Billing code 67835: Trichiasis repairMedicare rate & RVUs in Alaska
Surgical correction of trichiasis through a tarsal incision is reported when misdirected eyelashes require operative treatment rather than simple epilation.
CMS doesn’t publish an office rate for 67835 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 67835 covers
This service treats trichiasis, in which eyelashes grow toward the eye and may irritate the ocular surface. An ophthalmologist or oculoplastic surgeon makes an incision into tarsal tissue to surgically correct the lash-bearing lid margin. The tarsal approach distinguishes this repair from removing lashes by epilation. It is typically performed in an ambulatory ophthalmic surgical setting.
Select the code when the documented operative method includes a tarsal incision. The record should identify the affected lid, the misdirected lashes, the procedure performed, and laterality. 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 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.
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.
67835 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $477.50 |
How the 67835 rate is calculated
Each of 67835’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 · 67835
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.56Practice expense 5.37Malpractice 0.43
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67835
67835 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67835
Trichiasis repair
| 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) | 0 | Not paid without supporting documentation. |
| 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) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67835
Trichiasis repair
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
67835 without 50 · national facility
$379.43
Trichiasis repair
67835-50 · Bilateral: 150%
$569.15
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).
67835 compared with similar codes
Compare codes
67835 vs 67830 vs 67820 vs 67825: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67830Trichiasis repair
- Both codes address trichiasis surgically. Choose 67835 for the tarsal-incision approach and 67830 when the incision is at the lid margin.
- 67820Eyelash epilation
- 67820 describes removal of misdirected lashes with forceps. It is not the tarsal-incision repair reported with 67835.
- 67825Trichiasis correction
- 67825 describes epilation by a method other than forceps. Use 67835 when the documented treatment is operative correction through tarsal tissue.
67835 billing questions
How does 67835 differ from 67830?
67835 involves an incision into tarsal tissue. 67830 is the related repair that uses an incision at the lid margin.
When is 67835 preferable to epilation codes?
Use 67835 when the surgeon performs operative correction through a tarsal incision. Codes 67820 and 67825 describe lash removal by epilation methods.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 67835 reported?
Report modifier 50 for bilateral surgery. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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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