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CMS RVU26D · Effective 2026-10-01

67909 in Wyoming**

Office / nonfacility

$548.95

Base rate per service

Facility setting

$374.60

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 67909: Skin-only eyelid defect revision

Revision of an eyelid defect limited to skin, such as scar-related deformity after prior surgery or injury, without full-thickness reconstruction.

Code 67909 represents revision of an eyelid defect limited to skin. An oculoplastic or plastic surgeon may excise or rearrange scarred or redundant eyelid skin to address a deformity after prior surgery or injury. The procedure is performed in an operative setting, with the approach guided by the location and extent of the skin defect; it is not the code for a defect requiring full-thickness eyelid reconstruction.

Choose this code when the operative report supports skin-only revision, and document the affected eyelid, the defect or deformity, and the tissues treated. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is used for bilateral reporting and pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 67909

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 RVU5.43 · 33%
  • Practice expense (office) RVU10.65 · 64%
  • Malpractice RVU0.48 · 3%

136

Medicare services in 2024 · #4634 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.

67909 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

67911

Eyelid retraction repair

Without implant

No office rate

67909 addresses a defect revision limited to skin. 67911 is for correction of eyelid retraction.

67961

Eyelid repair

Up to one-fourth of lid margin

$588.12

67961 describes excision and repair of an eyelid defect. Use 67909 when the service is a skin-only revision rather than that excision-and-repair procedure.

67971

Eyelid reconstruction

Up to two-thirds, flap stage

No office rate

67971 is a full-thickness reconstruction using tissue from the opposing eyelid. 67909 is limited to skin revision.

The same code, a different location

How does Wyoming** compare?

67909 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $548.95

  2. $71.31 higher than Wyoming**

  3. $79.09 higher than Wyoming**

  4. Miami

    $592.22

    $43.27 higher than Wyoming**

  5. Chicago

    $576.93

    $27.98 higher than Wyoming**

  6. Manhattan

    $631.75

    $82.80 higher than Wyoming**

  7. Alaska*

    $659.73

    $110.78 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 67909 ranges from $495.19 in Arkansas to $722.86 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · 67909

    Office

    $501.70

    Facility

    $349.14

    $47.25 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 67909

    Office

    $495.19

    Facility

    $345.42

    $53.76 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 67909

    Office

    $539.78

    Facility

    $370.84

    $9.17 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 67909

    Office

    $584.45

    Facility

    $393.35

    $35.50 higher than Wyoming** for the office setting.

  • Chico

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • El Centro

    California · 67909

    Office

    $582.99

    Facility

    $391.90

    $34.04 higher than Wyoming** for the office setting.

  • Fresno

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Madera

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Merced

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Modesto

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Napa

    California · 67909

    Office

    $669.78

    Facility

    $439.98

    $120.83 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67909

    Office

    $616.89

    Facility

    $410.81

    $67.94 higher than Wyoming** for the office setting.

  • Redding

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67909

    Office

    $588.18

    Facility

    $397.09

    $39.23 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67909

    Office

    $610.19

    Facility

    $407.42

    $61.24 higher than Wyoming** for the office setting.

  • Salinas

    California · 67909

    Office

    $607.86

    Facility

    $405.79

    $58.91 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67909

    Office

    $620.94

    Facility

    $412.41

    $71.99 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67909

    Office

    $707.52

    Facility

    $461.68

    $158.57 higher than Wyoming** for the office setting.

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

    California · 67909

    Office

    $706.98

    Facility

    $461.14

    $158.03 higher than Wyoming** for the office setting.

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

    California · 67909

    Office

    $722.86

    Facility

    $471.44

    $173.91 higher than Wyoming** for the office setting.

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

    California · 67909

    Office

    $720.63

    Facility

    $469.21

    $171.68 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67909

    Office

    $598.21

    Facility

    $399.62

    $49.26 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 67909

    Office

    $625.97

    Facility

    $414.13

    $77.02 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 67909

    Office

    $609.81

    Facility

    $406.51

    $60.86 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 67909

    Office

    $632.22

    Facility

    $418.12

    $83.27 higher than Wyoming** for the office setting.

  • Stockton

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Vallejo

    California · 67909

    Office

    $668.99

    Facility

    $439.19

    $120.04 higher than Wyoming** for the office setting.

  • Visalia

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Yuba City

    California · 67909

    Office

    $582.91

    Facility

    $391.82

    $33.96 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 67909

    Office

    $574.55

    Facility

    $389.04

    $25.60 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 67909

    Office

    $587.50

    Facility

    $399.73

    $38.55 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 67909

    Office

    $548.14

    Facility

    $375.88

    $0.81 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 67909

    Office

    $570.70

    Facility

    $394.08

    $21.75 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 67909

    Office

    $545.53

    Facility

    $378.85

    $3.42 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 67909

    Office

    $562.58

    Facility

    $385.43

    $13.63 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 67909

    Office

    $517.78

    Facility

    $362.26

    $31.17 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 67909

    Office

    $595.10

    Facility

    $396.86

    $46.15 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 67909

    Office

    $513.22

    Facility

    $353.68

    $35.73 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 67909

    Office

    $516.21

    Facility

    $355.81

    $32.74 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 67909

    Office

    $540.92

    Facility

    $380.51

    $8.03 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 67909

    Office

    $531.20

    Facility

    $372.01

    $17.75 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 67909

    Office

    $576.37

    Facility

    $397.31

    $27.42 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 67909

    Office

    $518.91

    Facility

    $357.29

    $30.04 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 67909

    Office

    $511.02

    Facility

    $353.40

    $37.93 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 67909

    Office

    $512.27

    Facility

    $357.27

    $36.68 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 67909

    Office

    $534.31

    Facility

    $370.25

    $14.64 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 67909

    Office

    $511.54

    Facility

    $357.24

    $37.41 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 67909

    Office

    $627.80

    Facility

    $419.62

    $78.85 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67909

    Office

    $571.62

    Facility

    $388.03

    $22.67 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67909

    Office

    $585.79

    Facility

    $398.71

    $36.84 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 67909

    Office

    $557.89

    Facility

    $381.44

    $8.94 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 67909

    Office

    $518.60

    Facility

    $358.20

    $30.35 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 67909

    Office

    $544.00

    Facility

    $371.22

    $4.95 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 67909

    Office

    $551.67

    Facility

    $383.42

    $2.72 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 67909

    Office

    $524.24

    Facility

    $365.06

    $24.71 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 67909

    Office

    $552.15

    Facility

    $372.74

    $3.20 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 67909

    Office

    $531.05

    Facility

    $367.33

    $17.90 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 67909

    Office

    $536.08

    Facility

    $370.09

    $12.87 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 67909

    Office

    $503.61

    Facility

    $353.32

    $45.34 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 67909

    Office

    $499.49

    Facility

    $349.37

    $49.46 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 67909

    Office

    $553.09

    Facility

    $378.73

    $4.14 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 67909

    Office

    $523.50

    Facility

    $360.83

    $25.45 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 67909

    Office

    $543.60

    Facility

    $369.24

    $5.35 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 67909

    Office

    $515.76

    Facility

    $354.83

    $33.19 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 67909

    Office

    $565.70

    Facility

    $384.20

    $16.75 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 67909

    Office

    $622.55

    Facility

    $420.30

    $73.60 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 67909

    Office

    $594.65

    Facility

    $404.26

    $45.70 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 67909

    Office

    $526.82

    Facility

    $366.94

    $22.13 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 67909

    Office

    $550.80

    Facility

    $376.27

    $1.85 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67909

    Office

    $645.70

    Facility

    $438.39

    $96.75 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67909

    Office

    $598.44

    Facility

    $407.52

    $49.49 higher than Wyoming** for the office setting.

  • Queens

    New York · 67909

    Office

    $636.55

    Facility

    $430.47

    $87.60 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 67909

    Office

    $530.57

    Facility

    $364.94

    $18.38 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 67909

    Office

    $522.30

    Facility

    $363.12

    $26.65 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 67909

    Office

    $511.48

    Facility

    $355.78

    $37.47 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 67909

    Office

    $591.40

    Facility

    $397.70

    $42.45 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 67909

    Office

    $546.93

    Facility

    $373.28

    $2.02 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67909

    Office

    $574.06

    Facility

    $392.56

    $25.11 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67909

    Office

    $523.07

    Facility

    $363.01

    $25.88 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 67909

    Office

    $556.79

    Facility

    $380.52

    $7.84 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 67909

    Office

    $566.57

    Facility

    $386.47

    $17.62 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 67909

    Office

    $523.68

    Facility

    $362.58

    $25.27 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 67909

    Office

    $542.47

    Facility

    $368.12

    $6.48 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 67909

    Office

    $513.33

    Facility

    $354.84

    $35.62 lower than Wyoming** for the office setting.

  • Austin

    Texas · 67909

    Office

    $572.29

    Facility

    $387.82

    $23.34 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 67909

    Office

    $519.97

    Facility

    $361.30

    $28.98 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 67909

    Office

    $547.84

    Facility

    $375.06

    $1.11 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 67909

    Office

    $551.05

    Facility

    $377.40

    $2.10 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 67909

    Office

    $547.70

    Facility

    $375.79

    $1.25 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 67909

    Office

    $549.32

    Facility

    $376.19

    $0.37 higher than Wyoming** for the office setting.

  • Houston

    Texas · 67909

    Office

    $558.11

    Facility

    $384.98

    $9.16 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 67909

    Office

    $533.42

    Facility

    $367.96

    $15.53 lower than Wyoming** for the office setting.

  • Utah

    Utah · 67909

    Office

    $530.14

    Facility

    $366.25

    $18.81 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 67909

    Office

    $542.36

    Facility

    $370.97

    $6.59 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67909

    Office

    $556.79

    Facility

    $380.52

    $7.84 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 67909

    Office

    $541.64

    Facility

    $369.03

    $7.31 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 67909

    Office

    $570.50

    Facility

    $386.90

    $21.55 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 67909

    Office

    $640.00

    Facility

    $426.07

    $91.05 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 67909

    Office

    $527.08

    Facility

    $360.05

    $21.87 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 67909

    Office

    $513.43

    Facility

    $361.92

    $35.52 lower than Wyoming** for the office setting.

See how rates vary across the country

67909 · 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.

$495.19

$659.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$659.731
AL$501.701
AR$495.191
AZ$539.781
CA$582.91–$722.8629
CO$574.551
CT$587.501
DC$628.041
DE$548.141
FL$545.53–$592.223
GA$517.78–$562.582
GU$595.101
HI$595.101
IA$513.221
ID$516.211
IL$531.20–$576.934
IN$518.911
KS$511.021
KY$512.271
LA$511.54–$534.312
MA$571.62–$627.802
MD$557.89–$628.043
ME$518.60–$544.002
MI$524.24–$551.672
MN$552.151
MO$503.61–$536.083
MS$499.491
MT$553.091
NC$523.501
ND$543.601
NE$515.761
NH$565.701
NJ$594.65–$622.552
NM$526.821
NV$550.801
NY$530.57–$645.705
OH$522.301
OK$511.481
OR$546.93–$591.402
PA$523.07–$574.062
PR$556.791
RI$566.571
SC$523.681
SD$542.471
TN$513.331
TX$519.97–$572.298
UT$530.141
VA$542.36–$628.042
VI$556.791
VT$541.641
WA$570.50–$640.002
WI$527.081
WV$513.431
WY$548.951

Explore 67909 on the national rate map →

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.

Why are the office and facility amounts different?

For 67909 in Wyoming**, the physician’s office rate is $548.95 and the facility-setting rate is $374.60: a difference of $174.35.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67909 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$603.85

$548.95 × 110% = $603.85

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.

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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 67909 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,511

Code
67909
Physician work
5.43
Practice expense
10.65
Malpractice
0.48

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 67909 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work5.43× 1.0005.4300
Practice expense10.65× 1.00010.6500
Malpractice0.48× 0.7400.3552
Total RVUs16.4352
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$548.95

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 67909 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.431
Practice expense10.651
Malpractice0.480.74

(5.43 × 1 + 10.65 × 1 + 0.48 × 0.74) × $33.4009 = $548.95

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.431
Practice expense5.431
Malpractice0.480.74

(5.43 × 1 + 5.43 × 1 + 0.48 × 0.74) × $33.4009 = $374.60

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

67909 · Office / nonfacility

$548.95

Effective 2026-10-01

The base rate is $26.57 higher than on 2025-10-01, moving from $522.38 to $548.95 (5.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $522.38changed to$548.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.57 changed to 5.43
    • Practice expense RVU 10.21 changed to 10.65
    • Malpractice RVU 0.50 changed to 0.48
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $522.38

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$548.95$374.60RVU26D
2026-07-01$548.95$374.60RVU26C
2026-04-01$548.95$374.60RVU26B
2026-01-01$548.95$374.60RVU26A
2025-10-01$522.38$418.22RVU25D
2025-07-01$522.38$418.22RVU25C
2025-04-01$522.38$418.22RVU25B
2025-01-01$522.38$418.22RVU25A

67909 billing questions

When is 67909 appropriate instead of an eyelid reconstruction code?

Use 67909 when the revision is limited to eyelid skin. A defect that requires full-thickness reconstruction calls for a reconstruction code selected for the procedure performed.

How is 67909 distinguished from 67911?

67909 is for revision involving skin only. Use 67911 when the service is correction of eyelid retraction rather than a skin-only defect revision.

What documentation supports 67909?

Document the eyelid and side, the skin defect or deformity, its relationship to prior surgery or injury when relevant, and the tissues revised.

Can 67909 be reported for both eyelids?

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

How does the 90-day global period affect follow-up visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery services are not paid 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.

RVUs for 67909PPRRVU2026_Oct_nonQPP.csv, line 7,511 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)