PFS ExplorerMedicare Physician Fee Schedule · 2026

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67316

Revise two eye muscles

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary67316Revise two eye muscles
1
$596.21
$596.21
Add-on67320Revise eye muscle(s) add-on
0
$139.62/ unit
$139.62/ unit
Add-on67331Eye surgery follow-up add-on
0
$100.87/ unit
$100.87/ unit
Add-on67332Rerevise eye muscles add-on
0
$162.33/ unit
$162.33/ unit
Add-on67334Revise eye muscle w/suture
0
$99.53/ unit
$99.53/ unit
Add-on67335Eye suture during surgery
0
$149.64/ unit
$149.64/ unit
Add-on67340Revise eye muscle add-on
0
$233.47/ unit
$233.47/ unit
Whole procedure · 10.05 wRVU credited
$596.21
$596.21

RVU Breakdown

Component
Office
Facility
Work
10.05
10.05
Practice expense
6.99
6.99
Malpractice
0.81
0.81
Total RVU
17.85
17.85

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $894.32 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 70% to the procedure itself, and 20% to post-operative visits.