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

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, 20262 payment localities8.7K Medicare services in 2024

Medicare pays $253.83–$267.43 for 67700 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.

$253.83–$267.43Office (non-facility)
$96.28–$99.91Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Louisiana
  2. What 67700 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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.

Where 67700 pays more and less in Louisiana

67700 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LA$267.43$99.91
Rest of Louisiana$253.83$96.28

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.

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

67700 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 67700

    Eyelid abscess drainage, abscess of the eyelid1.37 wRVU

    $280.57

  • 67800

    Chalazion removal, single lesion1.37 wRVU

    $130.60−$149.97

  • 10060

    Abscess drainage, simple, single abscess1.19 wRVU

    $128.59−$151.98

  • 67710

    Tarsorrhaphy release, severing prior lid closure1.04 wRVU

    $239.48−$41.09

  • 67715

    Canthotomy, orbital pressure relief1.24 wRVU

    $274.56−$6.01

How to choose

67800Chalazion removalSingle lesion
Use 67800 for treatment of a single chalazion. Use 67700 when the treated eyelid lesion is an abscess requiring drainage.
10060Abscess drainageSimple, single abscess
Code 10060 covers simple drainage of an abscess at a site without a more specific eyelid procedure code; 67700 identifies eyelid abscess drainage.
67710Tarsorrhaphy releaseSevering prior lid closure
Code 67710 severs a tarsorrhaphy. It does not describe drainage of an eyelid abscess.
67715CanthotomyOrbital pressure relief
Code 67715 is a canthotomy, a different eyelid procedure; 67700 is selected for incision and drainage of an eyelid abscess.

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)

Open CMS sourceHow we calculate rates

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