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CPT code 67801: Chalazion excision, multiple, same eyelid2026 Medicare rate & RVUs in Delaware

Report this service when a clinician excises multiple chalazia from one eyelid during the same session, rather than a single lesion or lesions on different lids.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Delaware, Medicare pays $163.63 for 67801 in the office and $109.51 when it’s performed in a hospital or facility.

$163.63Office (non-facility)
$109.51Hospital or facility
−0.8%vs the national office rate ($165.00)

Check a contract rate as a % of Medicare · 67801 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 67801 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 67801 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 67801 covers

An ophthalmologist or other qualified eye-care clinician uses this service to remove multiple chalazia from the same eyelid, commonly by opening and curetting the affected glands. It is typically performed in an office setting under local anesthesia when several persistent or symptomatic chalazia on one lid need treatment. The code is specific to chalazia; it is not the choice for a suspicious eyelid growth requiring biopsy or removal as a non-chalazion lesion.

Documentation should support that more than one chalazion was treated and that the lesions were on the same eyelid. Use the single-lesion code for one chalazion and the different-lids code when multiple lesions are treated on different eyelids. This minor procedure has a 10-day global period, so related postoperative visits during that 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 for an assistant at surgery, co-surgeons, or team surgery for this service.

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 Delaware compares for 67801

Across 109 of 109 payment localities, the office rate for 67801 runs from $148.77 in Arkansas to $212.77 in San Benito County, CA. Delaware pays $163.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

67801 in Delaware vs other payment areas
  1. Delaware · this page$163.63
  2. Los Angeles, CA · California$183.77+$20.14
  3. Washington, DC area · District of Columbia$186.34+$22.71
  4. Miami, FL · Florida$176.67+$13.04
  5. Chicago, IL · Illinois$172.41+$8.78
  6. Manhattan, NY · New York$187.77+$24.14
  7. Alaska · Alaska$200.17+$36.54

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

Every other payment area

67801 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$150.59$102.66
ArkansasArkansas$148.77$101.72
ArizonaArizona$161.25$108.17
Bakersfield, CACalifornia$173.62$113.58
Chico, CACalifornia$173.13$113.09
El Centro, CACalifornia$173.15$113.12
Fresno, CACalifornia$173.13$113.09
Hanford, CACalifornia$173.13$113.09

67801 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.

$148.77

$200.17

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

View every state and territory as a table
67801 office rate range by state
State / territoryOffice rate rangeLocalities
AK$200.171
AL$150.591
AR$148.771
AZ$161.251
CA$173.13–$212.7729
CO$170.911
CT$174.831
DC$186.341
DE$163.631
FL$163.21–$176.673
GA$155.39–$167.762
GU$176.301
HI$176.301
IA$153.661
ID$154.531
IL$159.31–$172.414
IN$155.281
KS$153.121
KY$153.711
LA$153.54–$159.912
MA$170.16–$185.982
MD$166.39–$186.343
ME$155.28–$162.272
MI$157.13–$165.012
MN$164.311
MO$151.36–$160.313
MS$150.091
MT$164.991
NC$156.631
ND$162.021
NE$154.351
NH$168.391
NJ$176.98–$184.912
NM$157.881
NV$164.261
NY$158.62–$191.775
OH$156.531
OK$153.411
OR$163.12–$175.572
PA$156.70–$171.102
PR$166.001
RI$168.871
SC$156.811
SD$161.671
TN$153.781
TX$155.84–$170.238
UT$158.621
VA$161.86–$186.342
VI$166.001
VT$161.551
WA$169.80–$189.412
WI$157.421
WV$154.341
WY$163.701

See 67801 in every payment locality

How the 67801 rate is calculated

Each of 67801’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 · 67801

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.86

1.86 RVUs× 1.000 GPCI

Practice expense2.93

2.93 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

4.9400

Conversion factor

$33.4009

Medicare rate

$165.00

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,491

Code
67801
Physician work
1.86
Practice expense
2.93
Malpractice
0.15

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 67801 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0051.8693
Practice expense2.93× 0.9882.8948
Malpractice0.15× 0.8990.1348
Total RVUs4.8990
Conversion factor× 33.4009

Office rate, Delaware$163.63

Office: (1.86 × 1.005 + 2.93 × 0.988 + 0.15 × 0.899) × $33.4009 = $163.63

Facility: (1.86 × 1.005 + 1.29 × 0.988 + 0.15 × 0.899) × $33.4009 = $109.51

Open 67801 in the RVU calculator

Payment rules and modifiers for 67801

67801 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67801

Chalazion excision, multiple, same 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)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 · 67801

Chalazion excision, multiple, same 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 51 · payment effect

With and without the modifier

67801 without 51 · national office

$165.00

Chalazion excision, multiple, same eyelid

67801-51 · Second procedure: 50%

$82.50

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 67801

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

Codes related to 67801
CodeHow it relatesOffice range, Delaware
Same family
67800Chalazion removal, single lesionUse for excision of a single chalazion rather than multiple lesions on one eyelid.$129.48
67805Chalazion excision, multiple, different eyelidsUse for multiple chalazia treated on different eyelids.$204.66
67808Eyelid lesion excision, full-thickness lid marginChalazion excision code for a different anesthesia circumstance.No office rate
Used instead
67810Eyelid biopsy, eyelid skin or marginBiopsy an eyelid lesion when tissue sampling is needed instead of chalazion treatment.$179.19
67840Eyelid lesion excision, excludes chalazionFor excision of an eyelid lesion that is not being treated as a chalazion.$275.21

How 67801 has changed in Delaware

67801 · Office / nonfacility

$163.63

Effective 2026-10-01

The base rate is $6.21 higher than on 2025-10-01, moving from $157.42 to $163.63 (3.9%).

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

    $157.42changed to$163.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 2.81 changed to 2.93
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $162.01changed to$157.42

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.82 changed to 2.81
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $159.37changed to$162.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $165.45changed to$159.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.78 changed to 2.82
    • Malpractice RVU 0.17 changed to 0.15
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $166.41changed to$165.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.70 changed to 2.78
    • Malpractice RVU 0.14 changed to 0.17
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $167.76changed to$166.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.69 changed to 2.70
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $168.84changed to$167.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.57 changed to 2.69
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $170.08changed to$168.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.59 changed to 2.57
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $169.89changed to$170.08

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $167.83changed to$169.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.53 changed to 2.59
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $168.03changed to$167.83

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $168.63changed to$168.03

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $167.80changed to$168.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $173.95changed to$167.80

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.52 changed to 2.53
    • Malpractice RVU 0.35 changed to 0.14
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $172.26changed to$173.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.76 changed to 2.52
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $172.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$163.63$109.51RVU26D
2026-07-01$163.63$109.51RVU26C
2026-04-01$163.63$109.51RVU26B
2026-01-01$163.63$109.51RVU26A
2025-10-01$157.42$126.61RVU25D
2025-07-01$157.42$126.61RVU25C
2025-04-01$157.42$126.61RVU25B
2025-01-01$157.42$126.61RVU25A
2024-10-01$162.01$129.65RVU24D
2024-07-01$162.01$129.65RVU24C
2024-04-01$162.01$129.65RVU24B
2024-03-09$162.01$129.65RVU24AR
2024-01-01$159.37$127.53RVU24A
2023-10-01$165.45$132.35RVU23D
2023-07-01$165.45$132.35RVU23C
2023-04-01$165.45$132.35RVU23B
2023-01-01$165.45$132.35RVU23A
2022-10-01$166.41$132.81RVU22D
2022-07-01$166.41$132.81RVU22C
2022-04-01$166.41$132.81RVU22B
2022-01-01$166.41$132.81RVU22A
2021-10-01$167.76$134.24RVU21D
2021-07-01$167.76$134.24RVU21C
2021-04-01$167.76$134.24RVU21B
2021-01-01$167.76$134.24RVU21A
2020-10-01$168.84$136.78RVU20D
2020-07-01$168.84$136.78RVU20C
2020-04-01$168.84$136.78RVU20B
2020-01-01$168.84$136.78RVU20A
2019-10-01$170.08$138.86RVU19D
2019-07-01$170.08$138.86RVU19C
2019-04-01$170.08$138.86RVU19B
2019-01-01$170.08$138.86RVU19A
2018-10-01$169.89$139.44RVU18D
2018-07-01$169.89$139.44RVU18C
2018-04-01$169.89$139.44RVU18B
2018-01-01$169.89$139.44RVU18AR1
2017-10-01$167.83$138.40RVU17D
2017-07-01$167.83$138.40RVU17C
2017-04-01$167.83$138.40RVU17B
2017-01-01$167.83$138.40RVU17A
2016-10-01$168.03$138.87RVU16D
2016-07-01$168.03$138.87RVU16C
2016-04-01$168.03$138.87RVU16B
2016-01-01$168.03$138.87RVU16A
2015-10-01$168.63$139.37RVU15D
2015-07-01$168.63$139.37RVU15C
2015-04-01$167.80$138.67RVU15B
2015-01-01$167.80$138.67RVU15A
2014-10-01$173.95$144.95RVU14D
2014-07-01$173.95$144.95RVU14C
2014-04-01$173.95$144.95RVU14B
2014-01-01$173.95$144.95RVU14A
2013-10-01$172.26$141.00RVU13D
2013-07-01$172.26$141.00RVU13C
2013-04-01$172.26$141.00RVU13B
2013-01-01$172.26$141.00RVU13AR

Price 67801 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

67801 billing questions

How does this differ from 67800?

67800 is for one chalazion. Use 67801 when multiple chalazia are treated on the same eyelid.

When should 67805 be reported instead?

67805 applies when multiple chalazia are treated on different eyelids. 67801 is for multiple lesions on one eyelid.

Can modifier 50 be used if both eyes are treated?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate. Select the code that reflects the number of lesions and eyelids treated.

Are postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

What documentation supports this code?

Record the treated chalazia and the eyelid on which they were located. The record should establish that multiple lesions, rather than a single lesion, were treated on that same lid.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery, co-surgeon, or team surgeon is not paid for this service.

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 67801PPRRVU2026_Oct_nonQPP.csv, line 7,491 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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