Choose 67914 for suture-based correction. Choose 67915 when the repair includes excision of a tarsal wedge.
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CMS RVU26D · Effective 2026-10-01
67914 Ectropion repair Medicare reimbursement rates in Oregon
Corrects an outward-turning eyelid with a suture-based operation, typically when the surgeon does not perform tissue excision or extensive reconstruction. Compare 67914 office and facility rates across CMS payment localities in Oregon.
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 67914 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$485.19–$528.60
2 of 2 localities have a supported rate.
Facility setting
$287.59–$308.18
2 of 2 localities have a supported rate.
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 67914: Suture repair of eyelid ectropion
Corrects an outward-turning eyelid with a suture-based operation, typically when the surgeon does not perform tissue excision or extensive reconstruction.
This operation corrects ectropion, in which an eyelid—often the lower lid—turns outward and may cause tearing, irritation, or exposure of the eye surface. An ophthalmologist or oculoplastic surgeon uses sutures to reposition the lid. The code represents a suture-based repair rather than a repair involving tarsal wedge excision or extensive reconstruction.
Report the service when the operative note supports suture repair of ectropion and identifies the treated eyelid and technique. 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, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 67914
- 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 RVU3.66 · 25%
- Practice expense (office) RVU10.67 · 73%
- Malpractice RVU0.34 · 2%
1.8K
Medicare services in 2024 · #2533 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.
67914 compared with similar codes
Office rates for Oregon, from the same CMS release.
67916 describes an extensive ectropion repair, such as a tarsal strip operation; 67914 is the suture-based option.
67917 is for extensive ectropion repair with a skin graft. A suture-based repair without that grafting approach is reported with 67914.
67921 addresses entropion, in which the eyelid turns inward. Code 67914 is for ectropion, in which it turns outward.
Compare 67914 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$528.60
Facility
$308.18
Rest Of Oregon →
Office / nonfacility
$485.19
Facility
$287.59
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67914 billing questions
How does this code differ from 67915?
Use 67914 for suture-based ectropion repair. Code 67915 is for a repair that includes tarsal wedge excision.
When would 67916 be more appropriate?
Use 67916 when the surgeon performs an extensive ectropion repair, such as a tarsal strip operation, rather than the suture-based repair represented by 67914.
How is bilateral repair reported?
Report modifier 50 for bilateral surgery. CMS pays this bilateral procedure at 150%.
What documentation supports reporting 67914?
Document the ectropion, the eyelid treated, and the suture-based operative method. The operative note should distinguish the service from a repair involving tissue excision or extensive reconstruction.
Are related postoperative visits separately included?
The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.
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.
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.
