Billing code 67935: Eyelid repairMedicare rate & RVUs in Georgia
Repair a full-thickness eyelid laceration when the injury involves the lid margin, tarsus, or canthus and requires surgical alignment and closure.
Medicare pays $568.83–$616.76 for 67935 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 67935 covers
This service repairs a full-thickness eyelid laceration that disrupts the lid margin, tarsal plate, or canthus. The surgeon aligns and closes the injured eyelid structures to restore their position and function. Typical cases include traumatic cuts from sharp objects or animal bites that cross the lid margin or extend through the tarsus. Ophthalmologists, including oculoplastic surgeons, commonly perform the repair in an operating room or another setting equipped for eyelid surgery.
Report the code when the operative findings and repair document a full-thickness wound with involvement of at least one of those structures. A superficial wound or full-thickness laceration that spares them belongs to a different repair category. 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, the highest-valued procedure is paid in full and others at 50%. For bilateral repair, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 67935 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $616.76 | $375.14 |
| Rest Of Georgia | $568.83 | $356.70 |
How the 67935 rate is calculated
Each of 67935’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 · 67935
RVUs × geographic indexes × conversion factor
Work6.20
6.20 RVUs× 1.000 GPCI
Practice expense11.38
11.38 RVUs× 1.000 GPCI
Malpractice0.57
0.57 RVUs× 1.000 GPCI
Adjusted RVUs
18.1500
Conversion factor
$33.4009
Medicare rate
$606.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67935
67935 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67935
Eyelid 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 · 67935
Eyelid 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
67935 without 50 · national office
$606.23
Eyelid repair
67935-50 · Bilateral: 150%
$909.35
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).
67935 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67930Eyelid wound repair
- Both address full-thickness eyelid lacerations. Choose 67935 when the lid margin, tarsus, or canthus is involved; choose 67930 when those structures are spared.
- 67961Eyelid repair
- 67935 repairs a traumatic full-thickness laceration involving key eyelid structures. 67961 describes eyelid excision with reconstruction of a limited portion of the lid.
- 67966Eyelid repair
- 67935 is for repair of a full-thickness eyelid wound involving the margin, tarsus, or canthus. 67966 is used for eyelid excision and more extensive reconstruction.
67935 billing questions
How does this differ from 67930?
Use 67935 for a full-thickness eyelid laceration involving the lid margin, tarsus, or canthus. Code 67930 is for a full-thickness eyelid laceration that spares those structures.
What documentation supports reporting 67935?
Document the wound’s location and depth, the specific involvement of the lid margin, tarsus, or canthus, and the structures repaired.
Does the code include related postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
Report modifier 50 for bilateral repair; CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery 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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