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

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 Utah, Medicare pays $198.21 for 67805 in the office and $134.47 when it’s performed in a hospital or facility.

$198.21Office (non-facility)
$134.47Hospital or facility
−4.0%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 Utah
  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 Utah 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. Utah pays $198.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

67805 in Utah vs other payment areas
  1. Utah · this page$198.21
  2. Los Angeles, CA · California$230.59+$32.38
  3. Washington, DC area · District of Columbia$233.62+$35.41
  4. Miami, FL · Florida$220.80+$22.59
  5. Chicago, IL · Illinois$215.35+$17.14
  6. Manhattan, NY · New York$235.17+$36.96
  7. Alaska · Alaska$248.85+$50.64

Other areas in Utah 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 67805 in Utah
ComponentRVULocality factorAdjusted
Physician work2.21× 1.0002.2100
Practice expense3.79× 0.9403.5626
Malpractice0.18× 0.8980.1616
Total RVUs5.9342
Conversion factor× 33.4009

Office rate, Utah$198.21

Office: (2.21 × 1 + 3.79 × 0.94 + 0.18 × 0.898) × $33.4009 = $198.21

Facility: (2.21 × 1 + 1.76 × 0.94 + 0.18 × 0.898) × $33.4009 = $134.47

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, Utah
Same family
67800Chalazion removal, single lesionChalazion excision for a single lesion.$125.35
67801Chalazion excision, multiple, same eyelidChalazion excision for multiple lesions on the same eyelid.$158.62
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.$265.07
67810Eyelid biopsy, eyelid skin or marginEyelid lesion biopsy when tissue sampling, rather than chalazion excision, is performed.$172.32

How 67805 has changed in Utah

67805 · Office / nonfacility

$198.21

Effective 2026-10-01

The base rate is $9.82 higher than on 2025-10-01, moving from $188.39 to $198.21 (5.2%).

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

    $188.39changed to$198.21

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $194.49changed to$188.39

    • 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

    $191.32changed to$194.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $194.54changed to$191.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.65
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $194.48changed to$194.54

    • 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
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $194.90changed to$194.48

    • 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

    $197.19changed to$194.90

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $199.86changed to$197.19

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $199.98changed to$199.86

    • 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

    $196.48changed to$199.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.25 changed to 3.33
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $196.01changed to$196.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.26 changed to 3.25
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $196.38changed to$196.01

    • 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

    $195.41changed to$196.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $205.40changed to$195.41

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.42 changed to 0.17
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $204.68changed to$205.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.56 changed to 3.25
    • Malpractice RVU 0.44 changed to 0.42
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $204.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$198.21$134.47RVU26D
2026-07-01$198.21$134.47RVU26C
2026-04-01$198.21$134.47RVU26B
2026-01-01$198.21$134.47RVU26A
2025-10-01$188.39$151.27RVU25D
2025-07-01$188.39$151.27RVU25C
2025-04-01$188.39$151.27RVU25B
2025-01-01$188.39$151.27RVU25A
2024-10-01$194.49$155.67RVU24D
2024-07-01$194.49$155.67RVU24C
2024-04-01$194.49$155.67RVU24B
2024-03-09$194.49$155.67RVU24AR
2024-01-01$191.32$153.13RVU24A
2023-10-01$194.54$156.57RVU23D
2023-07-01$194.54$156.57RVU23C
2023-04-01$194.54$156.57RVU23B
2023-01-01$194.54$156.57RVU23A
2022-10-01$194.48$156.32RVU22D
2022-07-01$194.48$156.32RVU22C
2022-04-01$194.48$156.32RVU22B
2022-01-01$194.48$156.32RVU22A
2021-10-01$194.90$156.74RVU21D
2021-07-01$194.90$156.74RVU21C
2021-04-01$194.90$156.74RVU21B
2021-01-01$194.90$156.74RVU21A
2020-10-01$197.19$160.88RVU20D
2020-07-01$197.19$160.88RVU20C
2020-04-01$197.19$160.88RVU20B
2020-01-01$197.19$160.88RVU20A
2019-10-01$199.86$163.45RVU19D
2019-07-01$199.86$163.45RVU19C
2019-04-01$199.86$163.45RVU19B
2019-01-01$199.86$163.45RVU19A
2018-10-01$199.98$163.93RVU18D
2018-07-01$199.98$163.93RVU18C
2018-04-01$199.98$163.93RVU18B
2018-01-01$199.98$163.93RVU18AR1
2017-10-01$196.48$162.62RVU17D
2017-07-01$196.48$162.62RVU17C
2017-04-01$196.48$162.62RVU17B
2017-01-01$196.48$162.62RVU17A
2016-10-01$196.01$162.01RVU16D
2016-07-01$196.01$162.01RVU16C
2016-04-01$196.01$162.01RVU16B
2016-01-01$196.01$162.01RVU16A
2015-10-01$196.38$162.92RVU15D
2015-07-01$196.38$162.92RVU15C
2015-04-01$195.41$162.11RVU15B
2015-01-01$195.41$162.11RVU15A
2014-10-01$205.40$171.82RVU14D
2014-07-01$205.40$171.82RVU14C
2014-04-01$205.40$171.82RVU14B
2014-01-01$205.40$171.82RVU14A
2013-10-01$204.68$169.15RVU13D
2013-07-01$204.68$169.15RVU13C
2013-04-01$204.68$169.15RVU13B
2013-01-01$204.68$169.15RVU13AR

Price 67805 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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