CPT code 67335: Adjustable eye suture2026 Medicare rate & RVUs in Massachusetts
Reports adjustable suture placement during strabismus surgery, allowing the surgeon to refine eye-muscle alignment after the operation.
CMS doesn’t publish an office rate for 67335 in Massachusetts.
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 67335 covers
An ophthalmologist uses an adjustable suture on an extraocular muscle during strabismus surgery so eye alignment can be refined after the operation. The technique may be used with surgery on horizontal or vertical eye muscles when the surgeon plans to adjust the muscle position based on postoperative alignment. The operative report should identify the strabismus procedure and document use of the adjustable suture and any adjustment performed.
Report 67335 only with the related primary strabismus operation; it is not a stand-alone service. CMS treats this add-on as paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount. The primary procedure describes the muscle surgery, while this code identifies the adjustable-suture technique and its associated postoperative adjustment.
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.
Where 67335 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston | Unavailable | $160.13 |
| Rest Of Massachusetts | Unavailable | $151.62 |
How the 67335 rate is calculated
Each of 67335’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 · 67335
RVUs × geographic indexes × conversion factor
Work3.15
3.15 RVUs× 1.000 GPCI
Practice expense1.09
1.09 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
4.4800
Conversion factor
$33.4009
Medicare rate
$149.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67335
The CMS indicators that decide how 67335 is paid alongside other services.
CMS payment indicators · 67335
Adjustable eye suture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67335 without 50 · national facility
$149.64
Adjustable eye suture
67335-50 · Bilateral: 150%
$224.46
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).
67335 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67334Eye muscle revision
- 67334 describes a posterior fixation suture technique. Use 67335 for adjustable suture placement with postoperative adjustment.
- 67311Eye muscle surgery
- 67311 describes the primary operation on a horizontal eye muscle. Report 67335 as an add-on when adjustable suture placement is part of that surgery.
- 67312Strabismus surgery
- 67312 describes the primary operation on two horizontal muscles. It does not by itself identify the adjustable-suture technique reported by 67335.
67335 billing questions
Can 67335 be reported by itself?
No. It is an add-on for adjustable suture placement during a primary strabismus operation and must be reported with that operation.
Is postoperative suture adjustment included?
Yes. The service includes the associated postoperative adjustment of the adjustable suture; do not report that adjustment as a separate service under this code.
How does 67335 differ from 67334?
67335 identifies adjustable suture placement with postoperative adjustment. Code 67334 describes a posterior fixation suture technique, a different approach to strabismus surgery.
Which code describes the underlying muscle operation?
The primary strabismus surgery code describes the muscle procedure, such as surgery on one or two horizontal muscles. Add 67335 when the adjustable-suture technique is also performed.
How is bilateral adjustable-suture surgery handled?
For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.
What documentation supports reporting 67335?
Document the primary strabismus operation, the adjustable suture placement, the muscle involved, and any postoperative adjustment.
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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