FeeBase
Log inGet started
Menu

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

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 New Mexico, Medicare pays $124.60 for 67800 in the office and $84.48 when it’s performed in a hospital or facility.

$124.60Office (non-facility)
$84.48Hospital or facility
−4.6%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 New Mexico
  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 New Mexico 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. New Mexico pays $124.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

67800 in New Mexico vs other payment areas
  1. New Mexico · this page$124.60
  2. Los Angeles, CA · California$146.09+$21.49
  3. Washington, DC area · District of Columbia$147.93+$23.33
  4. Miami, FL · Florida$139.54+$14.94
  5. Chicago, IL · Illinois$136.08+$11.48
  6. Manhattan, NY · New York$148.83+$24.23
  7. Alaska · Alaska$157.10+$32.50

Other areas in New Mexico 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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 67800 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0001.3700
Practice expense2.43× 0.9172.2283
Malpractice0.11× 1.2010.1321
Total RVUs3.7304
Conversion factor× 33.4009

Office rate, New Mexico$124.60

Office: (1.37 × 1 + 2.43 × 0.917 + 0.11 × 1.201) × $33.4009 = $124.60

Facility: (1.37 × 1 + 1.12 × 0.917 + 0.11 × 1.201) × $33.4009 = $84.48

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, New Mexico
Same family
67801Chalazion excision, multiple, same eyelidFor multiple chalazia on the same eyelid.$157.88
67805Chalazion excision, multiple, different eyelidsFor multiple chalazia involving different eyelids.$197.12
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.$262.10
67810Eyelid biopsy, eyelid skin or marginFor biopsy of an eyelid lesion rather than removal of a chalazion.$170.24

How 67800 has changed in New Mexico

67800 · Office / nonfacility

$124.60

Effective 2026-10-01

The base rate is $5.71 higher than on 2025-10-01, moving from $118.89 to $124.60 (4.8%).

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

    $118.89changed to$124.60

    • 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 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $121.95changed to$118.89

    • 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

    $119.96changed to$121.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $122.75changed to$119.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.34
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $122.69changed to$122.75

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.31
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $123.39changed to$122.69

    • 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

    $125.15changed to$123.39

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.12 changed to 2.23
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $126.01changed to$125.15

    • 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
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $125.87changed to$126.01

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $123.27changed to$125.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.07 changed to 2.13
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $123.08changed to$123.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.08 changed to 2.07
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $123.53changed to$123.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $122.91changed to$123.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $127.47changed to$122.91

    • 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 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $126.55changed to$127.47

    • 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 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $126.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$124.60$84.48RVU26D
2026-07-01$124.60$84.48RVU26C
2026-04-01$124.60$84.48RVU26B
2026-01-01$124.60$84.48RVU26A
2025-10-01$118.89$95.09RVU25D
2025-07-01$118.89$95.09RVU25C
2025-04-01$118.89$95.09RVU25B
2025-01-01$118.89$95.09RVU25A
2024-10-01$121.95$97.17RVU24D
2024-07-01$121.95$97.17RVU24C
2024-04-01$121.95$97.17RVU24B
2024-03-09$121.95$97.17RVU24AR
2024-01-01$119.96$95.58RVU24A
2023-10-01$122.75$97.68RVU23D
2023-07-01$122.75$97.68RVU23C
2023-04-01$122.75$97.68RVU23B
2023-01-01$122.75$97.68RVU23A
2022-10-01$122.69$97.88RVU22D
2022-07-01$122.69$97.88RVU22C
2022-04-01$122.69$97.88RVU22B
2022-01-01$122.69$97.88RVU22A
2021-10-01$123.39$99.01RVU21D
2021-07-01$123.39$99.01RVU21C
2021-04-01$123.39$99.01RVU21B
2021-01-01$123.39$99.01RVU21A
2020-10-01$125.15$101.23RVU20D
2020-07-01$125.15$101.23RVU20C
2020-04-01$125.15$101.23RVU20B
2020-01-01$125.15$101.23RVU20A
2019-10-01$126.01$102.44RVU19D
2019-07-01$126.01$102.44RVU19C
2019-04-01$126.01$102.44RVU19B
2019-01-01$126.01$102.44RVU19A
2018-10-01$125.87$102.99RVU18D
2018-07-01$125.87$102.99RVU18C
2018-04-01$125.87$102.99RVU18B
2018-01-01$125.87$102.99RVU18AR1
2017-10-01$123.27$102.14RVU17D
2017-07-01$123.27$102.14RVU17C
2017-04-01$123.27$102.14RVU17B
2017-01-01$123.27$102.14RVU17A
2016-10-01$123.08$101.36RVU16D
2016-07-01$123.08$101.36RVU16C
2016-04-01$123.08$101.36RVU16B
2016-01-01$123.08$101.36RVU16A
2015-10-01$123.53$101.73RVU15D
2015-07-01$123.53$101.73RVU15C
2015-04-01$122.91$101.22RVU15B
2015-01-01$122.91$101.22RVU15A
2014-10-01$127.47$106.43RVU14D
2014-07-01$127.47$106.43RVU14C
2014-04-01$127.47$106.43RVU14B
2014-01-01$127.47$106.43RVU14A
2013-10-01$126.55$104.11RVU13D
2013-07-01$126.55$104.11RVU13C
2013-04-01$126.55$104.11RVU13B
2013-01-01$126.55$104.11RVU13AR

Price 67800 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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 New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67800 pays in New Mexico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 67800 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet