$258.71
67700 is for incision and drainage of an eyelid abscess. 67715 is a canthotomy, typically performed to release constriction and relieve orbital pressure.
On this page
CMS RVU26D · Effective 2026-10-01
67715 Canthotomy Medicare reimbursement rates in Iowa
Canthotomy opens the eyelid corner, typically to relieve acute orbital pressure, such as pressure associated with retrobulbar bleeding after trauma. Compare 67715 office and facility rates across CMS payment localities in Iowa.
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 67715 in Iowa?
Iowa 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
$251.62
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$93.93
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Ophthalmic surgery
About 67715: Canthotomy for orbital decompression
Canthotomy opens the eyelid corner, typically to relieve acute orbital pressure, such as pressure associated with retrobulbar bleeding after trauma.
A canthotomy is an incision at the corner of the eyelids, usually the outer corner, to release constriction and allow urgent orbital decompression. It is most often performed for acute orbital pressure, including after facial or eye trauma with retrobulbar bleeding. Ophthalmologists commonly perform it, though emergency physicians and other qualified clinicians may perform the procedure in an emergency department, operating room, or other acute-care setting.
Report 67715 when the documented service is a canthotomy, rather than an eyelid abscess incision or release of a tarsorrhaphy. The record should identify the side, clinical indication, and procedure performed. The 10-day global period includes related postoperative visits during that period. For bilateral work, 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. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67715
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.24 · 15%
- Practice expense (office) RVU6.80 · 83%
- Malpractice RVU0.18 · 2%
341
Medicare services in 2024 · #3882 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.
67715 compared with similar codes
Office rates for Iowa, from the same CMS release.
$220.70
67710 severs a tarsorrhaphy, a prior surgical joining of the eyelids. 67715 opens the canthal area for a different surgical purpose, commonly orbital decompression.
$546.73
67950 is canthal reconstruction. It is selected for reconstructive repair, rather than the acute pressure-relieving incision reported with 67715.
Compare 67715 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
Iowa →
Office / nonfacility
$251.62
Facility
$93.93
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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 67715 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
7,489
- Code
- 67715
- Physician work
- 1.24
- Practice expense
- 6.80
- Malpractice
- 0.18
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 6.80 | × 0.915 | 6.2220 |
| Malpractice | 0.18 | × 0.397 | 0.0715 |
| Total RVUs | 7.5335 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$251.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 6.8 | 0.915 |
| Malpractice | 0.18 | 0.397 |
(1.24 × 1 + 6.8 × 0.915 + 0.18 × 0.397) × $33.4009 = $251.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 1.64 | 0.915 |
| Malpractice | 0.18 | 0.397 |
(1.24 × 1 + 1.64 × 0.915 + 0.18 × 0.397) × $33.4009 = $93.93
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.
67715 billing questions
When should 67715 be chosen instead of 67700?
Use 67715 for an incision at the canthus to release eyelid constriction, commonly for orbital decompression. Use 67700 when the procedure is incision and drainage of an eyelid abscess.
How does 67715 differ from 67710?
67715 describes a canthotomy, commonly performed to relieve orbital pressure. 67710 is used to sever a prior tarsorrhaphy when the purpose is to reopen the eyelids.
How is bilateral canthotomy reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the minor-procedure global period.
Can an assistant or co-surgeon be reported for 67715?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted.
What happens when 67715 is performed with another procedure 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 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.
7,48667599,,Unlisted procedure orbit,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48767700,,Blepharotomy drg absc eyelid,A,,1.37,6.92,,1.59,,0.11,8.40,3.07,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48867710,,Severing tarsorrhaphy,A,,1.04,6.05,,1.48,,0.08,7.17,2.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48967715,,Canthotomy,A,,1.24,6.80,,1.64,,0.18,8.22,3.06,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49067800,,Remove eyelid lesion,A,,1.37,2.43,,1.12,,0.11,3.91,2.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49167801,,Remove eyelid lesions,A,,1.86,2.93,,1.29,,0.15,4.94,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49267805,,Remove eyelid lesions,A,,2.21,3.79,,1.76,,0.18,6.18,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136