$288.68–$303.99
Both correct entropion, but 67922 uses thermocauterization; 67921 is for a suture-based repair.
On this page
CMS RVU26D · Effective 2026-10-01
67921 Entropion repair Medicare reimbursement rates in Michigan
Reports suture-based correction of an inward-turned eyelid margin, commonly performed by an ophthalmologist to relieve irritation and protect the ocular surface. Compare 67921 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 67921 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
$447.47–$470.81
2 of 2 localities have a supported rate.
Facility setting
$264.20–$277.09
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.
Oculoplastic surgery
About 67921: Suture repair of entropion
Reports suture-based correction of an inward-turned eyelid margin, commonly performed by an ophthalmologist to relieve irritation and protect the ocular surface.
This procedure corrects entropion, in which the eyelid margin turns inward and lashes or skin may rub against the eye. The surgeon uses sutures to rotate the lid margin outward. It is commonly performed by an ophthalmologist or oculoplastic surgeon in an office procedure room or operating facility, often for involutional lower-lid entropion.
Select this code when the documented repair uses sutures, rather than thermal treatment, tarsal wedge excision, or a more extensive repair. The operative note should identify the affected eyelid, the entropion being corrected, and the suture-based technique. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral repair, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 67921
- 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 RVU3.38 · 24%
- Practice expense (office) RVU10.65 · 75%
- Malpractice RVU0.26 · 2%
2.9K
Medicare services in 2024 · #2189 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.
67921 compared with similar codes
Office rates for Michigan, from the same CMS release.
$576.07–$605.80
67923 involves tarsal wedge excision. Choose 67921 when the documented correction is performed with sutures instead.
$614.53–$646.27
67924 describes an extensive entropion repair. Use 67921 for the suture-based approach when the documented operation does not support the extensive repair code.
$460.45–$485.31
67914 is a suture repair for ectropion, where the lid turns outward. This code is for entropion, where the lid turns inward.
Compare 67921 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
$470.81
Facility
$277.09
Rest Of Michigan →
Office / nonfacility
$447.47
Facility
$264.20
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67921 billing questions
How does this differ from 67922?
Use 67921 for suture-based correction of entropion. Code 67922 describes correction using thermocauterization.
When would 67923 or 67924 be selected instead?
Those codes represent different operative approaches: tarsal wedge excision for 67923 and an extensive repair for 67924. The operative note should support the technique and extent reported.
Can this be reported for both eyelids?
Yes. CMS identifies the procedure as bilateral, with modifier 50 paid at 150%.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care, as well as the preoperative visit on the day before surgery.
Can an assistant or co-surgeon be billed for this repair?
CMS does not pay an assistant at surgery 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.
7,51567915,,Repair eyelid defect,A,,1.98,7.31,,3.25,,0.16,9.45,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51667916,,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