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CPT code 67805: Chalazion excision, multiple, different eyelids2026 Medicare rate & RVUs in Rhode Island

Reports excision of multiple chalazia located on different eyelids, typically by an ophthalmologist treating obstructed meibomian glands.

CMS RVU26DEffective Oct 1, 2026One payment locality842 Medicare services in 2024

In Rhode Island, Medicare pays $211.35 for 67805 in the office and $141.31 when it’s performed in a hospital or facility.

$211.35Office (non-facility)
$141.31Hospital or facility
+2.4%vs the national office rate ($206.42)

Check a contract rate as a % of Medicare · 67805 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 67805 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Rhode Island
  2. What 67805 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 67805 covers

An ophthalmologist typically reports this procedure when treating multiple chalazia on different eyelids. A chalazion is a localized lump caused by blockage and inflammation of an eyelid’s meibomian gland. Treatment generally involves opening the affected area and curetting the obstructed material, often in an office setting. This code distinguishes lesions on different eyelids from multiple chalazia confined to one eyelid.

Document the chalazia treated and identify the different eyelids involved; the number and location of lesions support selection of this code over a single-lesion or same-eyelid code. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple 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 for this code. Medicare does not pay an assistant at surgery, and 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 Rhode Island compares for 67805

Across 109 of 109 payment localities, the office rate for 67805 runs from $185.65 in Arkansas to $267.70 in San Benito County, CA. Rhode Island pays $211.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

67805 in Rhode Island vs other payment areas
  1. Rhode Island · this page$211.35
  2. Los Angeles, CA · California$230.59+$19.24
  3. Washington, DC area · District of Columbia$233.62+$22.27
  4. Miami, FL · Florida$220.80+$9.45
  5. Chicago, IL · Illinois$215.35+$4.00
  6. Manhattan, NY · New York$235.17+$23.82
  7. Alaska · Alaska$248.85+$37.50

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

Every other payment area

67805 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$187.98$128.66
ArkansasArkansas$185.65$127.41
ArizonaArizona$201.63$135.93
Bakersfield, CACalifornia$217.62$143.31
Chico, CACalifornia$217.04$142.72
El Centro, CACalifornia$217.07$142.75
Fresno, CACalifornia$217.04$142.72
Hanford, CACalifornia$217.04$142.72

67805 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.

$185.65

$248.85

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

View every state and territory as a table
67805 office rate range by state
State / territoryOffice rate rangeLocalities
AK$248.851
AL$187.981
AR$185.651
AZ$201.631
CA$217.04–$267.7029
CO$214.091
CT$218.901
DC$233.621
DE$204.661
FL$203.87–$220.803
GA$193.90–$209.872
GU$221.231
HI$221.231
IA$192.031
ID$193.121
IL$198.79–$215.354
IN$194.091
KS$191.281
KY$191.861
LA$191.61–$199.772
MA$213.09–$233.342
MD$208.18–$233.623
ME$194.02–$203.062
MI$196.18–$206.112
MN$205.861
MO$188.79–$200.353
MS$187.251
MT$206.411
NC$195.771
ND$202.851
NE$192.931
NH$210.861
NJ$221.60–$231.732
NM$197.121
NV$205.541
NY$198.30–$240.225
OH$195.451
OK$191.531
OR$204.13–$220.112
PA$195.71–$214.102
PR$207.721
RI$211.351
SC$195.891
SD$202.431
TN$192.111
TX$194.60–$213.228
UT$198.211
VA$202.50–$233.622
VI$207.721
VT$202.181
WA$212.65–$237.742
WI$196.941
WV$192.431
WY$204.851

See 67805 in every payment locality

How the 67805 rate is calculated

Each of 67805’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 · 67805

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.21

2.21 RVUs× 1.000 GPCI

Practice expense3.79

3.79 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

6.1800

Conversion factor

$33.4009

Medicare rate

$206.42

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

The exact Rhode Island inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,492

Code
67805
Physician work
2.21
Practice expense
3.79
Malpractice
0.18

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 67805 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work2.21× 1.0192.2520
Practice expense3.79× 1.0333.9151
Malpractice0.18× 0.8920.1606
Total RVUs6.3276
Conversion factor× 33.4009

Office rate, Rhode Island$211.35

Office: (2.21 × 1.019 + 3.79 × 1.033 + 0.18 × 0.892) × $33.4009 = $211.35

Facility: (2.21 × 1.019 + 1.76 × 1.033 + 0.18 × 0.892) × $33.4009 = $141.31

Open 67805 in the RVU calculator

Payment rules and modifiers for 67805

67805 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67805

Chalazion excision, multiple, different eyelids

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 · 67805

Chalazion excision, multiple, different eyelids

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

67805 without 51 · national office

$206.42

Chalazion excision, multiple, different eyelids

67805-51 · Second procedure: 50%

$103.21

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 67805

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

Codes related to 67805
CodeHow it relatesOffice range, Rhode Island
Same family
67800Chalazion removal, single lesionChalazion excision for a single lesion.$133.75
67801Chalazion excision, multiple, same eyelidChalazion excision for multiple lesions on the same eyelid.$168.87
67808Eyelid lesion excision, full-thickness lid marginChalazion excision code for the specified general-anesthesia circumstance.No office rate
Used instead
67840Eyelid lesion excision, excludes chalazionExcision for an eyelid lesion other than a chalazion.$285.31
67810Eyelid biopsy, eyelid skin or marginEyelid lesion biopsy when tissue sampling, rather than chalazion excision, is performed.$185.95

How 67805 has changed in Rhode Island

67805 · Office / nonfacility

$211.35

Effective 2026-10-01

The base rate is $9.09 higher than on 2025-10-01, moving from $202.26 to $211.35 (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

    $202.26changed to$211.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.27 changed to 2.21
    • Practice expense RVU 3.64 changed to 3.79
    • Malpractice RVU 0.17 changed to 0.18
    • Work GPCI 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $208.78changed to$202.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.65 changed to 3.64
    • Malpractice RVU 0.18 changed to 0.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $205.37changed to$208.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $210.93changed to$205.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.65
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849

  5. January 1, 2023

    RVU23A

    $212.87changed to$210.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.58
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $213.21changed to$212.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.46 changed to 3.48
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $214.16changed to$213.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.29 changed to 3.46
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $215.77changed to$214.16

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.32 changed to 3.29
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $215.91changed to$215.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.33 changed to 3.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $211.57changed to$215.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.25 changed to 3.33
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $210.59changed to$211.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.26 changed to 3.25
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $210.97changed to$210.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.25 changed to 3.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $209.92changed to$210.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $220.18changed to$209.92

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.42 changed to 0.17
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$220.18

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$211.35$141.31RVU26D
2026-07-01$211.35$141.31RVU26C
2026-04-01$211.35$141.31RVU26B
2026-01-01$211.35$141.31RVU26A
2025-10-01$202.26$160.93RVU25D
2025-07-01$202.26$160.93RVU25C
2025-04-01$202.26$160.93RVU25B
2025-01-01$202.26$160.93RVU25A
2024-10-01$208.78$165.54RVU24D
2024-07-01$208.78$165.54RVU24C
2024-04-01$208.78$165.54RVU24B
2024-03-09$208.78$165.54RVU24AR
2024-01-01$205.37$162.84RVU24A
2023-10-01$210.93$168.12RVU23D
2023-07-01$210.93$168.12RVU23C
2023-04-01$210.93$168.12RVU23B
2023-01-01$210.93$168.12RVU23A
2022-10-01$212.87$169.35RVU22D
2022-07-01$212.87$169.35RVU22C
2022-04-01$212.87$169.35RVU22B
2022-01-01$212.87$169.35RVU22A
2021-10-01$213.21$169.70RVU21D
2021-07-01$213.21$169.70RVU21C
2021-04-01$213.21$169.70RVU21B
2021-01-01$213.21$169.70RVU21A
2020-10-01$214.16$172.89RVU20D
2020-07-01$214.16$172.89RVU20C
2020-04-01$214.16$172.89RVU20B
2020-01-01$214.16$172.89RVU20A
2019-10-01$215.77$174.52RVU19D
2019-07-01$215.77$174.52RVU19C
2019-04-01$215.77$174.52RVU19B
2019-01-01$215.77$174.52RVU19A
2018-10-01$215.91$175.09RVU18D
2018-07-01$215.91$175.09RVU18C
2018-04-01$215.91$175.09RVU18B
2018-01-01$215.91$175.09RVU18AR1
2017-10-01$211.57$173.06RVU17D
2017-07-01$211.57$173.06RVU17C
2017-04-01$211.57$173.06RVU17B
2017-01-01$211.57$173.06RVU17A
2016-10-01$210.59$171.76RVU16D
2016-07-01$210.59$171.76RVU16C
2016-04-01$210.59$171.76RVU16B
2016-01-01$210.59$171.76RVU16A
2015-10-01$210.97$172.76RVU15D
2015-07-01$210.97$172.76RVU15C
2015-04-01$209.92$171.90RVU15B
2015-01-01$209.92$171.90RVU15A
2014-10-01$220.18$181.70RVU14D
2014-07-01$220.18$181.70RVU14C
2014-04-01$220.18$181.70RVU14B
2014-01-01$220.18$181.70RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67805 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

67805 billing questions

When should 67805 be selected instead of 67801?

Use 67805 for multiple chalazia on different eyelids. Use 67801 when multiple chalazia are treated on the same eyelid.

Can modifier 50 be added when both eyes are treated?

No. The code describes treatment of multiple chalazia on different eyelids, and CMS identifies modifier 50 as inappropriate.

Are related postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the procedure’s global period.

How should the record support reporting 67805?

Document the chalazia treated and the different eyelids on which they were located. This distinguishes the service from treatment of multiple lesions on one eyelid.

Can an assistant or co-surgeon be reported for this procedure?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 67805PPRRVU2026_Oct_nonQPP.csv, line 7,492 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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