No office rate
67332 represents the primary reoperation work on scarred or restricted extraocular muscle. 67340 is the add-on for work on an additional muscle in the qualifying reoperation.
On this page
CMS RVU26D · Effective 2026-10-01
67340 Eye muscle revision Medicare reimbursement rates in Vermont
Reports revision of an additional extraocular muscle during reoperation for strabismus when scarred or restricted muscle tissue requires surgical correction. Compare 67340 office and facility rates across CMS payment localities in Vermont.
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 67340 in Vermont?
Vermont 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
No supported rate
Facility setting
$226.46
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Ophthalmology surgery
About 67340: Additional extraocular muscle revision
Reports revision of an additional extraocular muscle during reoperation for strabismus when scarred or restricted muscle tissue requires surgical correction.
This add-on represents work on an additional extraocular muscle during reoperation for strabismus, such as when prior surgery has left scarred or restricted tissue that must be explored and corrected. An ophthalmologist with strabismus-surgery expertise typically performs the work in an operating room. The operative report should identify the muscles treated and describe the prior surgical changes and the revision performed.
Report 67340 with the applicable primary reoperation code, commonly 67332 when the procedure involves exploration and repair of scarred or restricted extraocular muscle. Documentation should show that this code represents an additional muscle addressed, rather than the primary muscle work alone. It is an add-on code and must be billed with a primary procedure; payment falls within that procedure’s global period, so it does not establish a separate global period.
CMS billing rules for 67340
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.88 · 70%
- Practice expense (office) RVU1.72 · 25%
- Malpractice RVU0.39 · 6%
54
Medicare services in 2024 · #5314 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.
67340 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
67311 reports primary surgery on one horizontal muscle. Choose 67340 only for additional muscle work during a qualifying reoperation, not routine primary correction.
No office rate
67314 reports primary surgery on one vertical muscle. 67340 instead represents additional muscle revision during reoperation.
Compare 67340 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
Vermont →
Office / nonfacility
Unavailable
Facility
$226.46
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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 67340 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
7,463
- Code
- 67340
- Physician work
- 4.88
- Practice expense
- 1.72
- Malpractice
- 0.39
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.88 | × 1.000 | 4.8800 |
| Practice expense | 1.72 | × 0.990 | 1.7028 |
| Malpractice | 0.39 | × 0.506 | 0.1973 |
| Total RVUs | 6.7801 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$226.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.88 | 1 |
| Practice expense | 1.72 | 0.99 |
| Malpractice | 0.39 | 0.506 |
(4.88 × 1 + 1.72 × 0.99 + 0.39 × 0.506) × $33.4009 = $226.46
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.
67340 billing questions
When is 67340 reported instead of 67332?
Use 67332 for the primary reoperation work on scarred or restricted extraocular muscle. Report 67340 for qualifying work on an additional muscle during that reoperation.
Can 67340 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure, commonly 67332 for reoperation involving scarred or restricted muscle.
Does 67340 have its own global period?
No separate global period is established by this add-on. Its payment is within the global period of the primary procedure.
What should the operative note support?
Document the prior surgical changes, the revision performed, and which additional extraocular muscle was addressed. The record should distinguish this additional work from the primary muscle work.
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.
7,46067332,,Rerevise eye muscles add-on,A,,3.41,1.19,NA,1.19,,0.26,4.86,4.86,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46167334,,Revise eye muscle w/suture,A,,2.01,0.81,NA,0.81,,0.16,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46267335,,Eye suture during surgery,A,,3.15,1.09,NA,1.09,,0.24,4.48,4.48,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46367340,,Revise eye muscle add-on,A,,4.88,1.72,NA,1.72,,0.39,6.99,6.99,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46467343,,Release eye tissue,A,,8.26,8.52,NA,8.52,,0.67,17.45,17.45,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46567345,,Destroy nerve of eye muscle,A,,2.93,4.06,,2.25,,0.53,7.52,5.71,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,46667346,,Biopsy eye muscle,A,,2.80,1.81,NA,1.81,,0.21,4.82,4.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817