$17.65
67820 is for correcting trichiasis through epilation with forceps. Use 67830 when the operative correction is performed by incising the lid margin.
On this page
CMS RVU26D · Effective 2026-10-01
67830 Trichiasis repair Medicare reimbursement rates in Iowa
Reports surgical correction of trichiasis by incising the eyelid margin to redirect lashes that turn inward and irritate the eye. Compare 67830 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 67830 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
$248.15
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$111.54
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.
Ophthalmology procedure
About 67830: Incisional correction of misdirected eyelashes
Reports surgical correction of trichiasis by incising the eyelid margin to redirect lashes that turn inward and irritate the eye.
This procedure corrects trichiasis, in which eyelashes grow or turn toward the eye and can rub the ocular surface. The ophthalmologist or oculoplastic surgeon incises the eyelid margin to alter lash direction; it is distinct from removing lashes with forceps or another epilation method. It may be performed in an office procedure room or a facility, depending on the patient and surgical setting.
Report this code when the operative technique involves incision of the lid margin, rather than epilation or incision with a mucous membrane graft. The record should identify the affected eyelid, document inward or misdirected lashes and their ocular effect, and describe the incision-based correction. CMS assigns a 10-day global period, including related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67830
- 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 RVU1.71 · 21%
- Practice expense (office) RVU6.19 · 77%
- Malpractice RVU0.14 · 2%
474
Medicare services in 2024 · #3614 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.
67830 compared with similar codes
Office rates for Iowa, from the same CMS release.
$125.82
67825 describes epilation by a method other than forceps, while 67830 involves incision of the lid margin.
No office rate
67835 is the related incision-based repair with a free mucous membrane graft. 67830 is the incision-based repair without that graft distinction.
Compare 67830 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
$248.15
Facility
$111.54
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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 67830 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
7,497
- Code
- 67830
- Physician work
- 1.71
- Practice expense
- 6.19
- Malpractice
- 0.14
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 6.19 | × 0.915 | 5.6639 |
| Malpractice | 0.14 | × 0.397 | 0.0556 |
| Total RVUs | 7.4294 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$248.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 6.19 | 0.915 |
| Malpractice | 0.14 | 0.397 |
(1.71 × 1 + 6.19 × 0.915 + 0.14 × 0.397) × $33.4009 = $248.15
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 1.72 | 0.915 |
| Malpractice | 0.14 | 0.397 |
(1.71 × 1 + 1.72 × 0.915 + 0.14 × 0.397) × $33.4009 = $111.54
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.
67830 billing questions
When should 67830 be chosen over 67820 or 67825?
Choose 67830 when the surgeon corrects trichiasis by incising the eyelid margin. Codes 67820 and 67825 describe epilation methods rather than this incision-based repair.
How does 67830 differ from 67835?
67830 describes incision of the lid margin without the graft distinction. The related code 67835 includes a free mucous membrane graft.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is bilateral 67830 reported under the CMS payment rule?
Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
What payment rules apply when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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.
7,49467810,,Incal bx eyelid skn lid mrgn,A,,1.15,4.16,,0.39,,0.11,5.42,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49567820,,Revise eyelashes,A,,0.31,0.23,,0.24,,0.02,0.56,0.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49667825,,Revise eyelashes,A,,1.39,2.55,,1.72,,0.11,4.05,3.22,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49767830,,Revise eyelashes,A,,1.71,6.19,,1.72,,0.14,8.04,3.57,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49867835,,Revise eyelashes,A,,5.56,5.37,NA,5.37,,0.43,11.36,11.36,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49967840,,Remove eyelid lesion,A,,2.04,6.11,,1.81,,0.17,8.32,4.02,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50067850,,Dstrj lesion lid margin <1cm,A,,1.70,4.43,,1.52,,0.15,6.28,3.37,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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