CMS RVU26D · Effective 2026-10-01
Canthoplasty reconstructs the eyelid corner to address canthal malposition or deformity when the operation centers on reshaping or restoring the canthus. Compare 67950 office and facility rates across CMS payment localities in Washington.
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.
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
$607.39–$681.16
2 of 2 localities have a supported rate.
$405.86–$446.32
2 of 2 localities have a supported rate.
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.
Oculoplastic surgery
Canthoplasty reconstructs the eyelid corner to address canthal malposition or deformity when the operation centers on reshaping or restoring the canthus.
Canthoplasty surgically reshapes or reconstructs the medial or lateral canthus, the corner where the upper and lower eyelids meet. Ophthalmologists, particularly oculoplastic surgeons, may perform it to restore canthal position or support when the canthus is lax, displaced, or deformed. The operative work is directed at the canthal angle itself, rather than simply removing an eyelid lesion or repairing a larger full-thickness eyelid defect.
Report the code when the documented procedure reconstructs the canthus; the operative note should identify the site, the abnormality addressed, and the reconstruction performed. CMS 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 others at 50%. For bilateral canthoplasty reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
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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.
Office rates for Washington, from the same CMS release.
Choose 67961 for excision and repair of a full-thickness eyelid defect involving the canthus when the defect is up to one-fourth of the lid. Choose 67950 when the procedure is canthal reconstruction rather than defect excision and repair.
67966 describes excision and repair of a full-thickness eyelid defect involving more than one-fourth of the lid. Canthoplasty focuses on reconstructing the canthal angle.
67917 is for extensive repair of ectropion, or outward turning of the eyelid. Use 67950 when the documented operation reconstructs the canthus rather than primarily correcting ectropion.
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.
2 of 2 payment localities
Office / nonfacility
$607.39
Facility
$405.86
Office / nonfacility
$681.16
Facility
$446.32
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Use 67950 when the operative work reconstructs the canthal angle. Codes such as 67961 or 67966 describe excision and repair of a full-thickness eyelid defect, with the applicable extent determining the code.
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. The operative documentation should make clear what canthal reconstruction was performed.
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.
