Billing code 67908: Ptosis repairMedicare rate & RVUs in Guam
Reports surgical elevation of a drooping upper eyelid by resecting conjunctiva and Müller muscle, sometimes with tarsus, using a posterior approach.
Medicare pays $589.82 for 67908 in the office in Guam (Hawaii, Guam). 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 67908 covers
This code describes repair of upper eyelid ptosis through a posterior approach. The surgeon removes a portion of conjunctiva and Müller muscle to elevate the lid; tarsus may also be resected. Oculoplastic ophthalmologists typically perform the procedure in an operating room, often for a patient whose upper lid droops enough to obstruct vision or impair visual function. It is distinct from repairs using a frontalis sling or an external levator approach.
Select the code when the operative report supports the posterior conjunctiva-and-Müller-muscle technique, with or without tarsal resection. Document the affected lid, the ptosis and its functional impact, and the tissue and approach used. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral reporting, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; 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.
67908 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $589.82 | $394.99 |
How the 67908 rate is calculated
Each of 67908’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 · 67908
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.17Practice expense 10.77Malpractice 0.42
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67908
67908 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67908
Ptosis 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 · 67908
Ptosis 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
67908 without 50 · national office
$546.44
Ptosis repair
67908-50 · Bilateral: 150%
$819.66
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).
67908 compared with similar codes
Compare codes
67908 vs 67903 vs 67904 vs 67901 vs 67900: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67903Ptosis repair
- This code uses posterior conjunctiva and Müller muscle resection, with or without tarsus. Code 67903 represents a different levator resection or advancement technique.
- 67904Ptosis repair
- This code is a posterior approach involving conjunctiva and Müller muscle. Code 67904 uses an external levator approach.
- 67901Ptosis repair
- This code repairs ptosis by posterior tissue resection. Code 67901 uses a frontalis muscle technique with suture or other material.
- 67900Brow repair
- Code 67900 treats brow ptosis, not drooping of the eyelid itself. Select based on the anatomic structure repaired.
67908 billing questions
How does this differ from 67903 or 67904?
This code is for posterior resection of conjunctiva and Müller muscle, with or without tarsus. Codes 67903 and 67904 describe different levator resection or advancement approaches; use the operative technique to distinguish them.
When is this code chosen instead of a frontalis sling code?
Use this code for the posterior conjunctiva-and-Müller-muscle resection technique. Codes 67901 and 67902 describe frontalis muscle techniques, including sling approaches.
Can modifier 50 be reported for both eyelids?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The operative and follow-up documentation should support the ptosis repair and the technique performed.
Can an assistant surgeon or co-surgeon be paid?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session affected?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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