$643.63
Choose 67935 when the eyelid laceration is full thickness. Code 67930 is for partial-thickness injury repaired by direct closure.
On this page
CMS RVU26D · Effective 2026-10-01
67930 Eyelid wound repair Medicare reimbursement rates in Connecticut
Report this service for direct closure of a partial-thickness eyelid laceration involving the lid margin, tarsal plate, or inner eyelid lining. Compare 67930 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 67930 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
$397.22
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$206.57
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.
Ophthalmic surgery
About 67930: Partial-thickness eyelid laceration repair
Report this service for direct closure of a partial-thickness eyelid laceration involving the lid margin, tarsal plate, or inner eyelid lining.
An ophthalmologist or oculoplastic surgeon repairs an acute eyelid laceration by directly closing the wound. The injury is partial thickness and involves the lid margin, tarsal plate, and/or palpebral conjunctiva. Repairs may occur in an office or facility, depending on the injury and care setting. A superficial skin-only cut without involvement of these structures is a different repair scenario.
Choose this code for a partial-thickness wound; a full-thickness laceration is reported with 67935. Document the injured eyelid and side, wound depth, involved structures, and direct closure. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67930
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU3.56 · 32%
- Practice expense (office) RVU7.30 · 65%
- Malpractice RVU0.33 · 3%
240
Medicare services in 2024 · #4165 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.
67930 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$149.41
Code 12011 is for a simple superficial facial wound, including an eyelid wound, up to 2.5 cm. Code 67930 describes a partial-thickness eyelid injury involving specified lid structures.
$629.01
Code 67961 is used for excision and repair of an eyelid defect involving structures such as the lid margin or tarsus. Code 67930 is for direct closure of a partial-thickness laceration.
Compare 67930 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
$397.22
Facility
$206.57
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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 67930 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,522
- Code
- 67930
- Physician work
- 3.56
- Practice expense
- 7.30
- Malpractice
- 0.33
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.56 | × 1.020 | 3.6312 |
| Practice expense | 7.30 | × 1.077 | 7.8621 |
| Malpractice | 0.33 | × 1.210 | 0.3993 |
| Total RVUs | 11.8926 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$397.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.56 | 1.02 |
| Practice expense | 7.3 | 1.077 |
| Malpractice | 0.33 | 1.21 |
(3.56 × 1.02 + 7.3 × 1.077 + 0.33 × 1.21) × $33.4009 = $397.22
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.56 | 1.02 |
| Practice expense | 2 | 1.077 |
| Malpractice | 0.33 | 1.21 |
(3.56 × 1.02 + 2 × 1.077 + 0.33 × 1.21) × $33.4009 = $206.57
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.
67930 billing questions
How does 67930 differ from 67935?
67930 is for a partial-thickness eyelid laceration repaired by direct closure. Use 67935 for a full-thickness laceration.
Can a superficial eyelid skin cut be reported with 67930?
Not when the injury is limited to superficial skin and does not involve the lid margin, tarsal plate, or palpebral conjunctiva. A simple facial wound repair code such as 12011 may be appropriate based on the wound.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is bilateral repair reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
How does CMS handle other procedures performed in the same session?
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 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.
7,51967922,,Repair eyelid defect,A,,1.98,7.10,,3.25,,0.16,9.24,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52067923,,Repair eyelid defect,A,,5.34,12.51,,5.34,,0.43,18.28,11.11,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52167924,,Repair eyelid defect,A,,5.78,13.24,,5.49,,0.47,19.49,11.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52267930,,Repair eyelid wound,A,,3.56,7.30,,2.00,,0.33,11.19,5.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52367935,,Repair eyelid wound,A,,6.20,11.38,,4.26,,0.57,18.15,11.03,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52467938,,Remove eyelid foreign body,A,,1.35,6.14,,1.59,,0.06,7.55,3.00,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52567950,,Revision of eyelid,A,,5.84,11.29,,5.56,,0.50,17.63,11.90,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808