$437.08
Choose 67922 when the repair uses thermocautery; choose 67921 when the documented method is suture repair.
On this page
CMS RVU26D · Effective 2026-10-01
67922 Entropion repair Medicare reimbursement rates in Kentucky
Reports thermocautery treatment of entropion, an inward-turning eyelid that can cause lashes to rub against the eye and irritate its surface. Compare 67922 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 67922 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
$281.85
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$167.53
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.
Oculoplastic surgery
About 67922: Entropion repair by thermocautery
Reports thermocautery treatment of entropion, an inward-turning eyelid that can cause lashes to rub against the eye and irritate its surface.
Entropion turns the eyelid margin inward, bringing the lashes into contact with the ocular surface. For this procedure, an ophthalmologist or oculoplastic surgeon uses controlled heat to create tissue contraction that helps evert the lid. It is a technique-specific option for correcting eyelid malposition; it is distinct from suture repair, tarsal wedge excision, or more extensive reconstruction. The record should identify the affected lid, the entropion and its clinical effect, and the thermocautery technique performed.
Report this code when the documented repair uses thermocautery, not simply because the patient has entropion. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
CMS billing rules for 67922
- 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
- 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 RVU1.98 · 21%
- Practice expense (office) RVU7.10 · 77%
- Malpractice RVU0.16 · 2%
117
Medicare services in 2024 · #4763 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.
67922 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$562.97
67923 describes entropion repair with tarsal wedge excision. It is not the thermocautery technique reported with 67922.
$600.56
67924 is for an extensive entropion repair. Use 67922 when the documented corrective method is thermocautery.
Compare 67922 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
$281.85
Facility
$167.53
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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 67922 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,519
- Code
- 67922
- Physician work
- 1.98
- Practice expense
- 7.10
- Malpractice
- 0.16
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.98 | × 1.000 | 1.9800 |
| Practice expense | 7.10 | × 0.889 | 6.3119 |
| Malpractice | 0.16 | × 0.915 | 0.1464 |
| Total RVUs | 8.4383 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$281.85
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1 |
| Practice expense | 7.1 | 0.889 |
| Malpractice | 0.16 | 0.915 |
(1.98 × 1 + 7.1 × 0.889 + 0.16 × 0.915) × $33.4009 = $281.85
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1 |
| Practice expense | 3.25 | 0.889 |
| Malpractice | 0.16 | 0.915 |
(1.98 × 1 + 3.25 × 0.889 + 0.16 × 0.915) × $33.4009 = $167.53
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.
67922 billing questions
How does this code differ from 67921?
Both address entropion, but 67922 identifies repair using thermocautery. Code 67921 is the suture-repair approach.
When should 67923 or 67924 be considered instead?
Use 67923 when the documented repair uses tarsal wedge excision. Code 67924 describes an extensive entropion repair, rather than thermocautery.
How is bilateral treatment reported?
CMS specifies modifier 50 for bilateral reporting, with payment at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
What documentation supports 67922?
Document the affected eyelid, the entropion being treated, and that thermocautery was the repair method. The technique distinguishes this code from other entropion repair options.
Can an assistant or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. 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.
7,51667916,,Repair eyelid defect,A,,5.34,12.52,,5.34,,0.45,18.31,11.13,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51767917,,Repair eyelid defect,A,,5.78,12.47,,5.48,,0.48,18.73,11.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51867921,,Repair eyelid defect,A,,3.38,10.65,,4.64,,0.26,14.29,8.28,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51967922,,Repair eyelid defect,A,,1.98,7.10,,3.25,,0.16,9.24,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52067923,,Repair eyelid defect,A,,5.34,12.51,,5.34,,0.43,18.28,11.11,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52167924,,Repair eyelid defect,A,,5.78,13.24,,5.49,,0.47,19.49,11.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52267930,,Repair eyelid wound,A,,3.56,7.30,,2.00,,0.33,11.19,5.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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