No office rate
Choose 67312 when two horizontal muscles are treated; 67311 represents one horizontal muscle.
On this page
CMS RVU26D · Effective 2026-10-01
67311 Eye muscle surgery Medicare reimbursement rates in Nebraska
Reports strabismus surgery involving recession or resection of one horizontal eye muscle to correct misalignment such as esotropia or exotropia. Compare 67311 office and facility rates across CMS payment localities in Nebraska.
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 67311 in Nebraska?
Nebraska 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
No supported rate
Facility setting
$367.68
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Ophthalmology surgery
About 67311: Single horizontal eye muscle surgery
Reports strabismus surgery involving recession or resection of one horizontal eye muscle to correct misalignment such as esotropia or exotropia.
An ophthalmologist, often one specializing in strabismus, uses this code for surgery on one horizontal extraocular muscle to change its pull and improve eye alignment. The operation may recess or resect a medial or lateral rectus muscle. It is typically performed in an operating room or ambulatory surgery center for conditions such as esotropia or exotropia.
Select the code by the number and orientation of muscles treated: one horizontal muscle is reported here; two horizontal muscles are represented by 67312. Document the eye, the specific muscle, the procedure performed, and the strabismus being treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67311
- 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%
5.6K
Medicare services in 2024 · #1795 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.
67311 compared with similar codes
Office rates for Nebraska, from the same CMS release.
Compare 67311 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$367.68
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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 67311 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,453
- Code
- 67311
- Physician work
- 5.78
- Practice expense
- 5.48
- Malpractice
- 0.45
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.78 | × 1.000 | 5.7800 |
| Practice expense | 5.48 | × 0.923 | 5.0580 |
| Malpractice | 0.45 | × 0.378 | 0.1701 |
| Total RVUs | 11.0081 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$367.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 5.48 | 0.923 |
| Malpractice | 0.45 | 0.378 |
(5.78 × 1 + 5.48 × 0.923 + 0.45 × 0.378) × $33.4009 = $367.68
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.
67311 billing questions
When should I use 67311 rather than 67312?
Use 67311 for surgery on one horizontal muscle. Use 67312 when two horizontal muscles are treated.
How does 67311 differ from 67314?
67311 represents one horizontal muscle, such as a medial or lateral rectus. 67314 represents one vertical muscle.
How is bilateral surgery reported?
CMS pays bilateral surgery at 150% when reported with modifier 50. The operative documentation should identify the muscle treated in each eye.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. The operative record should support each separately reported procedure.
Can an assistant or co-surgeon be reported?
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.
7,45067250,,Reinforce eye wall,A,,9.37,13.70,NA,13.70,,0.75,23.82,23.82,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45167255,,Reinforce/graft eye wall,A,,8.17,9.04,NA,9.04,,0.65,17.86,17.86,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068