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

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 South Dakota, Medicare pays $278.13 for 67700 in the office and $100.10 when it’s performed in a hospital or facility.

$278.13Office (non-facility)
$100.10Hospital or facility
−0.9%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 South Dakota
  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 South Dakota 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. South Dakota pays $278.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

67700 in South Dakota vs other payment areas
  1. South Dakota · this page$278.13
  2. Los Angeles, CA · California$323.51+$45.38
  3. Washington, DC area · District of Columbia$324.60+$46.47
  4. Miami, FL · Florida$295.66+$17.53
  5. Chicago, IL · Illinois$286.80+$8.67
  6. Manhattan, NY · New York$323.09+$44.96
  7. Alaska · Alaska$316.82+$38.69

Other areas in South Dakota 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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 67700 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0001.3700
Practice expense6.92× 1.0006.9200
Malpractice0.11× 0.3360.0370
Total RVUs8.3270
Conversion factor× 33.4009

Office rate, South Dakota$278.13

Office: (1.37 × 1 + 6.92 × 1 + 0.11 × 0.336) × $33.4009 = $278.13

Facility: (1.37 × 1 + 1.59 × 1 + 0.11 × 0.336) × $33.4009 = $100.10

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 South Dakota

67700 · Office / nonfacility

$278.13

Effective 2026-10-01

The base rate is $13.67 higher than on 2025-10-01, moving from $264.46 to $278.13 (5.2%).

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

    $264.46changed to$278.13

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $280.02changed to$264.46

    • 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

    $275.44changed to$280.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $286.69changed to$275.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.02 changed to 6.97
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $294.09changed to$286.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.06 changed to 7.02
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $299.67changed to$294.09

    • 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

    $283.32changed to$299.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.41 changed to 7.15
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $279.40changed to$283.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.31 changed to 6.41
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $274.06changed to$279.40

    • 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

    $268.93changed to$274.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.05 changed to 6.17
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $268.32changed to$268.93

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $268.78changed to$268.32

    • 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

    $267.45changed to$268.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $267.65changed to$267.45

    • 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 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $276.59changed to$267.65

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $276.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$278.13$100.10RVU26D
2026-07-01$278.13$100.10RVU26C
2026-04-01$278.13$100.10RVU26B
2026-01-01$278.13$100.10RVU26A
2025-10-01$264.46$110.49RVU25D
2025-07-01$264.46$110.49RVU25C
2025-04-01$264.46$110.49RVU25B
2025-01-01$264.46$110.49RVU25A
2024-10-01$280.02$113.24RVU24D
2024-07-01$280.02$113.24RVU24C
2024-04-01$280.02$113.24RVU24B
2024-03-09$280.02$113.24RVU24AR
2024-01-01$275.44$111.40RVU24A
2023-10-01$286.69$113.86RVU23D
2023-07-01$286.69$113.86RVU23C
2023-04-01$286.69$113.86RVU23B
2023-01-01$286.69$113.86RVU23A
2022-10-01$294.09$113.79RVU22D
2022-07-01$294.09$113.79RVU22C
2022-04-01$294.09$113.79RVU22B
2022-01-01$294.09$113.79RVU22A
2021-10-01$299.67$114.39RVU21D
2021-07-01$299.67$114.39RVU21C
2021-04-01$299.67$114.39RVU21B
2021-01-01$299.67$114.39RVU21A
2020-10-01$283.32$115.86RVU20D
2020-07-01$283.32$115.86RVU20C
2020-04-01$283.32$115.86RVU20B
2020-01-01$283.32$115.86RVU20A
2019-10-01$279.40$116.87RVU19D
2019-07-01$279.40$116.87RVU19C
2019-04-01$279.40$116.87RVU19B
2019-01-01$279.40$116.87RVU19A
2018-10-01$274.06$117.46RVU18D
2018-07-01$274.06$117.46RVU18C
2018-04-01$274.06$117.46RVU18B
2018-01-01$274.06$117.46RVU18AR1
2017-10-01$268.93$116.04RVU17D
2017-07-01$268.93$116.04RVU17C
2017-04-01$268.93$116.04RVU17B
2017-01-01$268.93$116.04RVU17A
2016-10-01$268.32$115.79RVU16D
2016-07-01$268.32$115.79RVU16C
2016-04-01$268.32$115.79RVU16B
2016-01-01$268.32$115.79RVU16A
2015-10-01$268.78$116.07RVU15D
2015-07-01$268.78$116.07RVU15C
2015-04-01$267.45$115.49RVU15B
2015-01-01$267.45$115.49RVU15A
2014-10-01$267.65$117.20RVU14D
2014-07-01$267.65$117.20RVU14C
2014-04-01$267.65$117.20RVU14B
2014-01-01$267.65$117.20RVU14A
2013-10-01$276.59$117.02RVU13D
2013-07-01$276.59$117.02RVU13C
2013-04-01$276.59$117.02RVU13B
2013-01-01$276.59$117.02RVU13AR

Price 67700 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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