Billing code 67915: Ectropion repairMedicare rate & RVUs in Illinois
Reports correction of an outward-turning eyelid using thermocautery, typically when an ophthalmic surgeon treats ectropion with this technique.
Medicare pays $297.41–$326.82 for 67915 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. 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 67915 covers
This procedure treats ectropion, in which the eyelid turns outward and may leave the eye exposed or cause tearing. An ophthalmologist, often an oculoplastic surgeon, applies thermocautery to produce tissue contraction that helps bring the lid back toward the eye. It is distinct from ectropion repairs performed with sutures, tissue excision, or more extensive reconstruction; the operative method supports the code selection.
Report the service when the surgeon performs thermocautery for ectropion, and document the affected eyelid, diagnosis, and technique. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 67915 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$297.41 to $326.82
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $324.24 | $187.96 |
| East St. Louis | $301.52 | $176.77 |
| Rest Of Illinois | $297.41 | $173.60 |
| Suburban Chicago | $326.82 | $187.55 |
How the 67915 rate is calculated
Each of 67915’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 · 67915
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.98Practice expense 7.31Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67915
67915 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67915
Ectropion 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 · 67915
Ectropion 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
67915 without 50 · national office
$315.64
Ectropion repair
67915-50 · Bilateral: 150%
$473.46
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).
67915 compared with similar codes
Compare codes
67915 vs 67914 vs 67916 vs 67917: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67914Ectropion repair
- Choose 67915 for thermocautery correction of ectropion; 67914 is the suture technique.
- 67916Ectropion repair
- 67916 involves tarsal wedge excision for ectropion; 67915 is selected when thermocautery is the repair method.
- 67917Eyelid repair
- 67917 is for extensive ectropion repair. Use 67915 when the documented repair is performed by thermocautery rather than an extensive reconstructive approach.
67915 billing questions
How is this code distinguished from other ectropion repair codes?
Use it when thermocautery is the technique used to correct ectropion. Suture repair, tarsal wedge excision, and extensive repair have separate codes.
What should the operative note document?
Document ectropion, the eyelid treated, and that thermocautery was used to correct the outward lid position.
How is a bilateral procedure reported?
Report modifier 50 for the bilateral procedure; CMS pays it at 150%.
Does the code include postoperative visits?
Yes. Its 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 for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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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