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CPT code 67800: Chalazion removal, single lesion2026 Medicare rate & RVUs in Iowa

Removal of one chalazion from an eyelid, typically by an ophthalmologist when conservative treatment has not resolved the localized lump.

CMS RVU26DEffective Oct 1, 2026One payment locality15.4K Medicare services in 2024

In Iowa, Medicare pays $121.48 for 67800 in the office and $81.45 when it’s performed in a hospital or facility.

$121.48Office (non-facility)
$81.45Hospital or facility
−7.0%vs the national office rate ($130.60)

Check a contract rate as a % of Medicare · 67800 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 67800 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 67800 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 67800 covers

67800 represents surgical removal of one chalazion, a localized inflammatory lump associated with an obstructed eyelid oil gland. An ophthalmologist commonly performs the procedure in an office procedure room under local anesthesia, opening and curetting the lesion from the inner eyelid. Persistent or symptomatic chalazia are typical reasons for removal; this code is not for excising any type of eyelid growth.

Report this code for one chalazion. For multiple chalazia, select the applicable sibling code based on the number and lid distribution, or the anesthesia circumstances. Document the diagnosis, lesion count and location, anesthesia, and work performed. Related postoperative visits during the 10-day global period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare 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 Iowa compares for 67800

Across 109 of 109 payment localities, the office rate for 67800 runs from $117.37 in Arkansas to $169.80 in San Benito County, CA. Iowa pays $121.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

67800 in Iowa vs other payment areas
  1. Iowa · this page$121.48
  2. Los Angeles, CA · California$146.09+$24.61
  3. Washington, DC area · District of Columbia$147.93+$26.45
  4. Miami, FL · Florida$139.54+$18.06
  5. Chicago, IL · Illinois$136.08+$14.60
  6. Manhattan, NY · New York$148.83+$27.35
  7. Alaska · Alaska$157.10+$35.62

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

Every other payment area

67800 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$118.86$80.57
ArkansasArkansas$117.37$79.79
ArizonaArizona$127.55$85.15
Bakersfield, CACalifornia$137.82$89.87
Chico, CACalifornia$137.46$89.51
El Centro, CACalifornia$137.48$89.53
Fresno, CACalifornia$137.46$89.51
Hanford, CACalifornia$137.46$89.51

67800 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$117.37

$157.10

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

View every state and territory as a table
67800 office rate range by state
State / territoryOffice rate rangeLocalities
AK$157.101
AL$118.861
AR$117.371
AZ$127.551
CA$137.46–$169.8029
CO$135.541
CT$138.531
DC$147.931
DE$129.481
FL$128.87–$139.543
GA$122.54–$132.772
GU$140.171
HI$140.171
IA$121.481
ID$122.171
IL$125.60–$136.084
IN$122.781
KS$120.981
KY$121.281
LA$121.11–$126.312
MA$134.89–$147.822
MD$131.73–$147.933
ME$122.72–$128.512
MI$124.01–$130.282
MN$130.361
MO$119.30–$126.713
MS$118.361
MT$130.591
NC$123.831
ND$128.421
NE$122.061
NH$133.471
NJ$140.25–$146.722
NM$124.601
NV$130.071
NY$125.45–$152.015
OH$123.571
OK$121.091
OR$129.18–$139.402
PA$123.74–$135.462
PR$131.441
RI$133.751
SC$123.881
SD$128.161
TN$121.511
TX$123.03–$134.988
UT$125.351
VA$128.14–$147.932
VI$131.441
VT$127.971
WA$134.62–$150.642
WI$124.651
WV$121.551
WY$129.641

See 67800 in every payment locality

How the 67800 rate is calculated

Each of 67800’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 · 67800

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense2.43

2.43 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

3.9100

Conversion factor

$33.4009

Medicare rate

$130.60

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,490

Code
67800
Physician work
1.37
Practice expense
2.43
Malpractice
0.11

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 67800 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0001.3700
Practice expense2.43× 0.9152.2235
Malpractice0.11× 0.3970.0437
Total RVUs3.6371
Conversion factor× 33.4009

Office rate, Iowa$121.48

Office: (1.37 × 1 + 2.43 × 0.915 + 0.11 × 0.397) × $33.4009 = $121.48

Facility: (1.37 × 1 + 1.12 × 0.915 + 0.11 × 0.397) × $33.4009 = $81.45

Open 67800 in the RVU calculator

Payment rules and modifiers for 67800

67800 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67800

Chalazion removal, single lesion

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)0The 150% bilateral adjustment doesn’t apply.
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 · 67800

Chalazion removal, single lesion

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 51 · payment effect

With and without the modifier

67800 without 51 · national office

$130.60

Chalazion removal, single lesion

67800-51 · Second procedure: 50%

$65.30

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 67800

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 67800
CodeHow it relatesOffice range, Iowa
Same family
67801Chalazion excision, multiple, same eyelidFor multiple chalazia on the same eyelid.$153.66
67805Chalazion excision, multiple, different eyelidsFor multiple chalazia involving different eyelids.$192.03
67808Eyelid lesion excision, full-thickness lid marginChalazion removal when performed under general anesthesia.No office rate
Used instead
67840Eyelid lesion excision, excludes chalazionFor excision of an eyelid lesion other than a chalazion.$257.12
67810Eyelid biopsy, eyelid skin or marginFor biopsy of an eyelid lesion rather than removal of a chalazion.$167.01

How 67800 has changed in Iowa

67800 · Office / nonfacility

$121.48

Effective 2026-10-01

The base rate is $4.99 higher than on 2025-10-01, moving from $116.49 to $121.48 (4.3%).

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

    $116.49changed to$121.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.41 changed to 1.37
    • Practice expense RVU 2.34 changed to 2.43
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $119.72changed to$116.49

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $117.77changed to$119.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $120.66changed to$117.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.34
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $120.72changed to$120.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.31
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $121.41changed to$120.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.23 changed to 2.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.96changed to$121.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.12 changed to 2.23
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $121.96changed to$121.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.13 changed to 2.12
    • Malpractice RVU 0.10 changed to 0.11
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $121.83changed to$121.96

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $119.26changed to$121.83

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.07 changed to 2.13
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $118.98changed to$119.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.08 changed to 2.07
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $119.41changed to$118.98

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $118.81changed to$119.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $120.57changed to$118.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.07 changed to 2.08
    • Malpractice RVU 0.23 changed to 0.10
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $119.90changed to$120.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.26 changed to 2.07
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $119.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$121.48$81.45RVU26D
2026-07-01$121.48$81.45RVU26C
2026-04-01$121.48$81.45RVU26B
2026-01-01$121.48$81.45RVU26A
2025-10-01$116.49$92.57RVU25D
2025-07-01$116.49$92.57RVU25C
2025-04-01$116.49$92.57RVU25B
2025-01-01$116.49$92.57RVU25A
2024-10-01$119.72$94.80RVU24D
2024-07-01$119.72$94.80RVU24C
2024-04-01$119.72$94.80RVU24B
2024-03-09$119.72$94.80RVU24AR
2024-01-01$117.77$93.26RVU24A
2023-10-01$120.66$95.37RVU23D
2023-07-01$120.66$95.37RVU23C
2023-04-01$120.66$95.37RVU23B
2023-01-01$120.66$95.37RVU23A
2022-10-01$120.72$95.61RVU22D
2022-07-01$120.72$95.61RVU22C
2022-04-01$120.72$95.61RVU22B
2022-01-01$120.72$95.61RVU22A
2021-10-01$121.41$96.72RVU21D
2021-07-01$121.41$96.72RVU21C
2021-04-01$121.41$96.72RVU21B
2021-01-01$121.41$96.72RVU21A
2020-10-01$121.96$98.07RVU20D
2020-07-01$121.96$98.07RVU20C
2020-04-01$121.96$98.07RVU20B
2020-01-01$121.96$98.07RVU20A
2019-10-01$121.96$98.76RVU19D
2019-07-01$121.96$98.76RVU19C
2019-04-01$121.96$98.76RVU19B
2019-01-01$121.96$98.76RVU19A
2018-10-01$121.83$99.30RVU18D
2018-07-01$121.83$99.30RVU18C
2018-04-01$121.83$99.30RVU18B
2018-01-01$121.83$99.30RVU18AR1
2017-10-01$119.26$98.54RVU17D
2017-07-01$119.26$98.54RVU17C
2017-04-01$119.26$98.54RVU17B
2017-01-01$119.26$98.54RVU17A
2016-10-01$118.98$97.80RVU16D
2016-07-01$118.98$97.80RVU16C
2016-04-01$118.98$97.80RVU16B
2016-01-01$118.98$97.80RVU16A
2015-10-01$119.41$98.16RVU15D
2015-07-01$119.41$98.16RVU15C
2015-04-01$118.81$97.67RVU15B
2015-01-01$118.81$97.67RVU15A
2014-10-01$120.57$100.12RVU14D
2014-07-01$120.57$100.12RVU14C
2014-04-01$120.57$100.12RVU14B
2014-01-01$120.57$100.12RVU14A
2013-10-01$119.90$98.17RVU13D
2013-07-01$119.90$98.17RVU13C
2013-04-01$119.90$98.17RVU13B
2013-01-01$119.90$98.17RVU13AR

Price 67800 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

67800 billing questions

When should 67800 be chosen over a multiple-chalazion code?

Use 67800 for removal of one chalazion. For more than one, choose the applicable sibling code based on lesion count, lid distribution, and anesthesia circumstances.

Is 67800 appropriate for a non-chalazion eyelid growth?

No. It is for a chalazion; a different code may apply to excision or biopsy of another eyelid lesion, depending on the service performed.

Can modifier 50 be appended for chalazia on both eyelids?

No. CMS identifies bilateral adjustment as inappropriate for 67800.

What documentation supports reporting 67800?

Record the chalazion diagnosis, the number and eyelid location of lesions, anesthesia, and the removal technique. The record should support that one chalazion was treated.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. The 10-day global period includes related postoperative visits.

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 67800PPRRVU2026_Oct_nonQPP.csv, line 7,490 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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