CPT code 67800: Chalazion removal, single lesion2026 Medicare rate & RVUs in Michigan
Removal of one chalazion from an eyelid, typically by an ophthalmologist when conservative treatment has not resolved the localized lump.
Medicare pays $124.01–$130.28 for 67800 in the office in Michigan, from Rest of Michigan to Detroit, MI. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 67800 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | $130.28 | $88.05 |
| Rest of Michigan | $124.01 | $84.06 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
67800 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67801Chalazion excisionMultiple, same eyelid
- 67800 is for one chalazion. Choose 67801 when multiple chalazia are removed from the same eyelid.
- 67805Chalazion excisionMultiple, different eyelids
- 67805 is the multiple-chalazion code for lesions involving different eyelids; 67800 is for one chalazion.
- 67840Eyelid lesion excisionExcludes chalazion
- 67800 is specific to a chalazion. 67840 is for excision of a different type of eyelid lesion.
- 67810Eyelid biopsyEyelid skin or margin
- 67810 describes an eyelid lesion biopsy. Use 67800 when the procedure removes a diagnosed chalazion.
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
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