No office rate
Use 67332 when restrictive myopathy is the added circumstance. Code 67331 addresses strabismus surgery in a patient with previous eye surgery or injury.
On this page
CMS RVU26D · Effective 2026-10-01
67332 Strabismus surgery Medicare reimbursement rates in Kentucky
Add-on reporting for strabismus surgery complicated by restrictive extraocular muscle myopathy, such as thyroid eye disease, when one or more muscles require operative correction. Compare 67332 office and facility rates across CMS payment localities in Kentucky.
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 67332 in Kentucky?
Kentucky 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
$157.18
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 67332: Strabismus surgery with restrictive myopathy
Add-on reporting for strabismus surgery complicated by restrictive extraocular muscle myopathy, such as thyroid eye disease, when one or more muscles require operative correction.
An ophthalmologist reports this add-on when correcting strabismus in the presence of restrictive myopathy, which limits extraocular muscle movement. Thyroid eye disease is a common clinical setting. The operation may correct one or more restricted muscles through recession or another strabismus procedure. This code captures the added circumstance of restrictive myopathy; the primary procedure code identifies the main muscle operation.
Report 67332 only with a primary strabismus procedure, not by itself. Select it when the record supports restrictive myopathy, rather than relying only on a history of eye surgery, muscle scarring, or the number of muscles treated. The operative report should identify the myopathy, affected muscle or muscles, and corrective work, and the primary code should reflect the procedure performed. CMS pays this add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS payment is 150%.
CMS billing rules for 67332
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.41 · 70%
- Practice expense (office) RVU1.19 · 24%
- Malpractice RVU0.26 · 5%
1.2K
Medicare services in 2024 · #2811 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.
67332 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Use 67332 for restrictive myopathy; use 67334 when the added surgical circumstance is scarring of the extraocular muscles.
No office rate
67311 describes the primary one-horizontal-muscle recession or resection procedure. 67332 is an add-on for restrictive myopathy and is not a substitute for the primary procedure code.
Compare 67332 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$157.18
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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 67332 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,460
- Code
- 67332
- Physician work
- 3.41
- Practice expense
- 1.19
- Malpractice
- 0.26
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 1.19 | × 0.889 | 1.0579 |
| Malpractice | 0.26 | × 0.915 | 0.2379 |
| Total RVUs | 4.7058 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$157.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 1.19 | 0.889 |
| Malpractice | 0.26 | 0.915 |
(3.41 × 1 + 1.19 × 0.889 + 0.26 × 0.915) × $33.4009 = $157.18
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.
67332 billing questions
When should 67332 be reported?
Report it with a primary strabismus procedure when restrictive myopathy, such as thyroid eye disease, complicates the muscle surgery. The operative documentation should support the restrictive condition and the work performed.
Can 67332 be billed by itself?
No. It is an add-on code and must be reported with a primary strabismus procedure.
How is 67332 different from 67334?
67332 identifies restrictive myopathy as the added circumstance. 67334 is for strabismus surgery involving scarring of the extraocular muscles.
How is 67332 different from 67331?
67332 applies when restrictive myopathy is present. 67331 addresses strabismus surgery in a patient with previous eye surgery or injury.
What should the operative note document?
Document the restrictive myopathy, the affected extraocular muscle or muscles, and the corrective surgery. Also report the primary code that describes the main strabismus procedure.
How is bilateral reporting handled?
When the bilateral procedure is reported with modifier 50, CMS payment for this code is 150%.
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.
7,45767318,,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
7,46267335,,Eye suture during surgery,A,,3.15,1.09,NA,1.09,,0.24,4.48,4.48,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46367340,,Revise eye muscle add-on,A,,4.88,1.72,NA,1.72,,0.39,6.99,6.99,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631