No office rate
21280 is for medial canthal support at the inner eyelid corner; 21282 addresses the outer corner.
On this page
CMS RVU26D · Effective 2026-10-01
21282 Canthopexy Medicare reimbursement rates in Hawaii
Surgical reinforcement of the outer eyelid corner to support the lower lid when lateral canthal laxity requires stabilization. Compare 21282 office and facility rates across CMS payment localities in Hawaii.
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 21282 in Hawaii?
Hawaii 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
No supported rate
Facility setting
$391.48
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Oculoplastic surgery
About 21282: Lateral canthal tendon support
Surgical reinforcement of the outer eyelid corner to support the lower lid when lateral canthal laxity requires stabilization.
A lateral canthopexy reinforces or repositions support at the outer corner of the eyelids, helping stabilize a lax lower lid. Oculoplastic, ophthalmic plastic, and plastic surgeons may perform it for eyelid support or as part of a broader facial or eyelid operation. The operative note should identify the lateral canthal work and the clinical reason for it, such as documented laxity or a need for lower-lid support.
Report the service for the lateral canthal procedure performed, and document laterality and any distinct accompanying work. When performed on both sides with modifier 50, CMS pays the bilateral service at 150%. In a same-session group of multiple procedures, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 21282
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU4.16 · 38%
- Practice expense (office) RVU6.39 · 58%
- Malpractice RVU0.51 · 5%
853
Medicare services in 2024 · #3091 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.
21282 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$631.87
15820 describes lower eyelid blepharoplasty. Choose 21282 for separately documented lateral canthal support, not eyelid skin removal alone.
$534.04
67914 is a suture repair for ectropion. Use 21282 when the documented service is lateral canthal support rather than that ectropion repair technique.
Compare 21282 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$391.48
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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 21282 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,939
- Code
- 21282
- Physician work
- 4.16
- Practice expense
- 6.39
- Malpractice
- 0.51
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.16 | × 1.000 | 4.1600 |
| Practice expense | 6.39 | × 1.137 | 7.2654 |
| Malpractice | 0.51 | × 0.579 | 0.2953 |
| Total RVUs | 11.7207 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$391.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.16 | 1 |
| Practice expense | 6.39 | 1.137 |
| Malpractice | 0.51 | 0.579 |
(4.16 × 1 + 6.39 × 1.137 + 0.51 × 0.579) × $33.4009 = $391.48
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.
21282 billing questions
How is this different from medial canthopexy?
This code is for support at the outer corner of the eyelid. Medial canthopexy, code 21280, addresses the inner corner.
Can it be reported with lower eyelid blepharoplasty?
The procedures may be performed during the same session. The operative record should describe the lateral canthal support work separately from the lower eyelid skin or tissue removal.
How should bilateral work be reported?
For bilateral lateral canthopexy, report modifier 50; CMS pays the bilateral procedure at 150%.
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 surgeon 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 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.
1,93621270,,Augmentation cheek bone,A,,10.36,20.78,,7.94,,1.92,33.06,20.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,93721275,,Revision orbitofacial bones,A,,11.47,9.28,NA,9.28,,2.13,22.88,22.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,93821280,,Medial canthopexy,A,,6.95,8.04,NA,8.04,,0.71,15.70,15.70,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,93921282,,Lateral canthopexy,A,,4.16,6.39,NA,6.39,,0.51,11.06,11.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94021295,,Revision of jaw muscle/bone,A,,1.85,3.43,NA,3.43,,0.26,5.54,5.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94121296,,Revision of jaw muscle/bone,A,,4.66,5.74,NA,5.74,,0.67,11.07,11.07,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94221299,,Unlisted cranfcl&maxlfcl px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014