$355.73
Both address full-thickness eyelid lacerations. Choose 67935 when the lid margin, tarsus, or canthus is involved; choose 67930 when those structures are spared.
On this page
CMS RVU26D · Effective 2026-10-01
67935 Eyelid repair Medicare reimbursement rates in New Mexico
Repair a full-thickness eyelid laceration when the injury involves the lid margin, tarsus, or canthus and requires surgical alignment and closure. Compare 67935 office and facility rates across CMS payment localities in New Mexico.
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 67935 in New Mexico?
New Mexico 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
$578.50
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$360.43
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Ophthalmic surgery
About 67935: Full-thickness eyelid laceration repair
Repair a full-thickness eyelid laceration when the injury involves the lid margin, tarsus, or canthus and requires surgical alignment and closure.
This service repairs a full-thickness eyelid laceration that disrupts the lid margin, tarsal plate, or canthus. The surgeon aligns and closes the injured eyelid structures to restore their position and function. Typical cases include traumatic cuts from sharp objects or animal bites that cross the lid margin or extend through the tarsus. Ophthalmologists, including oculoplastic surgeons, commonly perform the repair in an operating room or another setting equipped for eyelid surgery.
Report the code when the operative findings and repair document a full-thickness wound with involvement of at least one of those structures. A superficial wound or full-thickness laceration that spares them belongs to a different repair category. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral repair, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 67935
- 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 RVU6.20 · 34%
- Practice expense (office) RVU11.38 · 63%
- Malpractice RVU0.57 · 3%
806
Medicare services in 2024 · #3142 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.
67935 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$563.33
67935 repairs a traumatic full-thickness laceration involving key eyelid structures. 67961 describes eyelid excision with reconstruction of a limited portion of the lid.
$748.81
67935 is for repair of a full-thickness eyelid wound involving the margin, tarsus, or canthus. 67966 is used for eyelid excision and more extensive reconstruction.
Compare 67935 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
New Mexico →
Office / nonfacility
$578.50
Facility
$360.43
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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 67935 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
7,523
- Code
- 67935
- Physician work
- 6.20
- Practice expense
- 11.38
- Malpractice
- 0.57
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.20 | × 1.000 | 6.2000 |
| Practice expense | 11.38 | × 0.917 | 10.4355 |
| Malpractice | 0.57 | × 1.201 | 0.6846 |
| Total RVUs | 17.3200 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$578.50
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.2 | 1 |
| Practice expense | 11.38 | 0.917 |
| Malpractice | 0.57 | 1.201 |
(6.2 × 1 + 11.38 × 0.917 + 0.57 × 1.201) × $33.4009 = $578.50
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.2 | 1 |
| Practice expense | 4.26 | 0.917 |
| Malpractice | 0.57 | 1.201 |
(6.2 × 1 + 4.26 × 0.917 + 0.57 × 1.201) × $33.4009 = $360.43
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.
67935 billing questions
How does this differ from 67930?
Use 67935 for a full-thickness eyelid laceration involving the lid margin, tarsus, or canthus. Code 67930 is for a full-thickness eyelid laceration that spares those structures.
What documentation supports reporting 67935?
Document the wound’s location and depth, the specific involvement of the lid margin, tarsus, or canthus, and the structures repaired.
Does the code include related postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
Report modifier 50 for bilateral repair; CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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.
7,52067923,,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
7,52267930,,Repair eyelid wound,A,,3.56,7.30,,2.00,,0.33,11.19,5.89,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52367935,,Repair eyelid wound,A,,6.20,11.38,,4.26,,0.57,18.15,11.03,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52467938,,Remove eyelid foreign body,A,,1.35,6.14,,1.59,,0.06,7.55,3.00,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52567950,,Revision of eyelid,A,,5.84,11.29,,5.56,,0.50,17.63,11.90,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,52667961,,Revision of eyelid,A,,5.71,11.55,,5.51,,0.47,17.73,11.69,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210