CPT code 67801: Chalazion excision, multiple, same eyelid2026 Medicare rate & RVUs in Idaho
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.
In Idaho, Medicare pays $154.53 for 67801 in the office and $104.14 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Idaho 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. Idaho pays $154.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$154.53
- Los Angeles, CA · California$183.77+$29.24
- Washington, DC area · District of Columbia$186.34+$31.81
- Miami, FL · Florida$176.67+$22.14
- Chicago, IL · Illinois$172.41+$17.88
- Manhattan, NY · New York$187.77+$33.24
- Alaska · Alaska$200.17+$45.64
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $173.13 | $113.09 |
| Merced, CACalifornia | $173.13 | $113.09 |
| Modesto, CACalifornia | $173.13 | $113.09 |
| Napa, CACalifornia | $197.57 | $125.37 |
| Oxnard, CACalifornia | $182.66 | $117.92 |
| Redding, CACalifornia | $173.13 | $113.09 |
| Rest of CaliforniaCalifornia | $173.13 | $113.09 |
| Riverside, CACalifornia | $174.78 | $114.74 |
| Sacramento, CACalifornia | $180.86 | $117.16 |
| Salinas, CACalifornia | $180.16 | $116.68 |
| San Diego, CACalifornia | $183.75 | $118.24 |
| Marin County, CACalifornia | $208.32 | $131.08 |
| San Francisco, CACalifornia | $208.15 | $130.91 |
| San Benito County, CACalifornia | $212.77 | $133.78 |
| Santa Clara County, CACalifornia | $212.07 | $133.08 |
| San Luis Obispo, CACalifornia | $177.34 | $114.94 |
| Santa Cruz, CACalifornia | $185.02 | $118.47 |
| Santa Maria, CACalifornia | $180.66 | $116.79 |
| Santa Rosa, CACalifornia | $186.85 | $119.59 |
| Stockton, CACalifornia | $173.13 | $113.09 |
| Vallejo, CACalifornia | $197.32 | $125.13 |
| Visalia, CACalifornia | $173.13 | $113.09 |
| Yuba City, CACalifornia | $173.13 | $113.09 |
| ColoradoColorado | $170.91 | $112.63 |
| ConnecticutConnecticut | $174.83 | $115.84 |
| DelawareDelaware | $163.63 | $109.51 |
| Fort Lauderdale, FLFlorida | $170.32 | $114.83 |
| Rest of FloridaFlorida | $163.21 | $110.85 |
| Atlanta, GAGeorgia | $167.76 | $112.11 |
| Rest of GeorgiaGeorgia | $155.39 | $106.53 |
| Hawaii, Guam, HIHawaii | $176.30 | $114.02 |
| IowaIowa | $153.66 | $103.54 |
| East St. Louis, ILIllinois | $162.25 | $111.86 |
| Rest of IllinoisIllinois | $159.31 | $109.30 |
| Suburban Chicago, ILIllinois | $171.95 | $115.69 |
| IndianaIndiana | $155.28 | $104.50 |
| KansasKansas | $153.12 | $103.60 |
| KentuckyKentucky | $153.71 | $105.01 |
| New Orleans, LALouisiana | $159.91 | $108.36 |
| Rest of LouisianaLouisiana | $153.54 | $105.06 |
| Metropolitan Boston, MAMassachusetts | $185.98 | $120.58 |
| Rest of MassachusettsMassachusetts | $170.16 | $112.48 |
| Baltimore area, MDMaryland | $174.33 | $115.55 |
| Rest of MarylandMaryland | $166.39 | $110.95 |
| Rest of MaineMaine | $155.28 | $104.88 |
| Southern Maine, MEMaine | $162.27 | $107.99 |
| Detroit, MIMichigan | $165.01 | $112.15 |
| Rest of MichiganMichigan | $157.13 | $107.12 |
| MinnesotaMinnesota | $164.31 | $107.95 |
| Metropolitan Kansas City, MOMissouri | $158.92 | $107.48 |
| Metropolitan St. Louis, MOMissouri | $160.31 | $108.16 |
| Rest of MissouriMissouri | $151.36 | $104.15 |
| MississippiMississippi | $150.09 | $102.93 |
| MontanaMontana | $164.99 | $110.21 |
| North CarolinaNorth Carolina | $156.63 | $105.53 |
| North DakotaNorth Dakota | $162.02 | $107.25 |
| NebraskaNebraska | $154.35 | $103.79 |
| New HampshireNew Hampshire | $168.39 | $111.36 |
| Northern New JerseyNew Jersey | $184.91 | $121.37 |
| Rest of New JerseyNew Jersey | $176.98 | $117.16 |
| New MexicoNew Mexico | $157.88 | $107.65 |
| NevadaNevada | $164.26 | $109.43 |
| NYC suburbs and Long Island, NYNew York | $191.77 | $126.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $178.15 | $118.16 |
| Queens, NYNew York | $189.00 | $124.26 |
| Rest of New YorkNew York | $158.62 | $106.58 |
| OhioOhio | $156.53 | $106.51 |
| OklahomaOklahoma | $153.41 | $104.50 |
| Portland, OROregon | $175.57 | $114.72 |
| Rest of OregonOregon | $163.12 | $108.56 |
| Metropolitan Philadelphia, PAPennsylvania | $171.10 | $114.07 |
| Rest of PennsylvaniaPennsylvania | $156.70 | $106.41 |
| Puerto RicoPuerto Rico | $166.00 | $110.62 |
| Rhode IslandRhode Island | $168.87 | $112.28 |
| South CarolinaSouth Carolina | $156.81 | $106.20 |
| South DakotaSouth Dakota | $161.67 | $106.90 |
| TennesseeTennessee | $153.78 | $103.98 |
| Austin, TXTexas | $170.23 | $112.28 |
| Beaumont, TXTexas | $155.84 | $105.99 |
| Brazoria, TXTexas | $163.51 | $109.23 |
| Dallas, TXTexas | $164.46 | $109.90 |
| Fort Worth, TXTexas | $163.54 | $109.53 |
| Galveston, TXTexas | $163.95 | $109.56 |
| Houston, TXTexas | $166.70 | $112.30 |
| Rest of TexasTexas | $159.52 | $107.54 |
| UtahUtah | $158.62 | $107.13 |
| VirginiaVirginia | $161.86 | $108.02 |
| Virgin Islands, VIUnited States Virgin Islands | $166.00 | $110.62 |
| VermontVermont | $161.55 | $107.32 |
| Rest of WashingtonWashington | $169.80 | $112.12 |
| King County, WAWashington | $189.41 | $122.19 |
| WisconsinWisconsin | $157.42 | $104.95 |
| West VirginiaWest Virginia | $154.34 | $106.74 |
| WyomingWyoming | $163.70 | $108.92 |
67801 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.
$148.77
$200.17
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $200.17 | 1 |
| AL | $150.59 | 1 |
| AR | $148.77 | 1 |
| AZ | $161.25 | 1 |
| CA | $173.13–$212.77 | 29 |
| CO | $170.91 | 1 |
| CT | $174.83 | 1 |
| DC | $186.34 | 1 |
| DE | $163.63 | 1 |
| FL | $163.21–$176.67 | 3 |
| GA | $155.39–$167.76 | 2 |
| GU | $176.30 | 1 |
| HI | $176.30 | 1 |
| IA | $153.66 | 1 |
| ID | $154.53 | 1 |
| IL | $159.31–$172.41 | 4 |
| IN | $155.28 | 1 |
| KS | $153.12 | 1 |
| KY | $153.71 | 1 |
| LA | $153.54–$159.91 | 2 |
| MA | $170.16–$185.98 | 2 |
| MD | $166.39–$186.34 | 3 |
| ME | $155.28–$162.27 | 2 |
| MI | $157.13–$165.01 | 2 |
| MN | $164.31 | 1 |
| MO | $151.36–$160.31 | 3 |
| MS | $150.09 | 1 |
| MT | $164.99 | 1 |
| NC | $156.63 | 1 |
| ND | $162.02 | 1 |
| NE | $154.35 | 1 |
| NH | $168.39 | 1 |
| NJ | $176.98–$184.91 | 2 |
| NM | $157.88 | 1 |
| NV | $164.26 | 1 |
| NY | $158.62–$191.77 | 5 |
| OH | $156.53 | 1 |
| OK | $153.41 | 1 |
| OR | $163.12–$175.57 | 2 |
| PA | $156.70–$171.10 | 2 |
| PR | $166.00 | 1 |
| RI | $168.87 | 1 |
| SC | $156.81 | 1 |
| SD | $161.67 | 1 |
| TN | $153.78 | 1 |
| TX | $155.84–$170.23 | 8 |
| UT | $158.62 | 1 |
| VA | $161.86–$186.34 | 2 |
| VI | $166.00 | 1 |
| VT | $161.55 | 1 |
| WA | $169.80–$189.41 | 2 |
| WI | $157.42 | 1 |
| WV | $154.34 | 1 |
| WY | $163.70 | 1 |
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
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 Idaho 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
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.000 | 1.8600 |
| Practice expense | 2.93 | × 0.920 | 2.6956 |
| Malpractice | 0.15 | × 0.473 | 0.0709 |
| Total RVUs | 4.6265 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$154.53
Office: (1.86 × 1 + 2.93 × 0.92 + 0.15 × 0.473) × $33.4009 = $154.53
Facility: (1.86 × 1 + 1.29 × 0.92 + 0.15 × 0.473) × $33.4009 = $104.14
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
| 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 · 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.
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%).
How 67801 has changed in Idaho
67801 · Office / nonfacility
$154.53
Effective 2026-10-01
The base rate is $7.83 higher than on 2025-10-01, moving from $146.70 to $154.53 (5.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$146.70changed to$154.53
- 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
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$151.12changed to$146.70
- 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.
March 9, 2024
RVU24AR
$148.65changed to$151.12
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$151.38changed to$148.65
- 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
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$150.06changed to$151.38
- 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
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$151.14changed to$150.06
- 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.
January 1, 2021
RVU21A
$153.66changed to$151.14
- 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
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$155.61changed to$153.66
- 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
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$155.44changed to$155.61
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$152.83changed to$155.44
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.53 changed to 2.59
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$152.28changed to$152.83
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$152.83changed to$152.28
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$152.07changed to$152.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$156.28changed to$152.07
- 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 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$156.52changed to$156.28
- 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 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $156.52
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $154.53 | $104.14 | RVU26D |
| 2026-07-01 | $154.53 | $104.14 | RVU26C |
| 2026-04-01 | $154.53 | $104.14 | RVU26B |
| 2026-01-01 | $154.53 | $104.14 | RVU26A |
| 2025-10-01 | $146.70 | $118.50 | RVU25D |
| 2025-07-01 | $146.70 | $118.50 | RVU25C |
| 2025-04-01 | $146.70 | $118.50 | RVU25B |
| 2025-01-01 | $146.70 | $118.50 | RVU25A |
| 2024-10-01 | $151.12 | $121.50 | RVU24D |
| 2024-07-01 | $151.12 | $121.50 | RVU24C |
| 2024-04-01 | $151.12 | $121.50 | RVU24B |
| 2024-03-09 | $151.12 | $121.50 | RVU24AR |
| 2024-01-01 | $148.65 | $119.51 | RVU24A |
| 2023-10-01 | $151.38 | $122.03 | RVU23D |
| 2023-07-01 | $151.38 | $122.03 | RVU23C |
| 2023-04-01 | $151.38 | $122.03 | RVU23B |
| 2023-01-01 | $151.38 | $122.03 | RVU23A |
| 2022-10-01 | $150.06 | $121.23 | RVU22D |
| 2022-07-01 | $150.06 | $121.23 | RVU22C |
| 2022-04-01 | $150.06 | $121.23 | RVU22B |
| 2022-01-01 | $150.06 | $121.23 | RVU22A |
| 2021-10-01 | $151.14 | $122.38 | RVU21D |
| 2021-07-01 | $151.14 | $122.38 | RVU21C |
| 2021-04-01 | $151.14 | $122.38 | RVU21B |
| 2021-01-01 | $151.14 | $122.38 | RVU21A |
| 2020-10-01 | $153.66 | $125.71 | RVU20D |
| 2020-07-01 | $153.66 | $125.71 | RVU20C |
| 2020-04-01 | $153.66 | $125.71 | RVU20B |
| 2020-01-01 | $153.66 | $125.71 | RVU20A |
| 2019-10-01 | $155.61 | $127.98 | RVU19D |
| 2019-07-01 | $155.61 | $127.98 | RVU19C |
| 2019-04-01 | $155.61 | $127.98 | RVU19B |
| 2019-01-01 | $155.61 | $127.98 | RVU19A |
| 2018-10-01 | $155.44 | $128.49 | RVU18D |
| 2018-07-01 | $155.44 | $128.49 | RVU18C |
| 2018-04-01 | $155.44 | $128.49 | RVU18B |
| 2018-01-01 | $155.44 | $128.49 | RVU18AR1 |
| 2017-10-01 | $152.83 | $126.99 | RVU17D |
| 2017-07-01 | $152.83 | $126.99 | RVU17C |
| 2017-04-01 | $152.83 | $126.99 | RVU17B |
| 2017-01-01 | $152.83 | $126.99 | RVU17A |
| 2016-10-01 | $152.28 | $126.88 | RVU16D |
| 2016-07-01 | $152.28 | $126.88 | RVU16C |
| 2016-04-01 | $152.28 | $126.88 | RVU16B |
| 2016-01-01 | $152.28 | $126.88 | RVU16A |
| 2015-10-01 | $152.83 | $127.34 | RVU15D |
| 2015-07-01 | $152.83 | $127.34 | RVU15C |
| 2015-04-01 | $152.07 | $126.70 | RVU15B |
| 2015-01-01 | $152.07 | $126.70 | RVU15A |
| 2014-10-01 | $156.28 | $131.24 | RVU14D |
| 2014-07-01 | $156.28 | $131.24 | RVU14C |
| 2014-04-01 | $156.28 | $131.24 | RVU14B |
| 2014-01-01 | $156.28 | $131.24 | RVU14A |
| 2013-10-01 | $156.52 | $129.76 | RVU13D |
| 2013-07-01 | $156.52 | $129.76 | RVU13C |
| 2013-04-01 | $156.52 | $129.76 | RVU13B |
| 2013-01-01 | $156.52 | $129.76 | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
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
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