67973 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Merced
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Modesto
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Napa
California · 67973
Office
Unavailable
Facility
$885.99
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67973
Office
Unavailable
Facility
$832.48
No comparable office rate is available.
Redding
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Rest Of California
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67973
Office
Unavailable
Facility
$809.46
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67973
Office
Unavailable
Facility
$826.84
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67973
Office
Unavailable
Facility
$834.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67973
Office
Unavailable
Facility
$926.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67973
Office
Unavailable
Facility
$925.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67973
Office
Unavailable
Facility
$945.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67973
Office
Unavailable
Facility
$941.01
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67973
Office
Unavailable
Facility
$811.19
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67973
Office
Unavailable
Facility
$836.73
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67973
Office
Unavailable
Facility
$824.36
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67973
Office
Unavailable
Facility
$844.66
No comparable office rate is available.
Stockton
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Vallejo
California · 67973
Office
Unavailable
Facility
$884.24
No comparable office rate is available.
Visalia
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Yuba City
California · 67973
Office
Unavailable
Facility
$797.70
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67973
Office
Unavailable
Facility
$859.86
No comparable office rate is available.
Miami
Florida · 67973
Office
Unavailable
Facility
$844.41
No comparable office rate is available.
Chicago
Illinois · 67973
Office
Unavailable
Facility
$827.75
No comparable office rate is available.
Manhattan
New York · 67973
Office
Unavailable
Facility
$876.02
No comparable office rate is available.
Alaska*
Alaska · 67973
Office
Unavailable
Facility
$995.01
No comparable office rate is available.
Alabama
Alabama · 67973
Office
Unavailable
Facility
$722.19
No comparable office rate is available.
Arkansas
Arkansas · 67973
Office
Unavailable
Facility
$715.35
No comparable office rate is available.
Arizona
Arizona · 67973
Office
Unavailable
Facility
$762.04
No comparable office rate is available.
Colorado
Colorado · 67973
Office
Unavailable
Facility
$794.28
No comparable office rate is available.
Connecticut
Connecticut · 67973
Office
Unavailable
Facility
$817.11
No comparable office rate is available.
Delaware
Delaware · 67973
Office
Unavailable
Facility
$771.67
No comparable office rate is available.
Fort Lauderdale
Florida · 67973
Office
Unavailable
Facility
$809.86
No comparable office rate is available.
Rest Of Florida
Florida · 67973
Office
Unavailable
Facility
$781.08
No comparable office rate is available.
Atlanta
Georgia · 67973
Office
Unavailable
Facility
$790.39
No comparable office rate is available.
Rest Of Georgia
Georgia · 67973
Office
Unavailable
Facility
$749.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67973
Office
Unavailable
Facility
$804.83
No comparable office rate is available.
Iowa
Iowa · 67973
Office
Unavailable
Facility
$728.70
No comparable office rate is available.
Idaho
Idaho · 67973
Office
Unavailable
Facility
$732.98
No comparable office rate is available.
East St. Louis
Illinois · 67973
Office
Unavailable
Facility
$788.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 67973
Office
Unavailable
Facility
$769.74
No comparable office rate is available.
Suburban Chicago
Illinois · 67973
Office
Unavailable
Facility
$815.96
No comparable office rate is available.
Indiana
Indiana · 67973
Office
Unavailable
Facility
$735.64
No comparable office rate is available.
Kansas
Kansas · 67973
Office
Unavailable
Facility
$729.07
No comparable office rate is available.
Kentucky
Kentucky · 67973
Office
Unavailable
Facility
$739.05
No comparable office rate is available.
New Orleans
Louisiana · 67973
Office
Unavailable
Facility
$763.26
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67973
Office
Unavailable
Facility
$739.34
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67973
Office
Unavailable
Facility
$851.35
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67973
Office
Unavailable
Facility
$793.11
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67973
Office
Unavailable
Facility
$815.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 67973
Office
Unavailable
Facility
$782.01
No comparable office rate is available.
Rest Of Maine
Maine · 67973
Office
Unavailable
Facility
$738.30
No comparable office rate is available.
Southern Maine
Maine · 67973
Office
Unavailable
Facility
$760.89
No comparable office rate is available.
Detroit
Michigan · 67973
Office
Unavailable
Facility
$790.44
No comparable office rate is available.
Rest Of Michigan
Michigan · 67973
Office
Unavailable
Facility
$754.23
No comparable office rate is available.
Minnesota
Minnesota · 67973
Office
Unavailable
Facility
$760.84
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67973
Office
Unavailable
Facility
$756.95
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67973
Office
Unavailable
Facility
$761.92
No comparable office rate is available.
Rest Of Missouri
Missouri · 67973
Office
Unavailable
Facility
$732.69
No comparable office rate is available.
Mississippi
Mississippi · 67973
Office
Unavailable
Facility
$723.98
No comparable office rate is available.
Montana**
Montana · 67973
Office
Unavailable
Facility
$776.83
No comparable office rate is available.
North Carolina
North Carolina · 67973
Office
Unavailable
Facility
$742.99
No comparable office rate is available.
North Dakota**
North Dakota · 67973
Office
Unavailable
Facility
$755.68
No comparable office rate is available.
Nebraska
Nebraska · 67973
Office
Unavailable
Facility
$730.53
No comparable office rate is available.
New Hampshire
New Hampshire · 67973
Office
Unavailable
Facility
$785.30
No comparable office rate is available.
Northern Nj
New Jersey · 67973
Office
Unavailable
Facility
$856.45
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67973
Office
Unavailable
Facility
$826.33
No comparable office rate is available.
New Mexico
New Mexico · 67973
Office
Unavailable
Facility
$758.06
No comparable office rate is available.
Nevada**
Nevada · 67973
Office
Unavailable
Facility
$771.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67973
Office
Unavailable
Facility
$894.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67973
Office
Unavailable
Facility
$833.44
No comparable office rate is available.
Queens
New York · 67973
Office
Unavailable
Facility
$877.15
No comparable office rate is available.
Rest Of New York
New York · 67973
Office
Unavailable
Facility
$750.61
No comparable office rate is available.
Ohio
Ohio · 67973
Office
Unavailable
Facility
$749.90
No comparable office rate is available.
Oklahoma
Oklahoma · 67973
Office
Unavailable
Facility
$735.38
No comparable office rate is available.
Portland
Oregon · 67973
Office
Unavailable
Facility
$809.41
No comparable office rate is available.
Rest Of Oregon
Oregon · 67973
Office
Unavailable
Facility
$765.04
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67973
Office
Unavailable
Facility
$804.36
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67973
Office
Unavailable
Facility
$749.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67973
Office
Unavailable
Facility
$779.82
No comparable office rate is available.
Rhode Island
Rhode Island · 67973
Office
Unavailable
Facility
$791.52
No comparable office rate is available.
South Carolina
South Carolina · 67973
Office
Unavailable
Facility
$747.71
No comparable office rate is available.
South Dakota**
South Dakota · 67973
Office
Unavailable
Facility
$753.17
No comparable office rate is available.
Tennessee
Tennessee · 67973
Office
Unavailable
Facility
$731.82
No comparable office rate is available.
Austin
Texas · 67973
Office
Unavailable
Facility
$791.88
No comparable office rate is available.
Beaumont
Texas · 67973
Office
Unavailable
Facility
$746.14
No comparable office rate is available.
Brazoria
Texas · 67973
Office
Unavailable
Facility
$769.64
No comparable office rate is available.
Dallas
Texas · 67973
Office
Unavailable
Facility
$774.42
No comparable office rate is available.
Fort Worth
Texas · 67973
Office
Unavailable
Facility
$771.75
No comparable office rate is available.
Galveston
Texas · 67973
Office
Unavailable
Facility
$771.98
No comparable office rate is available.
Houston
Texas · 67973
Office
Unavailable
Facility
$791.57
No comparable office rate is available.
Rest Of Texas
Texas · 67973
Office
Unavailable
Facility
$757.44
No comparable office rate is available.
Utah
Utah · 67973
Office
Unavailable
Facility
$754.44
No comparable office rate is available.
Virginia
Virginia · 67973
Office
Unavailable
Facility
$761.07
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67973
Office
Unavailable
Facility
$779.82
No comparable office rate is available.
Vermont
Vermont · 67973
Office
Unavailable
Facility
$756.11
No comparable office rate is available.
Rest Of Washington
Washington · 67973
Office
Unavailable
Facility
$790.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67973
Office
Unavailable
Facility
$862.94
No comparable office rate is available.
Wisconsin
Wisconsin · 67973
Office
Unavailable
Facility
$739.00
No comparable office rate is available.
West Virginia
West Virginia · 67973
Office
Unavailable
Facility
$751.22
No comparable office rate is available.
Wyoming**
Wyoming · 67973
Office
Unavailable
Facility
$767.61
No comparable office rate is available.
See how rates vary across the country
67973 · 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?
Salinas 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67973 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$905.78
$823.44 × 110% = $905.78
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 67973 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
7,529
- Code
- 67973
- Physician work
- 12.80
- Practice expense
- 9.39
- Malpractice
- 1.07
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.80 | × 1.031 | 13.1968 |
| Practice expense | 9.39 | × 1.159 | 10.8830 |
| Malpractice | 1.07 | × 0.536 | 0.5735 |
| Total RVUs | 24.6533 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$823.44
Open 67973 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.8 | 1.031 |
| Practice expense | 9.39 | 1.159 |
| Malpractice | 1.07 | 0.536 |
(12.8 × 1.031 + 9.39 × 1.159 + 1.07 × 0.536) × $33.4009 = $823.44
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
67973 · 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 | $823.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $823.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $823.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $823.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $957.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $957.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $957.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $957.69 | RVU25A |
67973 billing questions
How is this code distinguished from 67971?
Both describe reconstruction using a tarsoconjunctival flap from the opposing eyelid. This code is for a defect exceeding two-thirds of the eyelid; 67971 covers defects up to two-thirds.
Does this code describe the later flap-division stage?
No. Code 67974 describes the second-stage division of the flap. This code describes the reconstruction using the transferred flap.
What documentation supports selecting this code?
Document the full-thickness defect, its extent relative to the eyelid, and the tarsoconjunctival flap transferred from the opposing eyelid.
How should bilateral reconstruction be reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,52667961,,Revision of eyelid,A,,5.71,11.55,,5.51,,0.47,17.73,11.69,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52767966,,Revision of eyelid,A,,8.75,13.95,,7.13,,0.73,23.43,16.61,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52867971,,Reconstruction of eyelid,A,,9.76,7.62,NA,7.62,,0.81,18.19,18.19,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52967973,,Reconstruction of eyelid,A,,12.80,9.39,NA,9.39,,1.07,23.26,23.26,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53067974,,Reconstruction of eyelid,A,,12.77,9.38,NA,9.38,,1.06,23.21,23.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53167975,,Reconstruction of eyelid,A,,9.12,7.41,NA,7.41,,0.79,17.32,17.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53267999,,Unlisted procedure eyelids,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459