$788.22
Use 67901 for a frontalis muscle technique with suture or other material. Use 67906 when the operative method is a superior rectus-based fascial sling.
On this page
CMS RVU26D · Effective 2026-10-01
67906 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$422.93
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 67906: Blepharoptosis repair with superior rectus sling
Surgical correction of upper eyelid ptosis using a superior rectus-based fascial sling, reported when the operative technique matches this specific repair.
CPT 67906 reports surgical correction of blepharoptosis using a superior rectus-based technique with a fascial sling to elevate the upper eyelid. An ophthalmologist, commonly an oculoplastic surgeon, performs this operation when the selected repair uses this specific muscle-and-sling approach. The code is selected by the technique documented, not simply because ptosis is severe or congenital.
The operative report should identify the affected eyelid, describe the superior rectus and sling technique, and support the medical need for repair. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67906
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.76 · 53%
- Practice expense (office) RVU5.51 · 43%
- Malpractice RVU0.53 · 4%
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.
67906 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
67902 describes frontalis suspension using an autologous fascial sling; 67906 identifies the superior rectus-based sling approach.
$601.88
67903 is an internal ptosis repair approach. 67906 is selected for the superior rectus-based fascial sling technique.
$739.20
67904 is an external levator-based ptosis repair. 67906 applies when the surgeon uses the superior rectus and a fascial sling.
The same code, a different location
How does Wyoming** compare?
67906 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 · 67906
Office
Unavailable
Facility
$396.84
No comparable office rate is available.
Arkansas
Arkansas · 67906
Office
Unavailable
Facility
$393.00
No comparable office rate is available.
Arizona
Arizona · 67906
Office
Unavailable
Facility
$419.28
No comparable office rate is available.
Bakersfield
California · 67906
Office
Unavailable
Facility
$442.57
No comparable office rate is available.
Chico
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
El Centro
California · 67906
Office
Unavailable
Facility
$440.91
No comparable office rate is available.
Fresno
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Hanford-Corcoran
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Madera
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Merced
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Modesto
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Napa
California · 67906
Office
Unavailable
Facility
$491.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67906
Office
Unavailable
Facility
$460.67
No comparable office rate is available.
Redding
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Rest Of California
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67906
Office
Unavailable
Facility
$446.66
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67906
Office
Unavailable
Facility
$457.44
No comparable office rate is available.
Salinas
California · 67906
Office
Unavailable
Facility
$455.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67906
Office
Unavailable
Facility
$462.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67906
Office
Unavailable
Facility
$514.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67906
Office
Unavailable
Facility
$514.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67906
Office
Unavailable
Facility
$525.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67906
Office
Unavailable
Facility
$523.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67906
Office
Unavailable
Facility
$448.74
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67906
Office
Unavailable
Facility
$463.63
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67906
Office
Unavailable
Facility
$456.19
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67906
Office
Unavailable
Facility
$468.05
No comparable office rate is available.
Stockton
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Vallejo
California · 67906
Office
Unavailable
Facility
$490.70
No comparable office rate is available.
Visalia
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Yuba City
California · 67906
Office
Unavailable
Facility
$440.82
No comparable office rate is available.
Colorado
Colorado · 67906
Office
Unavailable
Facility
$438.14
No comparable office rate is available.
Connecticut
Connecticut · 67906
Office
Unavailable
Facility
$449.94
No comparable office rate is available.
Delaware
Delaware · 67906
Office
Unavailable
Facility
$424.66
No comparable office rate is available.
Fort Lauderdale
Florida · 67906
Office
Unavailable
Facility
$444.23
No comparable office rate is available.
Rest Of Florida
Florida · 67906
Office
Unavailable
Facility
$428.34
No comparable office rate is available.
Atlanta
Georgia · 67906
Office
Unavailable
Facility
$434.71
No comparable office rate is available.
Rest Of Georgia
Georgia · 67906
Office
Unavailable
Facility
$411.05
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67906
Office
Unavailable
Facility
$445.29
No comparable office rate is available.
Iowa
Iowa · 67906
Office
Unavailable
Facility
$401.21
No comparable office rate is available.
Idaho
Idaho · 67906
Office
Unavailable
Facility
$403.48
No comparable office rate is available.
East St. Louis
Illinois · 67906
Office
Unavailable
Facility
$430.76
No comparable office rate is available.
Rest Of Illinois
Illinois · 67906
Office
Unavailable
Facility
$421.49
No comparable office rate is available.
Suburban Chicago
Illinois · 67906
Office
Unavailable
Facility
$447.75
No comparable office rate is available.
Indiana
Indiana · 67906
Office
Unavailable
Facility
$405.00
No comparable office rate is available.
Kansas
Kansas · 67906
Office
Unavailable
Facility
$401.08
No comparable office rate is available.
Kentucky
Kentucky · 67906
Office
Unavailable
Facility
$405.60
No comparable office rate is available.
New Orleans
Louisiana · 67906
Office
Unavailable
Facility
$419.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67906
Office
Unavailable
Facility
$405.62
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67906
Office
Unavailable
Facility
$470.55
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67906
Office
Unavailable
Facility
$437.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67906
Office
Unavailable
Facility
$448.77
No comparable office rate is available.
Rest Of Maryland
Maryland · 67906
Office
Unavailable
Facility
$430.55
No comparable office rate is available.
Rest Of Maine
Maine · 67906
Office
Unavailable
Facility
$406.12
No comparable office rate is available.
Southern Maine
Maine · 67906
Office
Unavailable
Facility
$419.34
No comparable office rate is available.
Detroit
Michigan · 67906
Office
Unavailable
Facility
$433.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 67906
Office
Unavailable
Facility
$413.80
No comparable office rate is available.
Minnesota
Minnesota · 67906
Office
Unavailable
Facility
$420.41
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67906
Office
Unavailable
Facility
$415.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67906
Office
Unavailable
Facility
$418.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 67906
Office
Unavailable
Facility
$401.67
No comparable office rate is available.
Mississippi
Mississippi · 67906
Office
Unavailable
Facility
$397.33
No comparable office rate is available.
Montana**
Montana · 67906
Office
Unavailable
Facility
$427.50
No comparable office rate is available.
North Carolina
North Carolina · 67906
Office
Unavailable
Facility
$408.81
No comparable office rate is available.
North Dakota**
North Dakota · 67906
Office
Unavailable
Facility
$417.02
No comparable office rate is available.
Nebraska
Nebraska · 67906
Office
Unavailable
Facility
$402.35
No comparable office rate is available.
New Hampshire
New Hampshire · 67906
Office
Unavailable
Facility
$432.86
No comparable office rate is available.
Northern Nj
New Jersey · 67906
Office
Unavailable
Facility
$472.41
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67906
Office
Unavailable
Facility
$455.21
No comparable office rate is available.
New Mexico
New Mexico · 67906
Office
Unavailable
Facility
$415.81
No comparable office rate is available.
Nevada**
Nevada · 67906
Office
Unavailable
Facility
$424.76
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67906
Office
Unavailable
Facility
$491.94
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67906
Office
Unavailable
Facility
$458.89
No comparable office rate is available.
Queens
New York · 67906
Office
Unavailable
Facility
$483.30
No comparable office rate is available.
Rest Of New York
New York · 67906
Office
Unavailable
Facility
$413.07
No comparable office rate is available.
Ohio
Ohio · 67906
Office
Unavailable
Facility
$411.66
No comparable office rate is available.
Oklahoma
Oklahoma · 67906
Office
Unavailable
Facility
$403.89
No comparable office rate is available.
Portland
Oregon · 67906
Office
Unavailable
Facility
$447.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 67906
Office
Unavailable
Facility
$421.54
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67906
Office
Unavailable
Facility
$442.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67906
Office
Unavailable
Facility
$411.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67906
Office
Unavailable
Facility
$429.29
No comparable office rate is available.
Rhode Island
Rhode Island · 67906
Office
Unavailable
Facility
$435.98
No comparable office rate is available.
South Carolina
South Carolina · 67906
Office
Unavailable
Facility
$410.89
No comparable office rate is available.
South Dakota**
South Dakota · 67906
Office
Unavailable
Facility
$415.78
No comparable office rate is available.
Tennessee
Tennessee · 67906
Office
Unavailable
Facility
$402.59
No comparable office rate is available.
Austin
Texas · 67906
Office
Unavailable
Facility
$436.64
No comparable office rate is available.
Beaumont
Texas · 67906
Office
Unavailable
Facility
$409.71
No comparable office rate is available.
Brazoria
Texas · 67906
Office
Unavailable
Facility
$423.79
No comparable office rate is available.
Dallas
Texas · 67906
Office
Unavailable
Facility
$426.31
No comparable office rate is available.
Fort Worth
Texas · 67906
Office
Unavailable
Facility
$424.70
No comparable office rate is available.
Galveston
Texas · 67906
Office
Unavailable
Facility
$425.00
No comparable office rate is available.
Houston
Texas · 67906
Office
Unavailable
Facility
$434.71
No comparable office rate is available.
Rest Of Texas
Texas · 67906
Office
Unavailable
Facility
$416.43
No comparable office rate is available.
Utah
Utah · 67906
Office
Unavailable
Facility
$414.68
No comparable office rate is available.
Virginia
Virginia · 67906
Office
Unavailable
Facility
$419.20
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67906
Office
Unavailable
Facility
$429.29
No comparable office rate is available.
Vermont
Vermont · 67906
Office
Unavailable
Facility
$416.95
No comparable office rate is available.
Rest Of Washington
Washington · 67906
Office
Unavailable
Facility
$435.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67906
Office
Unavailable
Facility
$477.36
No comparable office rate is available.
Wisconsin
Wisconsin · 67906
Office
Unavailable
Facility
$407.55
No comparable office rate is available.
West Virginia
West Virginia · 67906
Office
Unavailable
Facility
$411.05
No comparable office rate is available.
See how rates vary across the country
67906 · 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 67906 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$465.22
$422.93 × 110% = $465.22
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 67906 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,509
- Code
- 67906
- Physician work
- 6.76
- Practice expense
- 5.51
- Malpractice
- 0.53
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.76 | × 1.000 | 6.7600 |
| Practice expense | 5.51 | × 1.000 | 5.5100 |
| Malpractice | 0.53 | × 0.740 | 0.3922 |
| Total RVUs | 12.6622 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$422.93
Open 67906 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.76 | 1 |
| Practice expense | 5.51 | 1 |
| Malpractice | 0.53 | 0.74 |
(6.76 × 1 + 5.51 × 1 + 0.53 × 0.74) × $33.4009 = $422.93
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
67906 · 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 | $422.93 | RVU26D |
| 2026-07-01 | Not available in this setting | $422.93 | RVU26C |
| 2026-04-01 | Not available in this setting | $422.93 | RVU26B |
| 2026-01-01 | Not available in this setting | $422.93 | RVU26A |
| 2025-10-01 | Not available in this setting | $480.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $480.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $480.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $480.96 | RVU25A |
67906 billing questions
How is 67906 distinguished from other ptosis repairs?
Choose 67906 when the operative report documents the superior rectus-based fascial sling technique. Frontalis suspension or levator-based repairs belong to different codes.
What documentation supports reporting 67906?
Document the ptosis, the eyelid treated, the medical reason for repair, and the superior rectus-and-sling technique performed.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
How is bilateral 67906 handled?
For a bilateral procedure, report modifier 50; CMS pays the procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,50667902,,Repair eyelid defect,A,,9.57,8.07,NA,8.07,,0.78,18.42,18.42,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50767903,,Repair eyelid defect,A,,6.35,11.30,,5.38,,0.50,18.15,12.23,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50867904,,Repair eyelid defect,A,,7.77,13.88,,6.79,,0.65,22.30,15.21,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50967906,,Repair eyelid defect,A,,6.76,5.51,NA,5.51,,0.53,12.80,12.80,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51067908,,Repair eyelid defect,A,,5.17,10.77,,5.64,,0.42,16.36,11.23,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51167909,,Revise eyelid defect,A,,5.43,10.65,,5.43,,0.48,16.56,11.34,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51267911,,Revise eyelid defect,A,,7.31,6.38,NA,6.38,,0.60,14.29,14.29,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,