Billing code 67930: Eyelid wound repairMedicare rate & RVUs in Utah
Report this service for direct closure of a partial-thickness eyelid laceration involving the lid margin, tarsal plate, or inner eyelid lining.
Medicare pays $358.00 for 67930 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 67930 covers
An ophthalmologist or oculoplastic surgeon repairs an acute eyelid laceration by directly closing the wound. The injury is partial thickness and involves the lid margin, tarsal plate, and/or palpebral conjunctiva. Repairs may occur in an office or facility, depending on the injury and care setting. A superficial skin-only cut without involvement of these structures is a different repair scenario.
Choose this code for a partial-thickness wound; a full-thickness laceration is reported with 67935. Document the injured eyelid and side, wound depth, involved structures, and direct closure. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 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.
67930 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $358.00 | $191.60 |
How the 67930 rate is calculated
Each of 67930’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 · 67930
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.56Practice expense 7.30Malpractice 0.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67930
67930 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67930
Eyelid wound repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67930
Eyelid wound repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67930 without 50 · national office
$373.76
Eyelid wound repair
67930-50 · Bilateral: 150%
$560.64
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).
67930 compared with similar codes
Compare codes
67930 vs 67935 vs 12011 vs 67961: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67935Eyelid repair
- Choose 67935 when the eyelid laceration is full thickness. Code 67930 is for partial-thickness injury repaired by direct closure.
- 12011Wound repair
- Code 12011 is for a simple superficial facial wound, including an eyelid wound, up to 2.5 cm. Code 67930 describes a partial-thickness eyelid injury involving specified lid structures.
- 67961Eyelid repair
- Code 67961 is used for excision and repair of an eyelid defect involving structures such as the lid margin or tarsus. Code 67930 is for direct closure of a partial-thickness laceration.
67930 billing questions
How does 67930 differ from 67935?
67930 is for a partial-thickness eyelid laceration repaired by direct closure. Use 67935 for a full-thickness laceration.
Can a superficial eyelid skin cut be reported with 67930?
Not when the injury is limited to superficial skin and does not involve the lid margin, tarsal plate, or palpebral conjunctiva. A simple facial wound repair code such as 12011 may be appropriate based on the wound.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is bilateral repair reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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 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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