CPT 67912: Eyelid weightMedicare rate & RVUs in Ohio
Reports upper eyelid weight implantation to improve closure in lagophthalmos, commonly when facial nerve weakness leaves the cornea exposed.
Medicare pays $836.83 for 67912 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67912 covers
67912 covers operative placement of a weight in the upper eyelid to help the lid close when spontaneous closure is incomplete. Oculoplastic ophthalmologists commonly use a gold or platinum load for lagophthalmos related to facial nerve weakness or paralysis, which can leave the cornea exposed. The added weight helps the upper lid descend; this is different from surgery to lift a drooping eyelid. The procedure is performed in a surgical setting.
Choose this code when the operative service includes upper eyelid load implantation to address lagophthalmos. The record should support the incomplete closure, its clinical cause or consequences, the treated side, and the implant procedure. This major surgery has a 90-day global period, including 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 reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
67912 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $836.83 | $407.16 |
How the 67912 rate is calculated
Each of 67912’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 · 67912
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.20Practice expense 19.90Malpractice 0.68
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67912
67912 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67912
Eyelid weight
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67912
Eyelid weight
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67912 without 50 · national office
$894.48
Eyelid weight
67912-50 · Bilateral: 150%
$1,341.72
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).
67912 compared with similar codes
Compare codes
67912 vs 67911 vs 67901 vs 67904: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67911Eyelid retraction repair
- 67911 addresses eyelid retraction. Use 67912 when the surgeon implants an upper eyelid load to improve closure in lagophthalmos.
- 67901Ptosis repair
- 67901 repairs blepharoptosis using a frontalis muscle technique. It elevates a drooping lid rather than adding weight to improve closure.
- 67904Ptosis repair
- 67904 repairs blepharoptosis through an external approach. It is for lid elevation, not upper eyelid loading for lagophthalmos.
67912 billing questions
When should 67912 be chosen over a ptosis repair code?
Choose 67912 when an upper eyelid weight is implanted to improve closure in lagophthalmos. Ptosis repair codes address a drooping lid that needs elevation.
Does 67912 include the eyelid weight placement?
Yes. The service represented is correction of lagophthalmos by implanting an upper eyelid load; document the implantation in the operative report.
What documentation supports 67912?
Document incomplete eyelid closure, the clinical reason for treatment, the side treated, and the operative placement of the upper eyelid load.
How is bilateral 67912 reported under the CMS facts?
Use modifier 50 for a bilateral procedure. CMS pays bilateral reporting at 150%.
What global period and multiple-procedure rules apply?
The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%.
Can an assistant surgeon or co-surgeon be reported?
CMS restricts assistant-at-surgery payment 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 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
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