$502.85
Choose 67915 for thermocautery correction of ectropion; 67914 is the suture technique.
On this page
CMS RVU26D · Effective 2026-10-01
67915 Ectropion repair Medicare reimbursement rates in Rhode Island
Reports correction of an outward-turning eyelid using thermocautery, typically when an ophthalmic surgeon treats ectropion with this technique. Compare 67915 office and facility rates across CMS payment localities in Rhode Island.
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 67915 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$324.38
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$184.29
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 67915: Ectropion repair by thermocautery
Reports correction of an outward-turning eyelid using thermocautery, typically when an ophthalmic surgeon treats ectropion with this technique.
This procedure treats ectropion, in which the eyelid turns outward and may leave the eye exposed or cause tearing. An ophthalmologist, often an oculoplastic surgeon, applies thermocautery to produce tissue contraction that helps bring the lid back toward the eye. It is distinct from ectropion repairs performed with sutures, tissue excision, or more extensive reconstruction; the operative method supports the code selection.
Report the service when the surgeon performs thermocautery for ectropion, and document the affected eyelid, diagnosis, and technique. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 67915
- 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 RVU1.98 · 21%
- Practice expense (office) RVU7.31 · 77%
- Malpractice RVU0.16 · 2%
222
Medicare services in 2024 · #4229 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.
67915 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$627.14
67916 involves tarsal wedge excision for ectropion; 67915 is selected when thermocautery is the repair method.
$641.28
67917 is for extensive ectropion repair. Use 67915 when the documented repair is performed by thermocautery rather than an extensive reconstructive approach.
Compare 67915 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$324.38
Facility
$184.29
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67915 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
7,515
- Code
- 67915
- Physician work
- 1.98
- Practice expense
- 7.31
- Malpractice
- 0.16
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.98 | × 1.019 | 2.0176 |
| Practice expense | 7.31 | × 1.033 | 7.5512 |
| Malpractice | 0.16 | × 0.892 | 0.1427 |
| Total RVUs | 9.7116 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$324.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1.019 |
| Practice expense | 7.31 | 1.033 |
| Malpractice | 0.16 | 0.892 |
(1.98 × 1.019 + 7.31 × 1.033 + 0.16 × 0.892) × $33.4009 = $324.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.98 | 1.019 |
| Practice expense | 3.25 | 1.033 |
| Malpractice | 0.16 | 0.892 |
(1.98 × 1.019 + 3.25 × 1.033 + 0.16 × 0.892) × $33.4009 = $184.29
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
67915 billing questions
How is this code distinguished from other ectropion repair codes?
Use it when thermocautery is the technique used to correct ectropion. Suture repair, tarsal wedge excision, and extensive repair have separate codes.
What should the operative note document?
Document ectropion, the eyelid treated, and that thermocautery was used to correct the outward lid position.
How is a bilateral procedure reported?
Report modifier 50 for the bilateral procedure; CMS pays it at 150%.
Does the code include postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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.
7,51267911,,Revise eyelid defect,A,,7.31,6.38,NA,6.38,,0.60,14.29,14.29,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51367912,,Correction eyelid w/implant,A,,6.20,19.90,,5.81,,0.68,26.78,12.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51467914,,Repair eyelid defect,A,,3.66,10.67,,4.73,,0.34,14.67,8.73,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51567915,,Repair eyelid defect,A,,1.98,7.31,,3.25,,0.16,9.45,5.39,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51667916,,Repair eyelid defect,A,,5.34,12.52,,5.34,,0.45,18.31,11.13,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51767917,,Repair eyelid defect,A,,5.78,12.47,,5.48,,0.48,18.73,11.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,51867921,,Repair eyelid defect,A,,3.38,10.65,,4.64,,0.26,14.29,8.28,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537