Billing code 67334: Eye muscle revisionMedicare rate & RVUs in Ohio

Reports suture-based revision of an extraocular muscle as an add-on during strabismus surgery, when the operative work supports this additional service.

CMS RVU26DEffective Oct 1, 20261 payment locality60 Medicare services in 2024

CMS doesn’t publish an office rate for 67334 in Ohio.

—Office (non-facility)
$97.22Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 67334 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 67334 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 67334 covers

An ophthalmologist typically reports this add-on during strabismus surgery when the operative work includes revision of an extraocular muscle with suture. The service is associated with surgical correction of misalignment, such as when an eye muscle is revised as part of an operation to improve eye alignment. The operative report should identify the muscle and describe the suture-based revision performed.

Report 67334 only with a primary procedure; it is not a stand-alone service. The primary strabismus procedure establishes the main operation, while this code captures the additional suture-based muscle work. Documentation should make the added work clear rather than merely mention sutures as part of the primary procedure. CMS pays this add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.

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.

67334 in Ohio

67334 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$97.22

How the 67334 rate is calculated

Each of 67334’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 67334

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.01Practice expense 0.81Malpractice 0.16

2.9800 adjusted RVUs×$33.4009 conversion factor=$99.53

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67334

The CMS indicators that decide how 67334 is paid alongside other services.

CMS payment indicators · 67334

Eye muscle revision

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67334 without 50 · national facility

$99.53

Eye muscle revision

67334-50 · Bilateral: 150%

$149.30

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

67334 compared with similar codes

Compare codes

67334 vs 67311 vs 67314 vs 67335 vs 67332: national Medicare rates

Swap in your local Medicare rate.

  • 67334
    Eye muscle revision · 2.01 wRVU
    —
  • 67311
    Eye muscle surgery · 5.78 wRVU
    —
  • 67314
    Eye muscle surgery · 5.78 wRVU
    —
  • 67335
    Adjustable eye suture · 3.15 wRVU
    —
  • 67332
    Strabismus surgery · 3.41 wRVU
    —

How to choose

67311Eye muscle surgery
67311 reports the primary procedure for one horizontal muscle. Use 67334 only as an add-on when separate suture-based revision work is documented.
67314Eye muscle surgery
67314 reports the primary procedure for one vertical muscle. It is not a substitute for the additional suture-based revision represented by 67334.
67335Adjustable eye suture
67335 identifies placement of adjustable suture during strabismus surgery, including adjustment when performed; 67334 represents suture-based muscle revision.
67332Strabismus surgery
67332 is an add-on for rerevision of eye muscles. Choose based on the documented operative work rather than treating it as interchangeable with suture-based revision.

67334 billing questions

Can 67334 be reported by itself?

No. It is an add-on code and must be reported with a primary procedure.

What documentation supports 67334?

The operative report should identify the extraocular muscle and describe the suture-based revision performed in addition to the primary procedure.

How does 67334 differ from 67335?

67334 represents suture-based revision of an eye muscle. 67335 describes placement of adjustable suture during strabismus surgery, including adjustment when performed.

How is bilateral work reported?

For a bilateral procedure, report modifier 50; CMS pays 150% of the applicable amount.

How does the global period affect payment?

CMS pays 67334 within the global period of the primary procedure with which it is reported.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 67334PPRRVU2026_Oct_nonQPP.csv, line 7,461 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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