$856.91
Both suspend the eyelid from the frontalis, but 67902 uses a fascial sling; 67901 uses suture or another nonfascial material.
On this page
CMS RVU26D · Effective 2026-10-01
67902 Ptosis repair Medicare reimbursement rates in Hawaii
Repairs upper eyelid ptosis by suspending the eyelid from the frontalis muscle with a fascial sling, typically when levator function is poor. Compare 67902 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 67902 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
$641.20
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 67902: Blepharoptosis repair with fascial sling
Repairs upper eyelid ptosis by suspending the eyelid from the frontalis muscle with a fascial sling, typically when levator function is poor.
This operation lifts a drooping upper eyelid by connecting the tarsus, the firm supporting plate of the lid, to the frontalis muscle with a fascial sling. The forehead muscle then helps raise the eyelid. Ophthalmologists, especially oculoplastic surgeons, commonly perform it for significant blepharoptosis with poor levator function, including cases where the lid obstructs vision. The sling may use the patient’s fascia or banked fascia.
Report this code when the operative technique uses a fascial sling routed to the frontalis, rather than a nonfascial sling or a levator-based repair. Documentation should identify the affected eyelid, ptosis findings, levator function, and the sling technique and material. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 67902
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.57 · 52%
- Practice expense (office) RVU8.07 · 44%
- Malpractice RVU0.78 · 4%
92
Medicare services in 2024 · #4944 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.
67902 compared with similar codes
Office rates for Hawaii, from the same CMS release.
Compare 67902 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
$641.20
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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 67902 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,506
- Code
- 67902
- Physician work
- 9.57
- Practice expense
- 8.07
- Malpractice
- 0.78
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.57 | × 1.000 | 9.5700 |
| Practice expense | 8.07 | × 1.137 | 9.1756 |
| Malpractice | 0.78 | × 0.579 | 0.4516 |
| Total RVUs | 19.1972 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$641.20
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.57 | 1 |
| Practice expense | 8.07 | 1.137 |
| Malpractice | 0.78 | 0.579 |
(9.57 × 1 + 8.07 × 1.137 + 0.78 × 0.579) × $33.4009 = $641.20
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.
67902 billing questions
How is 67902 different from 67901?
Both use a frontalis suspension approach, but 67902 specifies a fascial sling. 67901 is for a sling made with suture or another nonfascial material.
When is 67902 chosen instead of a levator repair such as 67903?
Choose 67902 when the surgeon suspends the eyelid from the frontalis with fascia. A levator-based repair uses resection or advancement of the levator instead.
Can both eyelids be reported with modifier 50?
Yes. CMS treats this as a bilateral procedure, with modifier 50 paid at 150%.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Is an assistant at surgery payable for this procedure?
CMS applies a statutory restriction, so assistant-at-surgery services are not paid. Co-surgeons are paid only with supporting documentation; team surgery is 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.
7,50367882,,Revision of eyelid,A,,5.87,10.87,,5.82,,0.46,17.20,12.15,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50467900,,Repair brow defect,A,,6.65,12.44,,5.71,,0.60,19.69,12.96,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50567901,,Repair eyelid defect,A,,7.40,15.74,,7.02,,0.62,23.76,15.04,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50667902,,Repair eyelid defect,A,,9.57,8.07,NA,8.07,,0.78,18.42,18.42,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50767903,,Repair eyelid defect,A,,6.35,11.30,,5.38,,0.50,18.15,12.23,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50867904,,Repair eyelid defect,A,,7.77,13.88,,6.79,,0.65,22.30,15.21,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50967906,,Repair eyelid defect,A,,6.76,5.51,NA,5.51,,0.53,12.80,12.80,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,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