Billing code 67830: Trichiasis repairMedicare rate & RVUs in Alaska
Reports surgical correction of trichiasis by incising the eyelid margin to redirect lashes that turn inward and irritate the eye.
Medicare pays $308.44 for 67830 in the office in Alaska (Alaska*). 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 67830 covers
This procedure corrects trichiasis, in which eyelashes grow or turn toward the eye and can rub the ocular surface. The ophthalmologist or oculoplastic surgeon incises the eyelid margin to alter lash direction; it is distinct from removing lashes with forceps or another epilation method. It may be performed in an office procedure room or a facility, depending on the patient and surgical setting.
Report this code when the operative technique involves incision of the lid margin, rather than epilation or incision with a mucous membrane graft. The record should identify the affected eyelid, document inward or misdirected lashes and their ocular effect, and describe the incision-based correction. CMS assigns a 10-day global period, including related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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.
67830 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $308.44 | $149.43 |
How the 67830 rate is calculated
Each of 67830’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 · 67830
RVUs × geographic indexes × conversion factor
Work1.71
1.71 RVUs× 1.000 GPCI
Practice expense6.19
6.19 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
8.0400
Conversion factor
$33.4009
Medicare rate
$268.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67830
67830 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67830
Trichiasis repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67830
Trichiasis repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67830 without 50 · national office
$268.54
Trichiasis repair
67830-50 · Bilateral: 150%
$402.81
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).
67830 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67820Eyelash epilation
- 67820 is for correcting trichiasis through epilation with forceps. Use 67830 when the operative correction is performed by incising the lid margin.
- 67825Trichiasis correction
- 67825 describes epilation by a method other than forceps, while 67830 involves incision of the lid margin.
- 67835Trichiasis repair
- 67835 is the related incision-based repair with a free mucous membrane graft. 67830 is the incision-based repair without that graft distinction.
67830 billing questions
When should 67830 be chosen over 67820 or 67825?
Choose 67830 when the surgeon corrects trichiasis by incising the eyelid margin. Codes 67820 and 67825 describe epilation methods rather than this incision-based repair.
How does 67830 differ from 67835?
67830 describes incision of the lid margin without the graft distinction. The related code 67835 includes a free mucous membrane graft.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is bilateral 67830 reported under the CMS payment rule?
Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
What payment rules apply when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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 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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