No office rate
Use 67311 for surgery on one horizontal muscle. This code is for one qualifying vertical muscle and excludes the superior oblique.
On this page
CMS RVU26D · Effective 2026-10-01
67314 Eye muscle surgery Medicare reimbursement rates in Michigan
Reports strabismus surgery that repositions or shortens one qualifying vertical eye muscle, excluding the superior oblique, to correct ocular misalignment. Compare 67314 office and facility rates across CMS payment localities in Michigan.
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 67314 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$377.14–$395.03
2 of 2 localities have a supported rate.
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 67314: Single vertical muscle strabismus surgery
Reports strabismus surgery that repositions or shortens one qualifying vertical eye muscle, excluding the superior oblique, to correct ocular misalignment.
An ophthalmic surgeon uses this code when operating on one qualifying vertical extraocular muscle to correct strabismus, or misalignment of the eyes. The operation changes the muscle’s position or effective length to adjust its pull on the eye. It is used for vertical misalignment when the procedure involves one muscle in this code’s scope; surgery on the superior oblique is classified separately. These cases are commonly performed in an operating room, with the operative report identifying the muscle and the work performed.
Choose the code by the number and orientation of muscles treated, and document the operated muscle, laterality, and surgical technique. This is major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this procedure; co-surgeons and team surgery are not permitted.
CMS billing rules for 67314
- 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 RVU5.78 · 49%
- Practice expense (office) RVU5.48 · 47%
- Malpractice RVU0.45 · 4%
3.1K
Medicare services in 2024 · #2149 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.
67314 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Use 67316 when two or more qualifying vertical muscles are treated; this code is for one.
No office rate
Use 67318 for surgery involving the superior oblique. This code covers one qualifying vertical muscle other than the superior oblique.
Compare 67314 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$395.03
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$377.14
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67314 billing questions
How is this code distinguished from surgery on two vertical muscles?
This code describes work on one qualifying vertical muscle. When two or more vertical muscles are treated, compare the operative details with the code for multiple vertical muscles.
Does this code cover surgery on the superior oblique?
No. The superior oblique is excluded from this code’s scope; use the code designated for superior oblique muscle surgery.
What documentation supports reporting this code?
The operative report should identify the muscle treated, the side, the strabismus being corrected, and whether the surgeon repositioned or shortened the muscle.
How is bilateral surgery handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts provided. Document the procedure on both sides.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care.
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.
7,45267299,,Unlisted px posterior segmnt,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45367311,,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
7,45467312,,Revise two eye muscles,A,,9.26,6.72,NA,6.72,,0.73,16.71,16.71,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45567314,,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