$444.26
67921 describes entropion correction by suture. Use 67924 for an extensive repair supported by the operative work.
On this page
CMS RVU26D · Effective 2026-10-01
67924 Entropion repair Medicare reimbursement rates in Idaho
Repair an inward-turning eyelid with an extensive corrective procedure, typically when simpler entropion techniques are insufficient for the documented condition. Compare 67924 office and facility rates across CMS payment localities in Idaho.
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 67924 in Idaho?
Idaho 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
$607.33
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$369.18
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Ophthalmology surgery
About 67924: Extensive entropion repair
Repair an inward-turning eyelid with an extensive corrective procedure, typically when simpler entropion techniques are insufficient for the documented condition.
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.
CMS billing rules for 67924
- 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 RVU5.78 · 30%
- Practice expense (office) RVU13.24 · 68%
- Malpractice RVU0.47 · 2%
13.4K
Medicare services in 2024 · #1320 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.
67924 compared with similar codes
Office rates for Idaho, from the same CMS release.
$286.84
67922 uses thermocauterization to correct entropion; 67924 represents an extensive surgical repair.
$569.57
67923 is the tarsal wedge excision level of entropion repair. 67924 is selected when the documented procedure is more extensive.
Compare 67924 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
Idaho →
Office / nonfacility
$607.33
Facility
$369.18
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 67924 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,521
- Code
- 67924
- Physician work
- 5.78
- Practice expense
- 13.24
- Malpractice
- 0.47
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.78 | × 1.000 | 5.7800 |
| Practice expense | 13.24 | × 0.920 | 12.1808 |
| Malpractice | 0.47 | × 0.473 | 0.2223 |
| Total RVUs | 18.1831 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$607.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 13.24 | 0.92 |
| Malpractice | 0.47 | 0.473 |
(5.78 × 1 + 13.24 × 0.92 + 0.47 × 0.473) × $33.4009 = $607.33
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 5.49 | 0.92 |
| Malpractice | 0.47 | 0.473 |
(5.78 × 1 + 5.49 × 0.92 + 0.47 × 0.473) × $33.4009 = $369.18
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.
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 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.
7,51867921,,Repair eyelid defect,A,,3.38,10.65,,4.64,,0.26,14.29,8.28,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51967922,,Repair eyelid defect,A,,1.98,7.10,,3.25,,0.16,9.24,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52067923,,Repair eyelid defect,A,,5.34,12.51,,5.34,,0.43,18.28,11.11,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52167924,,Repair eyelid defect,A,,5.78,13.24,,5.49,,0.47,19.49,11.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52267930,,Repair eyelid wound,A,,3.56,7.30,,2.00,,0.33,11.19,5.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52367935,,Repair eyelid wound,A,,6.20,11.38,,4.26,,0.57,18.15,11.03,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52467938,,Remove eyelid foreign body,A,,1.35,6.14,,1.59,,0.06,7.55,3.00,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772