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

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 South Dakota, Medicare pays $161.67 for 67801 in the office and $106.90 when it’s performed in a hospital or facility.

$161.67Office (non-facility)
$106.90Hospital or facility
−2.0%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 South Dakota
  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 South Dakota 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. South Dakota pays $161.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

67801 in South Dakota vs other payment areas
  1. South Dakota · this page$161.67
  2. Los Angeles, CA · California$183.77+$22.10
  3. Washington, DC area · District of Columbia$186.34+$24.67
  4. Miami, FL · Florida$176.67+$15.00
  5. Chicago, IL · Illinois$172.41+$10.74
  6. Manhattan, NY · New York$187.77+$26.10
  7. Alaska · Alaska$200.17+$38.50

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 67801 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0001.8600
Practice expense2.93× 1.0002.9300
Malpractice0.15× 0.3360.0504
Total RVUs4.8404
Conversion factor× 33.4009

Office rate, South Dakota$161.67

Office: (1.86 × 1 + 2.93 × 1 + 0.15 × 0.336) × $33.4009 = $161.67

Facility: (1.86 × 1 + 1.29 × 1 + 0.15 × 0.336) × $33.4009 = $106.90

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

How 67801 has changed in South Dakota

67801 · Office / nonfacility

$161.67

Effective 2026-10-01

The base rate is $7.02 higher than on 2025-10-01, moving from $154.65 to $161.67 (4.5%).

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

    $154.65changed to$161.67

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $159.36changed to$154.65

    • 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

    $156.76changed to$159.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $161.03changed to$156.76

    • 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 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $161.22changed to$161.03

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $162.32changed to$161.22

    • 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

    $163.41changed to$162.32

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $164.14changed to$163.41

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $163.96changed to$164.14

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $161.33changed to$163.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.53 changed to 2.59
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $160.98changed to$161.33

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $161.56changed to$160.98

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $160.75changed to$161.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $163.91changed to$160.75

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $164.33changed to$163.91

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $164.33

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$161.67$106.90RVU26D
2026-07-01$161.67$106.90RVU26C
2026-04-01$161.67$106.90RVU26B
2026-01-01$161.67$106.90RVU26A
2025-10-01$154.65$123.60RVU25D
2025-07-01$154.65$123.60RVU25C
2025-04-01$154.65$123.60RVU25B
2025-01-01$154.65$123.60RVU25A
2024-10-01$159.36$126.74RVU24D
2024-07-01$159.36$126.74RVU24C
2024-04-01$159.36$126.74RVU24B
2024-03-09$159.36$126.74RVU24AR
2024-01-01$156.76$124.67RVU24A
2023-10-01$161.03$128.16RVU23D
2023-07-01$161.03$128.16RVU23C
2023-04-01$161.03$128.16RVU23B
2023-01-01$161.03$128.16RVU23A
2022-10-01$161.22$128.34RVU22D
2022-07-01$161.22$128.34RVU22C
2022-04-01$161.22$128.34RVU22B
2022-01-01$161.22$128.34RVU22A
2021-10-01$162.32$129.52RVU21D
2021-07-01$162.32$129.52RVU21C
2021-04-01$162.32$129.52RVU21B
2021-01-01$162.32$129.52RVU21A
2020-10-01$163.41$132.01RVU20D
2020-07-01$163.41$132.01RVU20C
2020-04-01$163.41$132.01RVU20B
2020-01-01$163.41$132.01RVU20A
2019-10-01$164.14$133.51RVU19D
2019-07-01$164.14$133.51RVU19C
2019-04-01$164.14$133.51RVU19B
2019-01-01$164.14$133.51RVU19A
2018-10-01$163.96$134.08RVU18D
2018-07-01$163.96$134.08RVU18C
2018-04-01$163.96$134.08RVU18B
2018-01-01$163.96$134.08RVU18AR1
2017-10-01$161.33$132.62RVU17D
2017-07-01$161.33$132.62RVU17C
2017-04-01$161.33$132.62RVU17B
2017-01-01$161.33$132.62RVU17A
2016-10-01$160.98$132.69RVU16D
2016-07-01$160.98$132.69RVU16C
2016-04-01$160.98$132.69RVU16B
2016-01-01$160.98$132.69RVU16A
2015-10-01$161.56$133.17RVU15D
2015-07-01$161.56$133.17RVU15C
2015-04-01$160.75$132.51RVU15B
2015-01-01$160.75$132.51RVU15A
2014-10-01$163.91$135.97RVU14D
2014-07-01$163.91$135.97RVU14C
2014-04-01$163.91$135.97RVU14B
2014-01-01$163.91$135.97RVU14A
2013-10-01$164.33$134.39RVU13D
2013-07-01$164.33$134.39RVU13C
2013-04-01$164.33$134.39RVU13B
2013-01-01$164.33$134.39RVU13AR

Price 67801 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67801 pays in South Dakota?

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

Fee sheets

Put 67801 and the rest of your codes on one sheet

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

Build my fee sheet