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CMS RVU26D · Effective 2026-10-01

67912 in Wyoming**

Office / nonfacility

$888.57

Base rate per service

Facility setting

$417.95

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 67912: Upper eyelid weight implantation for lagophthalmos

Reports upper eyelid weight implantation to improve closure in lagophthalmos, commonly when facial nerve weakness leaves the cornea exposed.

67912 covers operative placement of a weight in the upper eyelid to help the lid close when spontaneous closure is incomplete. Oculoplastic ophthalmologists commonly use a gold or platinum load for lagophthalmos related to facial nerve weakness or paralysis, which can leave the cornea exposed. The added weight helps the upper lid descend; this is different from surgery to lift a drooping eyelid. The procedure is performed in a surgical setting.

Choose this code when the operative service includes upper eyelid load implantation to address lagophthalmos. The record should support the incomplete closure, its clinical cause or consequences, the treated side, and the implant procedure. This major surgery has 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 procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 67912

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 RVU6.20 · 23%
  • Practice expense (office) RVU19.90 · 74%
  • Malpractice RVU0.68 · 3%

1.2K

Medicare services in 2024 · #2830 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.

67912 compared with similar codes

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

67911

Eyelid retraction repair

Without implant

No office rate

67911 addresses eyelid retraction. Use 67912 when the surgeon implants an upper eyelid load to improve closure in lagophthalmos.

67901

Ptosis repair

Frontalis sling, nonautologous material

$788.22

67901 repairs blepharoptosis using a frontalis muscle technique. It elevates a drooping lid rather than adding weight to improve closure.

67904

Ptosis repair

External levator approach

$739.20

67904 repairs blepharoptosis through an external approach. It is for lid elevation, not upper eyelid loading for lagophthalmos.

The same code, a different location

How does Wyoming** compare?

67912 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $888.57

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1016.97

    $128.40 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $1026.54

    $137.97 higher than Wyoming**

  4. Miami

    $956.46

    $67.89 higher than Wyoming**

  5. Chicago

    $928.66

    $40.09 higher than Wyoming**

  6. Manhattan

    $1028.72

    $140.15 higher than Wyoming**

  7. Alaska*

    $1031.02

    $142.45 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, 67912 ranges from $789.74 in Arkansas to $1200.50 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 · 67912

    Office

    $801.53

    Facility

    $389.74

    $87.04 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 67912

    Office

    $789.74

    Facility

    $385.48

    $98.83 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 67912

    Office

    $870.60

    Facility

    $414.57

    $17.97 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 67912

    Office

    $953.34

    Facility

    $437.54

    $64.77 higher than Wyoming** for the office setting.

  • Chico

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • El Centro

    California · 67912

    Office

    $951.38

    Facility

    $435.58

    $62.81 higher than Wyoming** for the office setting.

  • Fresno

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Madera

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Merced

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Modesto

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Napa

    California · 67912

    Office

    $1107.72

    Facility

    $487.44

    $219.15 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67912

    Office

    $1012.68

    Facility

    $456.41

    $124.11 higher than Wyoming** for the office setting.

  • Redding

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67912

    Office

    $958.67

    Facility

    $442.88

    $70.10 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67912

    Office

    $999.74

    Facility

    $452.41

    $111.17 higher than Wyoming** for the office setting.

  • Salinas

    California · 67912

    Office

    $996.04

    Facility

    $450.59

    $107.47 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67912

    Office

    $1020.56

    Facility

    $457.70

    $131.99 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67912

    Office

    $1174.38

    Facility

    $510.81

    $285.81 higher than Wyoming** for the office setting.

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

    California · 67912

    Office

    $1173.61

    Facility

    $510.04

    $285.04 higher than Wyoming** for the office setting.

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

    California · 67912

    Office

    $1200.50

    Facility

    $521.87

    $311.93 higher than Wyoming** for the office setting.

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

    California · 67912

    Office

    $1197.35

    Facility

    $518.72

    $308.78 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67912

    Office

    $979.85

    Facility

    $443.81

    $91.28 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 67912

    Office

    $1031.19

    Facility

    $459.39

    $142.62 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 67912

    Office

    $1000.07

    Facility

    $451.33

    $111.50 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 67912

    Office

    $1041.70

    Facility

    $463.78

    $153.13 higher than Wyoming** for the office setting.

  • Stockton

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Vallejo

    California · 67912

    Office

    $1106.60

    Facility

    $486.33

    $218.03 higher than Wyoming** for the office setting.

  • Visalia

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Yuba City

    California · 67912

    Office

    $951.27

    Facility

    $435.47

    $62.70 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 67912

    Office

    $934.53

    Facility

    $433.79

    $45.96 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 67912

    Office

    $954.57

    Facility

    $447.71

    $66.00 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 67912

    Office

    $885.24

    Facility

    $420.27

    $3.33 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 67912

    Office

    $921.47

    Facility

    $444.73

    $32.90 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 67912

    Office

    $876.65

    Facility

    $426.74

    $11.92 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 67912

    Office

    $910.30

    Facility

    $432.15

    $21.73 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 67912

    Office

    $827.05

    Facility

    $407.26

    $61.52 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 67912

    Office

    $975.97

    Facility

    $440.88

    $87.40 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 67912

    Office

    $824.28

    Facility

    $393.67

    $64.29 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 67912

    Office

    $829.33

    Facility

    $396.36

    $59.24 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 67912

    Office

    $864.33

    Facility

    $431.36

    $24.24 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 67912

    Office

    $849.44

    Facility

    $419.76

    $39.13 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 67912

    Office

    $931.41

    Facility

    $448.08

    $42.84 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 67912

    Office

    $834.28

    Facility

    $398.02

    $54.29 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 67912

    Office

    $819.40

    Facility

    $393.96

    $69.17 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 67912

    Office

    $818.77

    Facility

    $400.39

    $69.80 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 67912

    Office

    $858.35

    Facility

    $415.50

    $30.22 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 67912

    Office

    $817.08

    Facility

    $400.59

    $71.49 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 67912

    Office

    $1029.42

    Facility

    $467.50

    $140.85 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67912

    Office

    $928.41

    Facility

    $432.85

    $39.84 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67912

    Office

    $951.69

    Facility

    $446.72

    $63.12 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 67912

    Office

    $902.66

    Facility

    $426.39

    $14.09 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 67912

    Office

    $832.72

    Facility

    $399.75

    $55.85 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 67912

    Office

    $880.11

    Facility

    $413.73

    $8.46 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 67912

    Office

    $886.79

    Facility

    $432.65

    $1.78 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 67912

    Office

    $839.58

    Facility

    $409.90

    $48.99 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 67912

    Office

    $897.76

    Facility

    $413.50

    $9.19 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 67912

    Office

    $853.41

    Facility

    $411.50

    $35.16 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 67912

    Office

    $862.62

    Facility

    $414.59

    $25.95 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 67912

    Office

    $802.16

    Facility

    $396.49

    $86.41 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 67912

    Office

    $796.16

    Facility

    $390.96

    $92.41 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 67912

    Office

    $894.43

    Facility

    $423.81

    $5.86 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 67912

    Office

    $841.74

    Facility

    $402.66

    $46.83 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 67912

    Office

    $880.98

    Facility

    $410.37

    $7.59 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 67912

    Office

    $829.17

    Facility

    $394.79

    $59.40 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 67912

    Office

    $918.89

    Facility

    $428.97

    $30.32 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 67912

    Office

    $1015.42

    Facility

    $469.50

    $126.85 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 67912

    Office

    $966.11

    Facility

    $452.20

    $77.54 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 67912

    Office

    $843.87

    Facility

    $412.32

    $44.70 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 67912

    Office

    $891.35

    Facility

    $420.26

    $2.78 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67912

    Office

    $1052.82

    Facility

    $493.25

    $164.25 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67912

    Office

    $971.71

    Facility

    $456.38

    $83.14 higher than Wyoming** for the office setting.

  • Queens

    New York · 67912

    Office

    $1038.74

    Facility

    $482.47

    $150.17 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 67912

    Office

    $854.50

    Facility

    $407.41

    $34.07 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 67912

    Office

    $836.83

    Facility

    $407.16

    $51.74 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 67912

    Office

    $818.29

    Facility

    $398.03

    $70.28 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 67912

    Office

    $965.75

    Facility

    $442.90

    $77.18 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 67912

    Office

    $885.07

    Facility

    $416.34

    $3.50 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67912

    Office

    $929.84

    Facility

    $439.92

    $41.27 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67912

    Office

    $838.72

    Facility

    $406.70

    $49.85 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 67912

    Office

    $901.45

    Facility

    $425.65

    $12.88 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 67912

    Office

    $917.89

    Facility

    $431.74

    $29.32 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 67912

    Office

    $840.55

    Facility

    $405.70

    $48.02 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 67912

    Office

    $879.39

    Facility

    $408.78

    $9.18 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 67912

    Office

    $823.47

    Facility

    $395.68

    $65.10 lower than Wyoming** for the office setting.

  • Austin

    Texas · 67912

    Office

    $930.85

    Facility

    $432.94

    $42.28 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 67912

    Office

    $833.04

    Facility

    $404.78

    $55.53 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 67912

    Office

    $885.15

    Facility

    $418.77

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

  • Dallas

    Texas · 67912

    Office

    $890.46

    Facility

    $421.72

    $1.89 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 67912

    Office

    $884.10

    Facility

    $420.07

    $4.47 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 67912

    Office

    $887.57

    Facility

    $420.25

    $1.00 lower than Wyoming** for the office setting.

  • Houston

    Texas · 67912

    Office

    $900.02

    Facility

    $432.70

    $11.45 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 67912

    Office

    $858.37

    Facility

    $411.76

    $30.20 lower than Wyoming** for the office setting.

  • Utah

    Utah · 67912

    Office

    $852.28

    Facility

    $409.90

    $36.29 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 67912

    Office

    $876.50

    Facility

    $413.88

    $12.07 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67912

    Office

    $901.45

    Facility

    $425.65

    $12.88 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 67912

    Office

    $876.61

    Facility

    $410.70

    $11.96 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 67912

    Office

    $926.97

    Facility

    $431.41

    $38.40 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 67912

    Office

    $1051.56

    Facility

    $474.11

    $162.99 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 67912

    Office

    $850.84

    Facility

    $399.99

    $37.73 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 67912

    Office

    $817.19

    Facility

    $408.22

    $71.38 lower than Wyoming** for the office setting.

See how rates vary across the country

67912 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$789.74

$1,075.89

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,031.021
AL$801.531
AR$789.741
AZ$870.601
CA$951.27–$1,200.5029
CO$934.531
CT$954.571
DC$1,026.541
DE$885.241
FL$876.65–$956.463
GA$827.05–$910.302
GU$975.971
HI$975.971
IA$824.281
ID$829.331
IL$849.44–$931.414
IN$834.281
KS$819.401
KY$818.771
LA$817.08–$858.352
MA$928.41–$1,029.422
MD$902.66–$1,026.543
ME$832.72–$880.112
MI$839.58–$886.792
MN$897.761
MO$802.16–$862.623
MS$796.161
MT$894.431
NC$841.741
ND$880.981
NE$829.171
NH$918.891
NJ$966.11–$1,015.422
NM$843.871
NV$891.351
NY$854.50–$1,052.825
OH$836.831
OK$818.291
OR$885.07–$965.752
PA$838.72–$929.842
PR$901.451
RI$917.891
SC$840.551
SD$879.391
TN$823.471
TX$833.04–$930.858
UT$852.281
VA$876.50–$1,026.542
VI$901.451
VT$876.611
WA$926.97–$1,051.562
WI$850.841
WV$817.191
WY$888.571

Explore 67912 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 67912 in Wyoming**, the physician’s office rate is $888.57 and the facility-setting rate is $417.95: a difference of $470.62.

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 67912 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$977.43

$888.57 × 110% = $977.43

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.

Compare your contract offer →

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 67912 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,513

Code
67912
Physician work
6.20
Practice expense
19.90
Malpractice
0.68

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 67912 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0006.2000
Practice expense19.90× 1.00019.9000
Malpractice0.68× 0.7400.5032
Total RVUs26.6032
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$888.57

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

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.21
Practice expense19.91
Malpractice0.680.74

(6.2 × 1 + 19.9 × 1 + 0.68 × 0.74) × $33.4009 = $888.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.21
Practice expense5.811
Malpractice0.680.74

(6.2 × 1 + 5.81 × 1 + 0.68 × 0.74) × $33.4009 = $417.95

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

67912 · Office / nonfacility

$888.57

Effective 2026-10-01

The base rate is $46.75 higher than on 2025-10-01, moving from $841.82 to $888.57 (5.6%).

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

    $841.82changed to$888.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.36 changed to 6.20
    • Practice expense RVU 19.17 changed to 19.90
    • Malpractice RVU 0.67 changed to 0.68
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $841.82

    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$888.57$417.95RVU26D
2026-07-01$888.57$417.95RVU26C
2026-04-01$888.57$417.95RVU26B
2026-01-01$888.57$417.95RVU26A
2025-10-01$841.82$461.75RVU25D
2025-07-01$841.82$461.75RVU25C
2025-04-01$841.82$461.75RVU25B
2025-01-01$841.82$461.75RVU25A

67912 billing questions

When should 67912 be chosen over a ptosis repair code?

Choose 67912 when an upper eyelid weight is implanted to improve closure in lagophthalmos. Ptosis repair codes address a drooping lid that needs elevation.

Does 67912 include the eyelid weight placement?

Yes. The service represented is correction of lagophthalmos by implanting an upper eyelid load; document the implantation in the operative report.

What documentation supports 67912?

Document incomplete eyelid closure, the clinical reason for treatment, the side treated, and the operative placement of the upper eyelid load.

How is bilateral 67912 reported under the CMS facts?

Use modifier 50 for a bilateral procedure. CMS pays bilateral reporting at 150%.

What global period and multiple-procedure rules apply?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%.

Can an assistant surgeon or co-surgeon be reported?

CMS restricts assistant-at-surgery payment 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 67912PPRRVU2026_Oct_nonQPP.csv, line 7,513 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet