Billing code 67314: Eye muscle surgeryMedicare rate & RVUs in Utah
Reports strabismus surgery that repositions or shortens one qualifying vertical eye muscle, excluding the superior oblique, to correct ocular misalignment.
CMS doesn’t publish an office rate for 67314 in Utah.
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 67314 covers
An ophthalmic surgeon uses this code when operating on one qualifying vertical extraocular muscle to correct strabismus, or misalignment of the eyes. The operation changes the muscle’s position or effective length to adjust its pull on the eye. It is used for vertical misalignment when the procedure involves one muscle in this code’s scope; surgery on the superior oblique is classified separately. These cases are commonly performed in an operating room, with the operative report identifying the muscle and the work performed.
Choose the code by the number and orientation of muscles treated, and document the operated muscle, laterality, and surgical technique. This is major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this procedure; 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.
67314 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $378.61 |
How the 67314 rate is calculated
Each of 67314’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 · 67314
RVUs × geographic indexes × conversion factor
Work5.78
5.78 RVUs× 1.000 GPCI
Practice expense5.48
5.48 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
11.7100
Conversion factor
$33.4009
Medicare rate
$391.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67314
67314 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67314
Eye muscle surgery
| 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 · 67314
Eye muscle surgery
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
67314 without 50 · national facility
$391.12
Eye muscle surgery
67314-50 · Bilateral: 150%
$586.68
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).
67314 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67311Eye muscle surgery
- Use 67311 for surgery on one horizontal muscle. This code is for one qualifying vertical muscle and excludes the superior oblique.
- 67316Strabismus surgery
- Use 67316 when two or more qualifying vertical muscles are treated; this code is for one.
- 67318Eye muscle surgery
- Use 67318 for surgery involving the superior oblique. This code covers one qualifying vertical muscle other than the superior oblique.
67314 billing questions
How is this code distinguished from surgery on two vertical muscles?
This code describes work on one qualifying vertical muscle. When two or more vertical muscles are treated, compare the operative details with the code for multiple vertical muscles.
Does this code cover surgery on the superior oblique?
No. The superior oblique is excluded from this code’s scope; use the code designated for superior oblique muscle surgery.
What documentation supports reporting this code?
The operative report should identify the muscle treated, the side, the strabismus being corrected, and whether the surgeon repositioned or shortened the muscle.
How is bilateral surgery handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts provided. Document the procedure on both sides.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and 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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