$523.99–$557.10
Both describe reconstructive eyelid revision involving the margin, canthus, or tarsus; choose 67882 when a skin graft is used and 67880 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
67880 Eyelid revision Medicare reimbursement rates in Missouri
Reports reconstructive revision involving the eyelid margin, canthus, or tarsus when the repair is performed without a skin graft. Compare 67880 office and facility rates across CMS payment localities in Missouri.
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 67880 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$428.08–$456.18
3 of 3 localities have a supported rate.
Facility setting
$297.65–$312.14
3 of 3 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.
Where 67880 pays more and less in Missouri
3 payment localities
$428.08 to $456.18
Oculofacial surgery
About 67880: Eyelid reconstruction without skin graft
Reports reconstructive revision involving the eyelid margin, canthus, or tarsus when the repair is performed without a skin graft.
An ophthalmologist, commonly an oculoplastic surgeon, revises eyelid structures such as the lid margin, canthus, or tarsal plate to correct a structural deformity. Examples include scar-related eyelid malposition or a defect after trauma or prior surgery when the repair does not use a skin graft. This is reconstructive work, rather than removal of a localized lesion or correction of misdirected eyelashes.
The operative report should identify the affected side and structures, the deformity being corrected, the reconstructive work performed, and whether a skin graft was used. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67880
- 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 RVU4.49 · 32%
- Practice expense (office) RVU9.23 · 65%
- Malpractice RVU0.38 · 3%
2.1K
Medicare services in 2024 · #2430 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.
67880 compared with similar codes
Office rates for Missouri, from the same CMS release.
$567.70–$605.64
This code is for an extensive ectropion repair. Use 67880 when the documented procedure is eyelid reconstruction without a skin graft rather than that specific ectropion repair.
$249.58–$268.11
67840 describes removal of an eyelid lesion. It is not a substitute for reconstructive revision of the eyelid's margin, canthus, or tarsus.
Compare 67880 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$451.86
Facility
$309.78
Metropolitan St. Louis →
Office / nonfacility
$456.18
Facility
$312.14
Rest Of Missouri →
Office / nonfacility
$428.08
Facility
$297.65
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67880 billing questions
How do I distinguish 67880 from 67882?
The distinction is whether the eyelid revision uses a skin graft. Report 67880 for the reconstructive revision without a graft; 67882 is the sibling code for revision with a skin graft.
Is this the right code for removing an eyelid lesion?
Use a lesion-removal code when the service is excision of a localized eyelid lesion. This code describes reconstructive revision involving the eyelid margin, canthus, or tarsus, not lesion removal alone.
What should the operative note support?
Document the eyelid side, involved structures, the deformity or defect, the reconstructive steps, and whether a skin graft was used. These details distinguish this service from a grafted revision or a more specific malposition repair.
How is bilateral surgery reported under the CMS facts?
For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule. The record should support treatment of both sides.
Is related postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
The CMS facts specify a statutory restriction on assistant-at-surgery payment and do not permit co-surgeons or team surgery for this code.
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.
7,49967840,,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
7,50267880,,Revision of eyelid,A,,4.49,9.23,,4.70,,0.38,14.10,9.57,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50367882,,Revision of eyelid,A,,5.87,10.87,,5.82,,0.46,17.20,12.15,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50467900,,Repair brow defect,A,,6.65,12.44,,5.71,,0.60,19.69,12.96,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50567901,,Repair eyelid defect,A,,7.40,15.74,,7.02,,0.62,23.76,15.04,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00