Billing code 67950: CanthoplastyMedicare rate & RVUs in Alabama
Canthoplasty reconstructs the eyelid corner to address canthal malposition or deformity when the operation centers on reshaping or restoring the canthus.
Medicare pays $534.47 for 67950 in the office in Alabama (Alabama). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67950 covers
Canthoplasty surgically reshapes or reconstructs the medial or lateral canthus, the corner where the upper and lower eyelids meet. Ophthalmologists, particularly oculoplastic surgeons, may perform it to restore canthal position or support when the canthus is lax, displaced, or deformed. The operative work is directed at the canthal angle itself, rather than simply removing an eyelid lesion or repairing a larger full-thickness eyelid defect.
Report the code when the documented procedure reconstructs the canthus; the operative note should identify the site, the abnormality addressed, and the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral canthoplasty reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
67950 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $534.47 | $367.01 |
How the 67950 rate is calculated
Each of 67950’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67950
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.84Practice expense 11.29Malpractice 0.50
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67950
67950 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67950
Canthoplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67950
Canthoplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67950 without 50 · national office
$588.86
Canthoplasty
67950-50 · Bilateral: 150%
$883.29
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
67950 compared with similar codes
Compare codes
67950 vs 67961 vs 67966 vs 67917: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67961Eyelid repair
- Choose 67961 for excision and repair of a full-thickness eyelid defect involving the canthus when the defect is up to one-fourth of the lid. Choose 67950 when the procedure is canthal reconstruction rather than defect excision and repair.
- 67966Eyelid repair
- 67966 describes excision and repair of a full-thickness eyelid defect involving more than one-fourth of the lid. Canthoplasty focuses on reconstructing the canthal angle.
- 67917Eyelid repair
- 67917 is for extensive repair of ectropion, or outward turning of the eyelid. Use 67950 when the documented operation reconstructs the canthus rather than primarily correcting ectropion.
67950 billing questions
When should I choose canthoplasty rather than an eyelid defect repair code?
Use 67950 when the operative work reconstructs the canthal angle. Codes such as 67961 or 67966 describe excision and repair of a full-thickness eyelid defect, with the applicable extent determining the code.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral canthoplasty reported under the CMS facts?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant-at-surgery or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What happens when canthoplasty is performed with another procedure in the same session?
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. The operative documentation should make clear what canthal reconstruction was performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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