Billing code 67917: Eyelid repairMedicare rate & RVUs in Utah
Reports extensive surgical correction of an eyelid turned inward, typically when the repair requires more than a simple suture technique.
Medicare pays $598.97 for 67917 in the office in Utah (Utah). 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 67917 covers
Entropion turns the eyelid margin inward, allowing lashes to rub the ocular surface and cause irritation, tearing, or corneal injury. This code describes an extensive surgical correction, such as a repair involving substantial lid repositioning or tissue work, rather than a simple suture repair. Ophthalmologists and oculoplastic surgeons commonly perform the procedure, often for involutional lower-lid entropion, in an operating room or an appropriately equipped outpatient surgical setting.
Select the code based on the operative technique and extent documented, not symptoms alone; the note should identify the affected eyelid, the entropion, and the corrective work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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.
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.
67917 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $598.97 | $379.51 |
How the 67917 rate is calculated
Each of 67917’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 · 67917
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.78Practice expense 12.47Malpractice 0.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67917
67917 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67917
Eyelid 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 · 67917
Eyelid 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
67917 without 50 · national office
$625.60
Eyelid repair
67917-50 · Bilateral: 150%
$938.40
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).
67917 compared with similar codes
Compare codes
67917 vs 67916 vs 67922 vs 67915: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67916Ectropion repair
- Both address entropion, but 67916 is for a suture repair. Report 67917 when the operative correction is extensive.
- 67922Entropion repair
- 67922 identifies entropion correction by tarsal wedge excision. Choose according to the specific procedure documented rather than treating the codes as interchangeable.
- 67915Ectropion repair
- 67915 treats ectropion, in which the eyelid turns outward; 67917 treats entropion, in which it turns inward.
67917 billing questions
How is this distinguished from 67916?
67917 is for extensive entropion correction. Use 67916 when the documented repair is a suture technique rather than an extensive repair.
What documentation supports reporting 67917?
Document the affected eyelid, the inward turning, and the operative technique and extent of correction. The record should support an extensive repair rather than a simple suture correction.
Can modifier 50 be used when both eyelids are treated?
Yes. CMS lists this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
Does the code include routine postoperative visits?
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?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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