No office rate
67311 describes recession or resection of one horizontal muscle. Choose 67320 for a transposition maneuver reported with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
67320 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$137.71
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.
Ophthalmology surgery
About 67320: Extraocular muscle transposition procedure
Reports an extraocular muscle transposition performed with a primary strabismus operation to redirect muscle pull and address ocular misalignment.
An extraocular muscle transposition changes the direction of a muscle’s pull to help correct ocular misalignment. An ophthalmologist, often a strabismus surgeon, may perform this maneuver when the surgical plan requires repositioning a muscle or its tendon rather than relying only on a conventional recession or resection. It is performed as part of operative strabismus care, commonly in a facility setting.
Report 67320 only with a primary procedure; it is not a stand-alone service. The operative report should identify the muscle involved, the transposition performed, the clinical reason for changing its pull, and the primary strabismus procedure performed at the encounter. CMS treats this as an add-on paid within the primary procedure’s global period. The record should make clear that a transposition was performed, rather than only a standard muscle recession or resection.
CMS billing rules for 67320
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.93 · 70%
- Practice expense (office) RVU1.03 · 25%
- Malpractice RVU0.22 · 5%
339
Medicare services in 2024 · #3891 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.
67320 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
67314 describes recession or resection of one vertical muscle. It does not describe redirecting a muscle’s pull by transposition.
No office rate
67318 describes recession or resection of one oblique muscle. Use 67320 for the transposition add-on, not for that standard muscle adjustment.
The same code, a different location
How does Wyoming** compare?
67320 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 67320
Office
Unavailable
Facility
$132.13
No comparable office rate is available.
Arkansas
Arkansas · 67320
Office
Unavailable
Facility
$131.20
No comparable office rate is available.
Arizona
Arizona · 67320
Office
Unavailable
Facility
$137.49
No comparable office rate is available.
Bakersfield
California · 67320
Office
Unavailable
Facility
$141.90
No comparable office rate is available.
Chico
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
El Centro
California · 67320
Office
Unavailable
Facility
$141.21
No comparable office rate is available.
Fresno
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Hanford-Corcoran
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Madera
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Merced
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Modesto
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Napa
California · 67320
Office
Unavailable
Facility
$153.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67320
Office
Unavailable
Facility
$145.85
No comparable office rate is available.
Redding
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Rest Of California
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67320
Office
Unavailable
Facility
$143.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67320
Office
Unavailable
Facility
$145.34
No comparable office rate is available.
Salinas
California · 67320
Office
Unavailable
Facility
$144.71
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67320
Office
Unavailable
Facility
$145.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67320
Office
Unavailable
Facility
$159.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67320
Office
Unavailable
Facility
$158.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67320
Office
Unavailable
Facility
$162.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67320
Office
Unavailable
Facility
$161.16
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67320
Office
Unavailable
Facility
$142.65
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67320
Office
Unavailable
Facility
$145.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67320
Office
Unavailable
Facility
$144.66
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67320
Office
Unavailable
Facility
$146.99
No comparable office rate is available.
Stockton
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Vallejo
California · 67320
Office
Unavailable
Facility
$152.75
No comparable office rate is available.
Visalia
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Yuba City
California · 67320
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Colorado
Colorado · 67320
Office
Unavailable
Facility
$141.38
No comparable office rate is available.
Connecticut
Connecticut · 67320
Office
Unavailable
Facility
$145.77
No comparable office rate is available.
Delaware
Delaware · 67320
Office
Unavailable
Facility
$138.95
No comparable office rate is available.
Fort Lauderdale
Florida · 67320
Office
Unavailable
Facility
$146.00
No comparable office rate is available.
Rest Of Florida
Florida · 67320
Office
Unavailable
Facility
$141.80
No comparable office rate is available.
Atlanta
Georgia · 67320
Office
Unavailable
Facility
$141.94
No comparable office rate is available.
Rest Of Georgia
Georgia · 67320
Office
Unavailable
Facility
$137.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67320
Office
Unavailable
Facility
$141.24
No comparable office rate is available.
Iowa
Iowa · 67320
Office
Unavailable
Facility
$132.26
No comparable office rate is available.
Idaho
Idaho · 67320
Office
Unavailable
Facility
$132.99
No comparable office rate is available.
East St. Louis
Illinois · 67320
Office
Unavailable
Facility
$144.31
No comparable office rate is available.
Rest Of Illinois
Illinois · 67320
Office
Unavailable
Facility
$140.76
No comparable office rate is available.
Suburban Chicago
Illinois · 67320
Office
Unavailable
Facility
$146.90
No comparable office rate is available.
Indiana
Indiana · 67320
Office
Unavailable
Facility
$133.33
No comparable office rate is available.
Kansas
Kansas · 67320
Office
Unavailable
Facility
$132.67
No comparable office rate is available.
Kentucky
Kentucky · 67320
Office
Unavailable
Facility
$135.17
No comparable office rate is available.
New Orleans
Louisiana · 67320
Office
Unavailable
Facility
$138.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67320
Office
Unavailable
Facility
$135.35
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67320
Office
Unavailable
Facility
$149.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67320
Office
Unavailable
Facility
$141.51
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67320
Office
Unavailable
Facility
$145.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 67320
Office
Unavailable
Facility
$140.40
No comparable office rate is available.
Rest Of Maine
Maine · 67320
Office
Unavailable
Facility
$134.09
No comparable office rate is available.
Southern Maine
Maine · 67320
Office
Unavailable
Facility
$136.59
No comparable office rate is available.
Detroit
Michigan · 67320
Office
Unavailable
Facility
$143.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 67320
Office
Unavailable
Facility
$137.57
No comparable office rate is available.
Minnesota
Minnesota · 67320
Office
Unavailable
Facility
$135.44
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67320
Office
Unavailable
Facility
$137.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67320
Office
Unavailable
Facility
$137.98
No comparable office rate is available.
Rest Of Missouri
Missouri · 67320
Office
Unavailable
Facility
$134.68
No comparable office rate is available.
Mississippi
Mississippi · 67320
Office
Unavailable
Facility
$132.92
No comparable office rate is available.
Montana**
Montana · 67320
Office
Unavailable
Facility
$139.60
No comparable office rate is available.
North Carolina
North Carolina · 67320
Office
Unavailable
Facility
$134.66
No comparable office rate is available.
North Dakota**
North Dakota · 67320
Office
Unavailable
Facility
$135.25
No comparable office rate is available.
Nebraska
Nebraska · 67320
Office
Unavailable
Facility
$132.40
No comparable office rate is available.
New Hampshire
New Hampshire · 67320
Office
Unavailable
Facility
$140.11
No comparable office rate is available.
Northern Nj
New Jersey · 67320
Office
Unavailable
Facility
$151.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67320
Office
Unavailable
Facility
$147.41
No comparable office rate is available.
New Mexico
New Mexico · 67320
Office
Unavailable
Facility
$138.24
No comparable office rate is available.
Nevada**
Nevada · 67320
Office
Unavailable
Facility
$138.42
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67320
Office
Unavailable
Facility
$158.68
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67320
Office
Unavailable
Facility
$148.83
No comparable office rate is available.
Queens
New York · 67320
Office
Unavailable
Facility
$155.39
No comparable office rate is available.
Rest Of New York
New York · 67320
Office
Unavailable
Facility
$135.71
No comparable office rate is available.
Ohio
Ohio · 67320
Office
Unavailable
Facility
$136.68
No comparable office rate is available.
Oklahoma
Oklahoma · 67320
Office
Unavailable
Facility
$134.30
No comparable office rate is available.
Portland
Oregon · 67320
Office
Unavailable
Facility
$143.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 67320
Office
Unavailable
Facility
$137.30
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67320
Office
Unavailable
Facility
$144.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67320
Office
Unavailable
Facility
$136.39
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67320
Office
Unavailable
Facility
$139.88
No comparable office rate is available.
Rhode Island
Rhode Island · 67320
Office
Unavailable
Facility
$141.82
No comparable office rate is available.
South Carolina
South Carolina · 67320
Office
Unavailable
Facility
$135.90
No comparable office rate is available.
South Dakota**
South Dakota · 67320
Office
Unavailable
Facility
$134.74
No comparable office rate is available.
Tennessee
Tennessee · 67320
Office
Unavailable
Facility
$133.08
No comparable office rate is available.
Austin
Texas · 67320
Office
Unavailable
Facility
$140.97
No comparable office rate is available.
Beaumont
Texas · 67320
Office
Unavailable
Facility
$136.00
No comparable office rate is available.
Brazoria
Texas · 67320
Office
Unavailable
Facility
$138.47
No comparable office rate is available.
Dallas
Texas · 67320
Office
Unavailable
Facility
$139.32
No comparable office rate is available.
Fort Worth
Texas · 67320
Office
Unavailable
Facility
$139.07
No comparable office rate is available.
Galveston
Texas · 67320
Office
Unavailable
Facility
$138.89
No comparable office rate is available.
Houston
Texas · 67320
Office
Unavailable
Facility
$142.92
No comparable office rate is available.
Rest Of Texas
Texas · 67320
Office
Unavailable
Facility
$137.15
No comparable office rate is available.
Utah
Utah · 67320
Office
Unavailable
Facility
$136.80
No comparable office rate is available.
Virginia
Virginia · 67320
Office
Unavailable
Facility
$136.87
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67320
Office
Unavailable
Facility
$139.88
No comparable office rate is available.
Vermont
Vermont · 67320
Office
Unavailable
Facility
$135.64
No comparable office rate is available.
Rest Of Washington
Washington · 67320
Office
Unavailable
Facility
$140.96
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67320
Office
Unavailable
Facility
$150.97
No comparable office rate is available.
Wisconsin
Wisconsin · 67320
Office
Unavailable
Facility
$133.09
No comparable office rate is available.
West Virginia
West Virginia · 67320
Office
Unavailable
Facility
$138.28
No comparable office rate is available.
See how rates vary across the country
67320 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 67320 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$151.48
$137.71 × 110% = $151.48
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 67320 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,458
- Code
- 67320
- Physician work
- 2.93
- Practice expense
- 1.03
- Malpractice
- 0.22
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 1.03 | × 1.000 | 1.0300 |
| Malpractice | 0.22 | × 0.740 | 0.1628 |
| Total RVUs | 4.1228 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$137.71
Open 67320 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 1.03 | 1 |
| Malpractice | 0.22 | 0.74 |
(2.93 × 1 + 1.03 × 1 + 0.22 × 0.74) × $33.4009 = $137.71
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
67320 · 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 | $137.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $137.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $137.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $137.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $164.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $164.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $164.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $164.64 | RVU25A |
67320 billing questions
Can 67320 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How is a transposition different from a recession or resection?
A transposition redirects the muscle’s pull by changing its position or course. Recession and resection instead adjust the muscle’s effective strength or tension.
What should the operative note document?
Document the muscle treated, the transposition maneuver, its purpose, and the primary strabismus procedure performed during the encounter.
How does the global period affect payment?
CMS includes payment for this add-on within the primary procedure’s global period. Submit it with the primary procedure, not as a separate stand-alone service.
Is 67320 the right choice for routine muscle recession or resection?
No. Use the applicable recession or resection code when that is the procedure performed; 67320 describes an additional transposition maneuver.
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.
7,45567314,,Revise eye muscle,A,,5.78,5.48,NA,5.48,,0.45,11.71,11.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45667316,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,