Use 67875 for temporary suture closure. 67880 describes construction of intermarginal adhesions for median tarsorrhaphy.
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CMS RVU26D · Effective 2026-10-01
67875 Temporary tarsorrhaphy Medicare reimbursement rates in Connecticut
Temporary tarsorrhaphy brings the eyelids together with sutures to protect the ocular surface, commonly for exposure-related corneal injury or impaired healing. Compare 67875 office and facility rates across CMS payment localities in Connecticut.
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 67875 in Connecticut?
Connecticut 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
$192.59
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$85.39
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Ophthalmology procedure
About 67875: Temporary eyelid closure by suture
Temporary tarsorrhaphy brings the eyelids together with sutures to protect the ocular surface, commonly for exposure-related corneal injury or impaired healing.
An ophthalmologist, including a cornea or oculoplastic specialist, uses sutures to temporarily bring the eyelids together when the exposed ocular surface needs protection or support for healing. Common situations include exposure keratopathy from facial nerve palsy, a persistent corneal epithelial defect, or a corneal ulcer. The service may be performed in an office or facility setting.
Report 67875 for the temporary suture closure itself; document the clinical reason, the eyelid or eyelids treated, and the temporary closure performed. The same-day preoperative and postoperative care is included in this minor procedure’s 0-day global 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 the others at 50%. CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
CMS billing rules for 67875
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.32 · 24%
- Practice expense (office) RVU3.98 · 74%
- Malpractice RVU0.11 · 2%
7.7K
Medicare services in 2024 · #1609 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.
67875 compared with similar codes
Office rates for Connecticut, from the same CMS release.
67882 describes extensive intermarginal adhesion construction; 67875 is temporary closure by suture.
67912 treats lagophthalmos with an implanted upper-eyelid weight. 67875 temporarily closes the eyelids with sutures.
Compare 67875 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
Connecticut →
Office / nonfacility
$192.59
Facility
$85.39
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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 67875 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,501
- Code
- 67875
- Physician work
- 1.32
- Practice expense
- 3.98
- Malpractice
- 0.11
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.020 | 1.3464 |
| Practice expense | 3.98 | × 1.077 | 4.2865 |
| Malpractice | 0.11 | × 1.210 | 0.1331 |
| Total RVUs | 5.7660 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$192.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1.02 |
| Practice expense | 3.98 | 1.077 |
| Malpractice | 0.11 | 1.21 |
(1.32 × 1.02 + 3.98 × 1.077 + 0.11 × 1.21) × $33.4009 = $192.59
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1.02 |
| Practice expense | 1 | 1.077 |
| Malpractice | 0.11 | 1.21 |
(1.32 × 1.02 + 1 × 1.077 + 0.11 × 1.21) × $33.4009 = $85.39
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.
67875 billing questions
How does 67875 differ from 67880 or 67882?
67875 describes temporary eyelid closure with sutures. Codes 67880 and 67882 describe construction of intermarginal adhesions for median or more extensive tarsorrhaphy.
What documentation supports reporting 67875?
Document the ocular-surface problem prompting protection, the temporary suture closure performed, and the side treated. Examples include exposure keratopathy or a persistent corneal epithelial defect.
Can the preoperative or postoperative visit be billed separately?
The 0-day global period includes same-day preoperative and postoperative care for this procedure.
How is bilateral treatment reported?
Use modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
How does the multiple-procedure rule affect payment?
When procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Is assistant-at-surgery or team-surgery payment available?
CMS lists a statutory restriction on assistant-at-surgery payment for 67875. 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 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.
