$245.20
Both codes address trichiasis surgically. Choose 67835 for the tarsal-incision approach and 67830 when the incision is at the lid margin.
On this page
CMS RVU26D · Effective 2026-10-01
67835 Trichiasis repair Medicare reimbursement rates in Kentucky
Surgical correction of trichiasis through a tarsal incision is reported when misdirected eyelashes require operative treatment rather than simple epilation. Compare 67835 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 67835 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
$358.30
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.
Ophthalmic surgery
About 67835: Surgical correction of inward lashes
Surgical correction of trichiasis through a tarsal incision is reported when misdirected eyelashes require operative treatment rather than simple epilation.
This service treats trichiasis, in which eyelashes grow toward the eye and may irritate the ocular surface. An ophthalmologist or oculoplastic surgeon makes an incision into tarsal tissue to surgically correct the lash-bearing lid margin. The tarsal approach distinguishes this repair from removing lashes by epilation. It is typically performed in an ambulatory ophthalmic surgical setting.
Select the code when the documented operative method includes a tarsal incision. The record should identify the affected lid, the misdirected lashes, the procedure performed, and laterality. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 67835
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.56 · 49%
- Practice expense (office) RVU5.37 · 47%
- Malpractice RVU0.43 · 4%
56
Medicare services in 2024 · #5289 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.
67835 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$17.79
67820 describes removal of misdirected lashes with forceps. It is not the tarsal-incision repair reported with 67835.
$125.51
67825 describes epilation by a method other than forceps. Use 67835 when the documented treatment is operative correction through tarsal tissue.
Compare 67835 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
$358.30
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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 67835 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,498
- Code
- 67835
- Physician work
- 5.56
- Practice expense
- 5.37
- Malpractice
- 0.43
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.56 | × 1.000 | 5.5600 |
| Practice expense | 5.37 | × 0.889 | 4.7739 |
| Malpractice | 0.43 | × 0.915 | 0.3935 |
| Total RVUs | 10.7274 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$358.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.56 | 1 |
| Practice expense | 5.37 | 0.889 |
| Malpractice | 0.43 | 0.915 |
(5.56 × 1 + 5.37 × 0.889 + 0.43 × 0.915) × $33.4009 = $358.30
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.
67835 billing questions
How does 67835 differ from 67830?
67835 involves an incision into tarsal tissue. 67830 is the related repair that uses an incision at the lid margin.
When is 67835 preferable to epilation codes?
Use 67835 when the surgeon performs operative correction through a tarsal incision. Codes 67820 and 67825 describe lash removal by epilation methods.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 67835 reported?
Report modifier 50 for bilateral surgery. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
7,49567820,,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
7,50167875,,Closure of eyelid by suture,A,,1.32,3.98,,1.00,,0.11,5.41,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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