No office rate
67311 describes recession or resection of one horizontal muscle. Choose 67320 for a transposition maneuver reported with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
67320 Muscle transposition Medicare reimbursement rates in Kansas
Reports an extraocular muscle transposition performed with a primary strabismus operation to redirect muscle pull and address ocular misalignment. Compare 67320 office and facility rates across CMS payment localities in Kansas.
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 67320 in Kansas?
Kansas 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
No supported rate
Facility setting
$132.67
1 of 1 localities have a supported rate.
Payment area: Kansas
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 67320: Extraocular muscle transposition procedure
Reports an extraocular muscle transposition performed with a primary strabismus operation to redirect muscle pull and address ocular misalignment.
An extraocular muscle transposition changes the direction of a muscle’s pull to help correct ocular misalignment. An ophthalmologist, often a strabismus surgeon, may perform this maneuver when the surgical plan requires repositioning a muscle or its tendon rather than relying only on a conventional recession or resection. It is performed as part of operative strabismus care, commonly in a facility setting.
Report 67320 only with a primary procedure; it is not a stand-alone service. The operative report should identify the muscle involved, the transposition performed, the clinical reason for changing its pull, and the primary strabismus procedure performed at the encounter. CMS treats this as an add-on paid within the primary procedure’s global period. The record should make clear that a transposition was performed, rather than only a standard muscle recession or resection.
CMS billing rules for 67320
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.93 · 70%
- Practice expense (office) RVU1.03 · 25%
- Malpractice RVU0.22 · 5%
339
Medicare services in 2024 · #3891 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.
67320 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
67314 describes recession or resection of one vertical muscle. It does not describe redirecting a muscle’s pull by transposition.
No office rate
67318 describes recession or resection of one oblique muscle. Use 67320 for the transposition add-on, not for that standard muscle adjustment.
Compare 67320 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
Kansas →
Office / nonfacility
Unavailable
Facility
$132.67
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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 67320 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
7,458
- Code
- 67320
- Physician work
- 2.93
- Practice expense
- 1.03
- Malpractice
- 0.22
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 1.03 | × 0.904 | 0.9311 |
| Malpractice | 0.22 | × 0.504 | 0.1109 |
| Total RVUs | 3.9720 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$132.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 1.03 | 0.904 |
| Malpractice | 0.22 | 0.504 |
(2.93 × 1 + 1.03 × 0.904 + 0.22 × 0.504) × $33.4009 = $132.67
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.
67320 billing questions
Can 67320 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How is a transposition different from a recession or resection?
A transposition redirects the muscle’s pull by changing its position or course. Recession and resection instead adjust the muscle’s effective strength or tension.
What should the operative note document?
Document the muscle treated, the transposition maneuver, its purpose, and the primary strabismus procedure performed during the encounter.
How does the global period affect payment?
CMS includes payment for this add-on within the primary procedure’s global period. Submit it with the primary procedure, not as a separate stand-alone service.
Is 67320 the right choice for routine muscle recession or resection?
No. Use the applicable recession or resection code when that is the procedure performed; 67320 describes an additional transposition maneuver.
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.
7,45567314,,Revise eye muscle,A,,5.78,5.48,NA,5.48,,0.45,11.71,11.71,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45667316,,Revise two eye muscles,A,,10.05,6.99,NA,6.99,,0.81,17.85,17.85,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45767318,,Revise eye muscle(s),A,,9.56,7.01,NA,7.01,,0.76,17.33,17.33,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45867320,,Revise eye muscle(s) add-on,A,,2.93,1.03,NA,1.03,,0.22,4.18,4.18,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45967331,,Eye surgery follow-up add-on,A,,1.95,0.91,NA,0.91,,0.16,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46067332,,Rerevise eye muscles add-on,A,,3.41,1.19,NA,1.19,,0.26,4.86,4.86,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46167334,,Revise eye muscle w/suture,A,,2.01,0.81,NA,0.81,,0.16,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958