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CMS RVU26D · Effective 2026-10-01

67900 Brow repair Medicare reimbursement rates in Colorado

Surgical elevation of a drooping brow is reported when the brow itself contributes to upper visual obstruction, asymmetry, or another documented functional problem. Compare 67900 office and facility rates across CMS payment localities in Colorado.

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 67900 in Colorado?

Colorado 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

$682.53

1 of 1 localities have a supported rate.

Payment area: Colorado

One mapped payment locality.

Facility setting

$443.36

1 of 1 localities have a supported rate.

Payment area: Colorado

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.

Find 67900 in your payment locality →

Ophthalmic surgery

About 67900: Brow ptosis surgical repair

Surgical elevation of a drooping brow is reported when the brow itself contributes to upper visual obstruction, asymmetry, or another documented functional problem.

This operation raises a descended eyebrow when brow position itself contributes to upper-field obstruction or another documented functional problem. An ophthalmic plastic or reconstructive surgeon typically performs it in an operating room or ambulatory surgery setting. The operative route may use an incision near the brow, across the forehead, or through the scalp; the approach depends on the patient’s anatomy and the planned repair.

Report the service for correction of brow descent, not for repair of drooping eyelid tissue alone. Documentation should identify the affected side or sides, brow position and functional effect, and the operative approach and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 67900

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.65 · 34%
  • Practice expense (office) RVU12.44 · 63%
  • Malpractice RVU0.60 · 3%

24.5K

Medicare services in 2024 · #1056 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.

67900 compared with similar codes

Office rates for Colorado, from the same CMS release.

67901

Ptosis repair

Frontalis sling, nonautologous material

$825.68

Use 67900 when brow descent is the target. Code 67901 is for eyelid ptosis treated with a frontalis-based technique.

67903

Ptosis repair

Internal approach

$629.27

Code 67903 applies to an eyelid ptosis repair, not elevation of a low brow. Identify whether the brow or lid is being corrected.

15823

Upper eyelid surgery

Excess skin affects lid function

$656.44

Code 15823 addresses excessive upper eyelid skin. Code 67900 corrects descent of the brow itself.

Compare 67900 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

Office and facility base rates · shared scale starting at $0

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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 67900 in Colorado.

PPRRVU2026_Oct_nonQPP.csv

7,504

Code
67900
Physician work
6.65
Practice expense
12.44
Malpractice
0.60

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office / nonfacility calculation for 67900 in Colorado
ComponentRVULocality factorAdjusted
Physician work6.65× 1.0126.7298
Practice expense12.44× 1.06413.2362
Malpractice0.60× 0.7810.4686
Total RVUs20.4346
Conversion factor× 33.4009

Office / nonfacility rate, Colorado$682.53

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.651.012
Practice expense12.441.064
Malpractice0.60.781

(6.65 × 1.012 + 12.44 × 1.064 + 0.6 × 0.781) × $33.4009 = $682.53

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.651.012
Practice expense5.711.064
Malpractice0.60.781

(6.65 × 1.012 + 5.71 × 1.064 + 0.6 × 0.781) × $33.4009 = $443.36

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.

67900 billing questions

How is brow ptosis different from eyelid ptosis?

This repair elevates a low brow. Eyelid ptosis repair addresses a drooping upper eyelid; documentation should show which structure is being corrected.

Can this be reported with an eyelid procedure?

A separate eyelid operation may be reported when it is independently performed and documented. The brow and eyelid corrections should be distinguishable in the operative record.

How is bilateral repair reported?

Medicare recognizes modifier 50 for a bilateral procedure and pays this code at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens if 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%.

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.

RVUs for 67900PPRRVU2026_Oct_nonQPP.csv, line 7,504 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)