Billing code 67902: Ptosis repairMedicare rate & RVUs in Iowa
Repairs upper eyelid ptosis by suspending the eyelid from the frontalis muscle with a fascial sling, typically when levator function is poor.
CMS doesn’t publish an office rate for 67902 in Iowa.
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 67902 covers
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.
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 in Iowa
| Payment locality | Office | Facility |
|---|---|---|
| Iowa | Unavailable | $576.62 |
How the 67902 rate is calculated
Each of 67902’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 · 67902
RVUs × geographic indexes × conversion factor
Work9.57
9.57 RVUs× 1.000 GPCI
Practice expense8.07
8.07 RVUs× 1.000 GPCI
Malpractice0.78
0.78 RVUs× 1.000 GPCI
Adjusted RVUs
18.4200
Conversion factor
$33.4009
Medicare rate
$615.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67902
67902 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67902
Ptosis 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) | 1 | Permitted with supporting documentation. |
| 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 · 67902
Ptosis 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
67902 without 50 · national facility
$615.24
Ptosis repair
67902-50 · Bilateral: 150%
$922.86
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).
67902 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67901Ptosis repair
- Both suspend the eyelid from the frontalis, but 67902 uses a fascial sling; 67901 uses suture or another nonfascial material.
- 67903Ptosis repair
- 67902 uses a fascial sling to recruit the frontalis. 67903 repairs ptosis by operating on the levator muscle.
- 67900Brow repair
- 67900 addresses a drooping brow. 67902 addresses upper eyelid ptosis with a fascial suspension to the frontalis.
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 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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