Billing code 67880: Eyelid revisionMedicare rate & RVUs in Oklahoma
Reports reconstructive revision involving the eyelid margin, canthus, or tarsus when the repair is performed without a skin graft.
Medicare pays $435.14 for 67880 in the office in Oklahoma (Oklahoma). 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 67880 covers
An ophthalmologist, commonly an oculoplastic surgeon, revises eyelid structures such as the lid margin, canthus, or tarsal plate to correct a structural deformity. Examples include scar-related eyelid malposition or a defect after trauma or prior surgery when the repair does not use a skin graft. This is reconstructive work, rather than removal of a localized lesion or correction of misdirected eyelashes.
The operative report should identify the affected side and structures, the deformity being corrected, the reconstructive work performed, and whether a skin graft was used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 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.
67880 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $435.14 | $300.02 |
How the 67880 rate is calculated
Each of 67880’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 · 67880
RVUs × geographic indexes × conversion factor
Work4.49
4.49 RVUs× 1.000 GPCI
Practice expense9.23
9.23 RVUs× 1.000 GPCI
Malpractice0.38
0.38 RVUs× 1.000 GPCI
Adjusted RVUs
14.1000
Conversion factor
$33.4009
Medicare rate
$470.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67880
67880 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67880
Eyelid revision
| 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 · 67880
Eyelid revision
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
67880 without 50 · national office
$470.95
Eyelid revision
67880-50 · Bilateral: 150%
$706.43
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).
67880 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67882Eyelid revision
- Both describe reconstructive eyelid revision involving the margin, canthus, or tarsus; choose 67882 when a skin graft is used and 67880 when it is not.
- 67917Eyelid repair
- This code is for an extensive ectropion repair. Use 67880 when the documented procedure is eyelid reconstruction without a skin graft rather than that specific ectropion repair.
- 67840Eyelid lesion excision
- 67840 describes removal of an eyelid lesion. It is not a substitute for reconstructive revision of the eyelid's margin, canthus, or tarsus.
67880 billing questions
How do I distinguish 67880 from 67882?
The distinction is whether the eyelid revision uses a skin graft. Report 67880 for the reconstructive revision without a graft; 67882 is the sibling code for revision with a skin graft.
Is this the right code for removing an eyelid lesion?
Use a lesion-removal code when the service is excision of a localized eyelid lesion. This code describes reconstructive revision involving the eyelid margin, canthus, or tarsus, not lesion removal alone.
What should the operative note support?
Document the eyelid side, involved structures, the deformity or defect, the reconstructive steps, and whether a skin graft was used. These details distinguish this service from a grafted revision or a more specific malposition repair.
How is bilateral surgery reported under the CMS facts?
For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule. The record should support treatment of both sides.
Is related postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
The CMS facts specify a statutory restriction on assistant-at-surgery payment and do not permit co-surgeons or team surgery for this code.
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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