No office rate
67314 covers surgery on one vertical-acting muscle; 67316 covers two. Base selection on the muscles treated during the operation.
On this page
CMS RVU26D · Effective 2026-10-01
67316 Strabismus surgery Medicare reimbursement rates in Alaska
Reports strabismus surgery that repositions or adjusts two vertical-acting eye muscles to correct misalignment, excluding surgery on the superior oblique muscle. Compare 67316 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 67316 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$767.07
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmic surgery
About 67316: Two vertical extraocular muscle surgery
Reports strabismus surgery that repositions or adjusts two vertical-acting eye muscles to correct misalignment, excluding surgery on the superior oblique muscle.
An ophthalmic surgeon uses this code when operating on two vertical-acting extraocular muscles to change their pull and improve eye alignment. The operation may involve weakening or strengthening the muscles, such as through recession or resection. It is used for strabismus involving vertical deviation and is commonly performed in a hospital outpatient department or ambulatory surgery setting. Superior oblique muscle surgery is distinguished from this code and falls under a separate code.
Select the code based on the number and orientation of muscles treated, not simply the diagnosis or degree of misalignment. The operative report should identify both muscles and the work performed on each. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 67316
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.05 · 56%
- Practice expense (office) RVU6.99 · 39%
- Malpractice RVU0.81 · 5%
169
Medicare services in 2024 · #4481 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.
67316 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
67312 is for two horizontal muscles. Use 67316 when the two muscles treated are vertical-acting muscles.
No office rate
67318 is used for surgery on the superior oblique muscle, which is distinguished from the vertical-muscle work reported with 67316.
No office rate
67320 is an add-on for a transposition procedure performed with a primary strabismus surgery code; it does not replace the primary muscle procedure code.
Compare 67316 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$767.07
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 67316 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
7,456
- Code
- 67316
- Physician work
- 10.05
- Practice expense
- 6.99
- Malpractice
- 0.81
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.05 | × 1.500 | 15.0750 |
| Practice expense | 6.99 | × 1.065 | 7.4444 |
| Malpractice | 0.81 | × 0.551 | 0.4463 |
| Total RVUs | 22.9657 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$767.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.05 | 1.5 |
| Practice expense | 6.99 | 1.065 |
| Malpractice | 0.81 | 0.551 |
(10.05 × 1.5 + 6.99 × 1.065 + 0.81 × 0.551) × $33.4009 = $767.07
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.
67316 billing questions
How is this code distinguished from surgery on one vertical muscle?
Use this code when two vertical-acting muscles are operated on. Surgery on one vertical muscle is reported with 67314.
Can this code describe surgery on two horizontal muscles?
No. It describes surgery on two vertical-acting muscles; 67312 is the corresponding code for two horizontal muscles.
What should the operative report document?
Document the two muscles treated and the specific surgical work on each, such as weakening or strengthening to correct alignment.
How is bilateral surgery reported?
Report bilateral surgery with modifier 50; CMS pays it at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What postoperative care is included in the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
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.
7,45367311,,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
7,45467312,,Revise two eye muscles,A,,9.26,6.72,NA,6.72,,0.73,16.71,16.71,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45567314,,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
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609