CPT code 67700: Eyelid abscess drainage, abscess of the eyelid2026 Medicare rate & RVUs in Kentucky

An ophthalmologist drains an abscess of the eyelid through an incision, reporting this code for the eyelid-specific procedure rather than chalazion treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality8.7K Medicare services in 2024

In Kentucky, Medicare pays $254.60 for 67700 in the office and $96.33 when it’s performed in a hospital or facility.

$254.60Office (non-facility)
$96.33Hospital or facility
−9.3%vs the national office rate ($280.57)

Check a contract rate as a % of Medicare · 67700 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 67700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 67700 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 67700 covers

This procedure opens an eyelid abscess to drain its contents. An ophthalmologist typically performs it in an office or outpatient setting when examination identifies a localized eyelid infection requiring incision and drainage. It is distinct from treatment of a chalazion, which is a different type of eyelid lesion and is coded separately.

The record should identify the affected eyelid, document the abscess and the incision-and-drainage service, and distinguish the condition from a chalazion. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this service; 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.

How Kentucky compares for 67700

Across 109 of 109 payment localities, the office rate for 67700 runs from $246.20 in Arkansas to $386.06 in San Benito County, CA. Kentucky pays $254.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

67700 in Kentucky vs other payment areas
  1. Kentucky · this page$254.60
  2. Los Angeles, CA · California$323.51+$68.91
  3. Washington, DC area · District of Columbia$324.60+$70.00
  4. Miami, FL · Florida$295.66+$41.06
  5. Chicago, IL · Illinois$286.80+$32.20
  6. Manhattan, NY · New York$323.09+$68.49
  7. Alaska · Alaska$316.82+$62.22

Other areas in Kentucky first, then benchmark localities. Bars start at $0.

Every other payment area

67700 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$250.08$94.31
ArkansasArkansas$246.20$93.27
ArizonaArizona$272.87$100.37
Bakersfield, CACalifornia$302.19$107.07
Chico, CACalifornia$301.83$106.71
El Centro, CACalifornia$301.85$106.73
Fresno, CACalifornia$301.83$106.71
Hanford, CACalifornia$301.83$106.71

67700 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$246.20

$343.95

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
67700 office rate range by state
State / territoryOffice rate rangeLocalities
AK$316.821
AL$250.081
AR$246.201
AZ$272.871
CA$301.83–$386.0629
CO$295.101
CT$300.051
DC$324.601
DE$277.651
FL$272.25–$295.663
GA$256.31–$285.142
GU$310.691
HI$310.691
IA$258.711
ID$260.141
IL$262.53–$289.964
IN$261.811
KS$256.561
KY$254.601
LA$253.83–$267.432
MA$292.80–$326.882
MD$283.50–$324.603
ME$260.69–$277.132
MI$260.93–$275.002
MN$284.681
MO$248.58–$269.483
MS$247.481
MT$280.561
NC$263.761
ND$278.391
NE$260.481
NH$289.581
NJ$304.02–$320.682
NM$262.121
NV$280.191
NY$267.92–$330.335
OH$260.491
OK$255.021
OR$278.55–$306.022
PA$261.41–$291.582
PR$283.051
RI$288.671
SC$262.451
SD$278.131
TN$257.831
TX$259.50–$293.658
UT$266.321
VA$275.56–$324.602
VI$283.051
VT$276.441
WA$292.53–$334.652
WI$268.321
WV$251.871
WY$279.611

See 67700 in every payment locality

How the 67700 rate is calculated

Each of 67700’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 · 67700

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense6.92

6.92 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

8.4000

Conversion factor

$33.4009

Medicare rate

$280.57

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,487

Code
67700
Physician work
1.37
Practice expense
6.92
Malpractice
0.11

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 67700 in Kentucky
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0001.3700
Practice expense6.92× 0.8896.1519
Malpractice0.11× 0.9150.1007
Total RVUs7.6225
Conversion factor× 33.4009

Office rate, Kentucky$254.60

Office: (1.37 × 1 + 6.92 × 0.889 + 0.11 × 0.915) × $33.4009 = $254.60

Facility: (1.37 × 1 + 1.59 × 0.889 + 0.11 × 0.915) × $33.4009 = $96.33

Open 67700 in the RVU calculator

Payment rules and modifiers for 67700

67700 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67700

Eyelid abscess drainage, abscess of the eyelid

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67700

Eyelid abscess drainage, abscess of the eyelid

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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67700 without 50 · national office

$280.57

Eyelid abscess drainage, abscess of the eyelid

67700-50 · Bilateral: 150%

$420.86

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).

When to use modifier 50

How 67700 has changed in Kentucky

67700 · Office / nonfacility

$254.60

Effective 2026-10-01

The base rate is $14.86 higher than on 2025-10-01, moving from $239.74 to $254.60 (6.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $239.74changed to$254.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.40 changed to 1.37
    • Practice expense RVU 6.73 changed to 6.92
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $253.42changed to$239.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.97 changed to 6.73
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $249.29changed to$253.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $258.36changed to$249.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.02 changed to 6.97
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913
  5. January 1, 2023

    RVU23A

    $263.91changed to$258.36

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.06 changed to 7.02
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $268.83changed to$263.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.15 changed to 7.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $255.98changed to$268.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.41 changed to 7.15
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $253.82changed to$255.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.31 changed to 6.41
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $249.11changed to$253.82

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.17 changed to 6.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $243.63changed to$249.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.05 changed to 6.17
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $242.15changed to$243.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.872 changed to 0.876
    • Malpractice GPCI 0.795 changed to 0.807

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $242.42changed to$242.15

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.04 changed to 6.05
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $241.21changed to$242.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $243.05changed to$241.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.98 changed to 6.04
    • Malpractice RVU 0.22 changed to 0.10
    • Malpractice GPCI 0.774 changed to 0.795

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $249.99changed to$243.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.63 changed to 5.98
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.871 changed to 0.872
    • Malpractice GPCI 0.752 changed to 0.774

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $249.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$254.60$96.33RVU26D
2026-07-01$254.60$96.33RVU26C
2026-04-01$254.60$96.33RVU26B
2026-01-01$254.60$96.33RVU26A
2025-10-01$239.74$104.71RVU25D
2025-07-01$239.74$104.71RVU25C
2025-04-01$239.74$104.71RVU25B
2025-01-01$239.74$104.71RVU25A
2024-10-01$253.42$107.16RVU24D
2024-07-01$253.42$107.16RVU24C
2024-04-01$253.42$107.16RVU24B
2024-03-09$253.42$107.16RVU24AR
2024-01-01$249.29$105.42RVU24A
2023-10-01$258.36$107.49RVU23D
2023-07-01$258.36$107.49RVU23C
2023-04-01$258.36$107.49RVU23B
2023-01-01$258.36$107.49RVU23A
2022-10-01$263.91$107.23RVU22D
2022-07-01$263.91$107.23RVU22C
2022-04-01$263.91$107.23RVU22B
2022-01-01$263.91$107.23RVU22A
2021-10-01$268.83$107.82RVU21D
2021-07-01$268.83$107.82RVU21C
2021-04-01$268.83$107.82RVU21B
2021-01-01$268.83$107.82RVU21A
2020-10-01$255.98$109.62RVU20D
2020-07-01$255.98$109.62RVU20C
2020-04-01$255.98$109.62RVU20B
2020-01-01$255.98$109.62RVU20A
2019-10-01$253.82$110.79RVU19D
2019-07-01$253.82$110.79RVU19C
2019-04-01$253.82$110.79RVU19B
2019-01-01$253.82$110.79RVU19A
2018-10-01$249.11$111.30RVU18D
2018-07-01$249.11$111.30RVU18C
2018-04-01$249.11$111.30RVU18B
2018-01-01$249.11$111.30RVU18AR1
2017-10-01$243.63$109.70RVU17D
2017-07-01$243.63$109.70RVU17C
2017-04-01$243.63$109.70RVU17B
2017-01-01$243.63$109.70RVU17A
2016-10-01$242.15$109.14RVU16D
2016-07-01$242.15$109.14RVU16C
2016-04-01$242.15$109.14RVU16B
2016-01-01$242.15$109.14RVU16A
2015-10-01$242.42$109.25RVU15D
2015-07-01$242.42$109.25RVU15C
2015-04-01$241.21$108.71RVU15B
2015-01-01$241.21$108.71RVU15A
2014-10-01$243.05$111.85RVU14D
2014-07-01$243.05$111.85RVU14C
2014-04-01$243.05$111.85RVU14B
2014-01-01$243.05$111.85RVU14A
2013-10-01$249.99$111.01RVU13D
2013-07-01$249.99$111.01RVU13C
2013-04-01$249.99$111.01RVU13B
2013-01-01$249.99$111.01RVU13AR

Price 67700 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

67700 billing questions

How is this different from chalazion treatment?

Report 67700 for incision and drainage of an eyelid abscess. A chalazion is a different lesion; code 67800 describes treatment of a single chalazion.

What documentation supports 67700?

Document the eyelid involved, the abscess findings, and the incision-and-drainage service performed. Make clear that the lesion is an abscess rather than a chalazion.

Are related postoperative visits separately payable?

Related postoperative visits during the 10-day global period are included in the procedure.

How is bilateral treatment reported?

When both eyelids are treated, report modifier 50 for the bilateral procedure. CMS pays the bilateral procedure at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for 67700. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

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
RVUs for 67700PPRRVU2026_Oct_nonQPP.csv, line 7,487 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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