Billing code 67550: Orbital implantMedicare rate & RVUs in Alaska
Reports separate placement of an orbital implant with extraocular muscle attachment in an anophthalmic socket, typically after prior enucleation or evisceration.
CMS doesn’t publish an office rate for 67550 in Alaska.
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 67550 covers
An oculoplastic surgeon places an implant in an anophthalmic orbit and attaches the extraocular muscles to it, restoring socket volume and providing support for a prosthetic eye. The service is typically performed in an operating room after enucleation or evisceration when implant placement is done as a separate operation, rather than during globe removal.
Report the service for the orbit treated and document the prior removal of the globe, implant placement, and muscle attachment. The 90-day global period 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 other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is 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.
67550 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $1,168.04 |
How the 67550 rate is calculated
Each of 67550’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 · 67550
RVUs × geographic indexes × conversion factor
Work11.48
11.48 RVUs× 1.000 GPCI
Practice expense16.16
16.16 RVUs× 1.000 GPCI
Malpractice0.98
0.98 RVUs× 1.000 GPCI
Adjusted RVUs
28.6200
Conversion factor
$33.4009
Medicare rate
$955.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67550
67550 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67550
Orbital implant
| 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 · 67550
Orbital implant
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
67550 without 50 · national facility
$955.93
Orbital implant
67550-50 · Bilateral: 150%
$1,433.90
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).
67550 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 65103Eye removal
- Use 65103 when implant placement accompanies enucleation. Use 67550 for separate implant placement in an existing socket.
- 65112Eye evisceration
- Use 65112 when implant placement accompanies evisceration. 67550 describes a separate operation after globe removal.
- 67560Socket implant revision
- 67560 addresses revision of an existing orbital implant; 67550 is for implant placement.
67550 billing questions
How does 67550 differ from implant placement during enucleation?
67550 is for a separate operation to place the implant in an existing anophthalmic socket. When an implant is placed during enucleation, use the applicable enucleation code, such as 65103.
Can 67550 be reported with evisceration?
When implant placement accompanies evisceration in the same operation, use the applicable evisceration code, such as 65112. 67550 describes separate implant placement.
What documentation supports 67550?
Document the anophthalmic socket, the implant placement, and attachment of the extraocular muscles. The record should establish that this was a separate operation rather than implant placement during globe removal.
How is bilateral 67550 reported?
For procedures on both orbits, report modifier 50. CMS pays bilateral procedures at 150%.
Is an assistant-at-surgery payable for 67550?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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