Billing code 67923: Entropion repairMedicare rate & RVUs in Ohio
Repair inward-turning eyelid tissue by excising a tarsal wedge, typically when entropion requires more than a suture-based or thermocautery correction.
Medicare pays $574.33 for 67923 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 67923 covers
This procedure corrects entropion, in which an eyelid turns inward and may cause lashes to rub the eye. The surgeon excises a wedge of tarsal tissue and closes the resulting defect to reposition the lid. Ophthalmologists, including oculoplastic surgeons, typically perform the repair in an operating room or an appropriately equipped outpatient surgical setting. The operative report should identify the affected eyelid and document the tarsal wedge excision and repair performed.
Report this code when the documented technique is tarsal wedge excision, rather than suture repair, thermocautery, or an extensive repair using another approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery for this code; 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.
67923 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $574.33 | $355.68 |
How the 67923 rate is calculated
Each of 67923’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 · 67923
RVUs × geographic indexes × conversion factor
Work5.34
5.34 RVUs× 1.000 GPCI
Practice expense12.51
12.51 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
18.2800
Conversion factor
$33.4009
Medicare rate
$610.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67923
67923 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67923
Entropion repair
| 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 · 67923
Entropion repair
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
67923 without 50 · national office
$610.57
Entropion repair
67923-50 · Bilateral: 150%
$915.86
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).
67923 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67921Entropion repair
- 67921 is suture repair of entropion; 67923 requires excision of a tarsal wedge.
- 67922Entropion repair
- 67922 describes thermocauterization for entropion, not tarsal wedge excision.
- 67924Entropion repair
- 67924 is an extensive entropion repair using another approach, such as a tarsal strip or capsulopalpebral fascia repair.
- 67914Ectropion repair
- 67914 treats ectropion with suture repair; 67923 treats the opposite lid malposition, entropion, by tarsal wedge excision.
67923 billing questions
When should this code be selected instead of 67921?
Use 67923 when the surgeon corrects entropion by excising a tarsal wedge. Code 67921 describes suture-based repair.
How does 67923 differ from 67922?
Both address entropion, but 67923 is for tarsal wedge excision and 67922 is for thermocauterization.
What operative documentation supports 67923?
Document the affected eyelid, the entropion being corrected, and the tarsal wedge excision and repair actually performed.
How is bilateral repair reported?
Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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