Billing code 67914: Ectropion repairMedicare rate & RVUs in Florida

Corrects an outward-turning eyelid with a suture-based operation, typically when the surgeon does not perform tissue excision or extensive reconstruction.

CMS RVU26DEffective Oct 1, 20263 payment localities1.8K Medicare services in 2024

Medicare pays $480.02–$521.97 for 67914 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$480.02–$521.97Office (non-facility)
$290.35–$315.43Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 67914 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 67914 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 67914 covers

This operation corrects ectropion, in which an eyelid—often the lower lid—turns outward and may cause tearing, irritation, or exposure of the eye surface. An ophthalmologist or oculoplastic surgeon uses sutures to reposition the lid. The code represents a suture-based repair rather than a repair involving tarsal wedge excision or extensive reconstruction.

Report the service when the operative note supports suture repair of ectropion and identifies the treated eyelid and technique. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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.

Where 67914 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

3 payment localities

$480.02 to $521.97

$480.02$501.00$521.97
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
67914 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$503.80$302.82
Miami$521.97$315.43
Rest Of Florida$480.02$290.35

How the 67914 rate is calculated

Each of 67914’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 · 67914

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.66Practice expense 10.67Malpractice 0.34

14.6700 adjusted RVUs×$33.4009 conversion factor=$489.99

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67914

67914 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67914

Ectropion repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67914

Ectropion 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67914 without 50 · national office

$489.99

Ectropion repair

67914-50 · Bilateral: 150%

$734.99

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).

When to use modifier 50

67914 compared with similar codes

Compare codes

67914 vs 67915 vs 67916 vs 67917 vs 67921: national Medicare rates

Swap in your local Medicare rate.

  • 67914
    Ectropion repair · 3.66 wRVU
    $489.99
  • 67915
    Ectropion repair · 1.98 wRVU
    $315.64−$174.35
  • 67916
    Ectropion repair · 5.34 wRVU
    $611.57+$121.58
  • 67917
    Eyelid repair · 5.78 wRVU
    $625.60+$135.61
  • 67921
    Entropion repair · 3.38 wRVU
    $477.30−$12.69

How to choose

67915Ectropion repair
Choose 67914 for suture-based correction. Choose 67915 when the repair includes excision of a tarsal wedge.
67916Ectropion repair
67916 describes an extensive ectropion repair, such as a tarsal strip operation; 67914 is the suture-based option.
67917Eyelid repair
67917 is for extensive ectropion repair with a skin graft. A suture-based repair without that grafting approach is reported with 67914.
67921Entropion repair
67921 addresses entropion, in which the eyelid turns inward. Code 67914 is for ectropion, in which it turns outward.

67914 billing questions

How does this code differ from 67915?

Use 67914 for suture-based ectropion repair. Code 67915 is for a repair that includes tarsal wedge excision.

When would 67916 be more appropriate?

Use 67916 when the surgeon performs an extensive ectropion repair, such as a tarsal strip operation, rather than the suture-based repair represented by 67914.

How is bilateral repair reported?

Report modifier 50 for bilateral surgery. CMS pays this bilateral procedure at 150%.

What documentation supports reporting 67914?

Document the ectropion, the eyelid treated, and the suture-based operative method. The operative note should distinguish the service from a repair involving tissue excision or extensive reconstruction.

Are related postoperative visits separately included?

The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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
RVUs for 67914PPRRVU2026_Oct_nonQPP.csv, line 7,514 (RVU26D)

Open CMS sourceHow we calculate rates

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