No office rate
67973 is the initial stage of full-thickness lower eyelid reconstruction; 67974 is the later operation that completes the staged repair.
On this page
CMS RVU26D · Effective 2026-10-01
67974 Eyelid reconstruction Medicare reimbursement rates in Arkansas
Reports the second-stage operation completing a full-thickness lower eyelid reconstruction, typically by dividing a previously placed flap after the initial repair has healed. Compare 67974 office and facility rates across CMS payment localities in Arkansas.
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 67974 in Arkansas?
Arkansas 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
$713.89
1 of 1 localities have a supported rate.
Payment area: Arkansas
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.
Oculoplastic surgery
About 67974: Second-stage lower eyelid reconstruction
Reports the second-stage operation completing a full-thickness lower eyelid reconstruction, typically by dividing a previously placed flap after the initial repair has healed.
This code covers the second operation in a staged, full-thickness lower eyelid reconstruction. A typical example is division of the upper-eyelid tissue bridge used to rebuild the lower lid after a large defect, such as one left by tumor removal. An ophthalmologist or oculoplastic surgeon performs the procedure after the initial reconstruction has healed sufficiently for the transferred tissue to be separated and the eyelids to function independently. The operative report should identify the prior reconstruction and describe the second-stage work and the affected side.
Report this code for the completing operation, not the initial reconstruction or a direct repair of a smaller defect. Medicare 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 other procedures are paid at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 67974
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.77 · 55%
- Practice expense (office) RVU9.38 · 40%
- Malpractice RVU1.06 · 5%
281
Medicare services in 2024 · #4046 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.
67974 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
67971 describes lower eyelid full-thickness reconstruction for a smaller lid-margin extent, not the second stage of a staged reconstruction.
No office rate
67975 applies to full-thickness upper eyelid reconstruction. 67974 is for the second stage of lower eyelid reconstruction.
$705.06
67966 is used for eyelid defect excision and repair; 67974 represents the completing operation in a staged lower eyelid reconstruction.
Compare 67974 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$713.89
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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 67974 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,530
- Code
- 67974
- Physician work
- 12.77
- Practice expense
- 9.38
- Malpractice
- 1.06
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.77 | × 1.000 | 12.7700 |
| Practice expense | 9.38 | × 0.859 | 8.0574 |
| Malpractice | 1.06 | × 0.515 | 0.5459 |
| Total RVUs | 21.3733 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$713.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.77 | 1 |
| Practice expense | 9.38 | 0.859 |
| Malpractice | 1.06 | 0.515 |
(12.77 × 1 + 9.38 × 0.859 + 1.06 × 0.515) × $33.4009 = $713.89
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.
67974 billing questions
How does 67974 differ from 67973?
67973 reports the initial stage of a full-thickness lower eyelid reconstruction. Use 67974 for the subsequent stage that completes the reconstruction, such as dividing the tissue bridge.
Can 67974 be reported for the initial repair?
No. This code describes the second-stage operation. The operative documentation should support that the patient previously underwent the initial staged reconstruction.
Are routine postoperative visits separately reported?
The 90-day global period includes related postoperative care. The day-before preoperative visit is also included.
How is a bilateral procedure paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%, according to the supplied fee schedule rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports 67974?
Document the prior staged lower eyelid reconstruction, the side treated, and the second-stage procedure performed to complete it.
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.
7,52767966,,Revision of eyelid,A,,8.75,13.95,,7.13,,0.73,23.43,16.61,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52867971,,Reconstruction of eyelid,A,,9.76,7.62,NA,7.62,,0.81,18.19,18.19,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52967973,,Reconstruction of eyelid,A,,12.80,9.39,NA,9.39,,1.07,23.26,23.26,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53067974,,Reconstruction of eyelid,A,,12.77,9.38,NA,9.38,,1.06,23.21,23.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53167975,,Reconstruction of eyelid,A,,9.12,7.41,NA,7.41,,0.79,17.32,17.32,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53267999,,Unlisted procedure eyelids,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,53368020,,Incise/drain eyelid lining,A,,1.38,2.16,,1.37,,0.09,3.63,2.84,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541