Billing code 67924: Entropion repairMedicare rate & RVUs in Georgia
Repair an inward-turning eyelid with an extensive corrective procedure, typically when simpler entropion techniques are insufficient for the documented condition.
Medicare pays $606.24–$661.79 for 67924 in the office in Georgia, from Rest Of Georgia to Atlanta. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67924 covers
This procedure corrects entropion, in which an eyelid turns inward and lashes or skin may rub the eye. An ophthalmologist, often an oculoplastic surgeon, may use a more extensive repair such as removing a portion of the tarsal plate and placing everting sutures to reposition the lid. It is commonly performed in an outpatient surgical setting for symptomatic eyelid malposition.
Report this code when the operative work supports an extensive entropion repair rather than a simpler suture, thermal, or wedge-excision approach. The operative note should identify the affected eyelid, the entropion being corrected, and the techniques and tissue work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 67924 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $661.79 | $398.80 |
| Rest Of Georgia | $606.24 | $375.34 |
How the 67924 rate is calculated
Each of 67924’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 · 67924
RVUs × geographic indexes × conversion factor
Work5.78
5.78 RVUs× 1.000 GPCI
Practice expense13.24
13.24 RVUs× 1.000 GPCI
Malpractice0.47
0.47 RVUs× 1.000 GPCI
Adjusted RVUs
19.4900
Conversion factor
$33.4009
Medicare rate
$650.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67924
67924 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67924
Entropion repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67924
Entropion 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67924 without 50 · national office
$650.98
Entropion repair
67924-50 · Bilateral: 150%
$976.47
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).
67924 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67921Entropion repair
- 67921 describes entropion correction by suture. Use 67924 for an extensive repair supported by the operative work.
- 67922Entropion repair
- 67922 uses thermocauterization to correct entropion; 67924 represents an extensive surgical repair.
- 67923Entropion repair
- 67923 is the tarsal wedge excision level of entropion repair. 67924 is selected when the documented procedure is more extensive.
67924 billing questions
How is this code distinguished from 67923?
Use 67924 when the documented entropion repair is extensive. Code 67923 describes repair using tarsal wedge excision; the operative technique and scope should support the selected level.
When would 67921 be a better choice?
Code 67921 represents entropion repair by suture. Choose 67924 when the surgeon performs a more extensive repair, rather than relying on a suture technique alone.
Can both eyelids be reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%. The operative record should establish that both sides were treated.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant-at-surgery claim for this service. 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
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