CPT 67900
Global 090 ActiveRepair brow defect
CPT 67900 Billing & Documentation Guide
CPT code 67900 (Repair brow defect) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.65, a non-facility practice expense RVU of 12.44, and a malpractice RVU of 0.6, a total non-facility RVU of 19.69 and facility RVU of 12.96. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $677.45, though rates vary from $589.36 to $856.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 67900, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 67900 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 67900 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 67900
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.65 | 6.65 |
| Practice Expense RVU | 12.44 | 5.71 |
| Malpractice RVU | 0.6 | 0.6 |
| Total RVU | 19.69 | 12.96 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 67900
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $732.6 | $466.62 | $692.03 - $856.45 | 29 |
| Florida | $678.02 | $452.48 | $649.46 - $705.34 | 3 |
| Georgia | $642.83 | $428.38 | $616.64 - $669.01 | 2 |
| Illinois | $662.68 | $445.47 | $632.8 - $687.25 | 4 |
| Michigan | $640.49 | $429.41 | $624.1 - $656.87 | 2 |
| North Carolina | $622.59 | $412.86 | $622.59 - $622.59 | 1 |
| New York | $723.43 | $472.66 | $630.94 - $767.58 | 5 |
| Ohio | $621.67 | $416.44 | $621.67 - $621.67 | 1 |
| Pennsylvania | $652.53 | $432.35 | $622.49 - $682.57 | 2 |
| Texas | $651.02 | $429.72 | $618.85 - $679.92 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 67900
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 67900 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 67900
What does CPT code 67900 mean? +
CPT code 67900 represents: Repair brow defect. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 67900? +
The 2026 Medicare national average non-facility payment for CPT 67900 is $677.45. Rates range from $589.36 to $856.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 67900? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 67900? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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