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

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 Nevada, Medicare pays $164.26 for 67801 in the office and $109.43 when it’s performed in a hospital or facility.

$164.26Office (non-facility)
$109.43Hospital or facility
−0.4%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 Nevada
  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 Nevada 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. Nevada pays $164.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

67801 in Nevada vs other payment areas
  1. Nevada · this page$164.26
  2. Los Angeles, CA · California$183.77+$19.51
  3. Washington, DC area · District of Columbia$186.34+$22.08
  4. Miami, FL · Florida$176.67+$12.41
  5. Chicago, IL · Illinois$172.41+$8.15
  6. Manhattan, NY · New York$187.77+$23.51
  7. Alaska · Alaska$200.17+$35.91

Other areas in Nevada 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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 67801 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0001.8600
Practice expense2.93× 1.0012.9329
Malpractice0.15× 0.8330.1249
Total RVUs4.9179
Conversion factor× 33.4009

Office rate, Nevada$164.26

Office: (1.86 × 1 + 2.93 × 1.001 + 0.15 × 0.833) × $33.4009 = $164.26

Facility: (1.86 × 1 + 1.29 × 1.001 + 0.15 × 0.833) × $33.4009 = $109.43

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, Nevada
Same family
67800Chalazion removal, single lesionUse for excision of a single chalazion rather than multiple lesions on one eyelid.$130.07
67805Chalazion excision, multiple, different eyelidsUse for multiple chalazia treated on different eyelids.$205.54
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.$180.56
67840Eyelid lesion excision, excludes chalazionFor excision of an eyelid lesion that is not being treated as a chalazion.$277.15

How 67801 has changed in Nevada

67801 · Office / nonfacility

$164.26

Effective 2026-10-01

The base rate is $7.22 higher than on 2025-10-01, moving from $157.04 to $164.26 (4.6%).

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

    $157.04changed to$164.26

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $161.66changed to$157.04

    • 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

    $159.03changed to$161.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $165.26changed to$159.03

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $166.41changed to$165.26

    • 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 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $167.91changed 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

    $167.26changed to$167.91

    • 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 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $168.49changed to$167.26

    • 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 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $168.30changed to$168.49

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $167.46changed to$168.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.53 changed to 2.59
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $168.86changed to$167.46

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $169.46changed to$168.86

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $168.62changed to$169.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $177.61changed to$168.62

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $179.84changed to$177.61

    • 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
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$179.84

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$164.26$109.43RVU26D
2026-07-01$164.26$109.43RVU26C
2026-04-01$164.26$109.43RVU26B
2026-01-01$164.26$109.43RVU26A
2025-10-01$157.04$125.99RVU25D
2025-07-01$157.04$125.99RVU25C
2025-04-01$157.04$125.99RVU25B
2025-01-01$157.04$125.99RVU25A
2024-10-01$161.66$129.04RVU24D
2024-07-01$161.66$129.04RVU24C
2024-04-01$161.66$129.04RVU24B
2024-03-09$161.66$129.04RVU24AR
2024-01-01$159.03$126.94RVU24A
2023-10-01$165.26$132.39RVU23D
2023-07-01$165.26$132.39RVU23C
2023-04-01$165.26$132.39RVU23B
2023-01-01$165.26$132.39RVU23A
2022-10-01$166.41$133.53RVU22D
2022-07-01$166.41$133.53RVU22C
2022-04-01$166.41$133.53RVU22B
2022-01-01$166.41$133.53RVU22A
2021-10-01$167.91$135.11RVU21D
2021-07-01$167.91$135.11RVU21C
2021-04-01$167.91$135.11RVU21B
2021-01-01$167.91$135.11RVU21A
2020-10-01$167.26$135.86RVU20D
2020-07-01$167.26$135.86RVU20C
2020-04-01$167.26$135.86RVU20B
2020-01-01$167.26$135.86RVU20A
2019-10-01$168.49$137.33RVU19D
2019-07-01$168.49$137.33RVU19C
2019-04-01$168.49$137.33RVU19B
2019-01-01$168.49$137.33RVU19A
2018-10-01$168.30$137.91RVU18D
2018-07-01$168.30$137.91RVU18C
2018-04-01$168.30$137.91RVU18B
2018-01-01$168.30$137.91RVU18AR1
2017-10-01$167.46$137.77RVU17D
2017-07-01$167.46$137.77RVU17C
2017-04-01$167.46$137.77RVU17B
2017-01-01$167.46$137.77RVU17A
2016-10-01$168.86$139.13RVU16D
2016-07-01$168.86$139.13RVU16C
2016-04-01$168.86$139.13RVU16B
2016-01-01$168.86$139.13RVU16A
2015-10-01$169.46$139.63RVU15D
2015-07-01$169.46$139.63RVU15C
2015-04-01$168.62$138.93RVU15B
2015-01-01$168.62$138.93RVU15A
2014-10-01$177.61$148.13RVU14D
2014-07-01$177.61$148.13RVU14C
2014-04-01$177.61$148.13RVU14B
2014-01-01$177.61$148.13RVU14A
2013-10-01$179.84$148.17RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67801 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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