Use 67900 when brow descent is the target. Code 67901 is for eyelid ptosis treated with a frontalis-based technique.
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CMS RVU26D · Effective 2026-10-01
67900 Brow repair Medicare reimbursement rates in New Jersey
Surgical elevation of a drooping brow is reported when the brow itself contributes to upper visual obstruction, asymmetry, or another documented functional problem. Compare 67900 office and facility rates across CMS payment localities in New Jersey.
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 67900 in New Jersey?
New Jersey 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
$706.72–$739.50
2 of 2 localities have a supported rate.
Facility setting
$461.25–$478.75
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 67900: Brow ptosis surgical repair
Surgical elevation of a drooping brow is reported when the brow itself contributes to upper visual obstruction, asymmetry, or another documented functional problem.
This operation raises a descended eyebrow when brow position itself contributes to upper-field obstruction or another documented functional problem. An ophthalmic plastic or reconstructive surgeon typically performs it in an operating room or ambulatory surgery setting. The operative route may use an incision near the brow, across the forehead, or through the scalp; the approach depends on the patient’s anatomy and the planned repair.
Report the service for correction of brow descent, not for repair of drooping eyelid tissue alone. Documentation should identify the affected side or sides, brow position and functional effect, and the operative approach and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 67900
- 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 RVU6.65 · 34%
- Practice expense (office) RVU12.44 · 63%
- Malpractice RVU0.60 · 3%
24.5K
Medicare services in 2024 · #1056 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.
67900 compared with similar codes
Office rates for New Jersey, from the same CMS release.
Code 67903 applies to an eyelid ptosis repair, not elevation of a low brow. Identify whether the brow or lid is being corrected.
Code 15823 addresses excessive upper eyelid skin. Code 67900 corrects descent of the brow itself.
Compare 67900 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
Northern Nj →
Office / nonfacility
$739.50
Facility
$478.75
Rest Of New Jersey →
Office / nonfacility
$706.72
Facility
$461.25
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67900 billing questions
How is brow ptosis different from eyelid ptosis?
This repair elevates a low brow. Eyelid ptosis repair addresses a drooping upper eyelid; documentation should show which structure is being corrected.
Can this be reported with an eyelid procedure?
A separate eyelid operation may be reported when it is independently performed and documented. The brow and eyelid corrections should be distinguishable in the operative record.
How is bilateral repair reported?
Medicare recognizes modifier 50 for a bilateral procedure and pays this code at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
