CPT code 67808: Eyelid lesion excision, full-thickness lid margin2026 Medicare rate & RVUs in Colorado

Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness.

CMS RVU26DEffective Oct 1, 2026One payment locality341 Medicare services in 2024

In Colorado, Medicare pays $328.45 for 67808 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$328.45Hospital or facility

Check a contract rate as a % of Medicare · 67808 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 67808 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 67808 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 67808 covers

An ophthalmologist or oculoplastic surgeon uses this code for excision of a non-chalazion eyelid lesion that involves the lid margin through its full thickness. The operative service may be performed in an office procedure room or an operating room. Examples of relevant documentation include the lesion’s eyelid location and the tissue depth and margin involvement that support full-thickness excision.

Choose this code based on the documented extent of the excision, not simply the presence of an eyelid growth or the number of lesions. The note should identify the lesion and describe the full-thickness lid-margin removal and any closure or reconstruction performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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 for this code; assistant-at-surgery payment is restricted, 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 Colorado compares for 67808

Across 109 of 109 payment localities, the facility rate for 67808 runs from $291.18 in Arkansas to $399.46 in San Benito County, CA. Colorado pays $328.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

67808 in Colorado vs other payment areas
  1. Colorado · this page$328.45
  2. Los Angeles, CA · California$350.04+$21.59
  3. Washington, DC area · District of Columbia$356.75+$28.30
  4. Miami, FL · Florida$344.64+$16.19
  5. Chicago, IL · Illinois$337.15+$8.70
  6. Manhattan, NY · New York$361.58+$33.13
  7. Alaska · Alaska$398.95+$70.50

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

Every other payment area

67808 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$294.33
ArkansasArkansas—$291.18
ArizonaArizona—$312.67
Bakersfield, CACalifornia—$332.40
Chico, CACalifornia—$331.20
El Centro, CACalifornia—$331.26
Fresno, CACalifornia—$331.20
Hanford, CACalifornia—$331.20

67808 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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67808 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 67808 in every payment locality

How the 67808 rate is calculated

Each of 67808’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 · 67808

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.49

4.49 RVUs× 1.000 GPCI

Practice expense4.70

4.70 RVUs× 1.000 GPCI

Malpractice0.37

0.37 RVUs× 1.000 GPCI

Adjusted RVUs

9.5600

Conversion factor

$33.4009

Medicare rate

$319.31

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,493

Code
67808
Physician work
4.49
Practice expense
4.70
Malpractice
0.37

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 67808 in Colorado
ComponentRVULocality factorAdjusted
Physician work4.49× 1.0124.5439
Practice expense4.70× 1.0645.0008
Malpractice0.37× 0.7810.2890
Total RVUs9.8337
Conversion factor× 33.4009

Facility rate, Colorado$328.45

Facility: (4.49 × 1.012 + 4.7 × 1.064 + 0.37 × 0.781) × $33.4009 = $328.45

Open 67808 in the RVU calculator

Payment rules and modifiers for 67808

67808 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67808

Eyelid lesion excision, full-thickness lid margin

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67808

Eyelid lesion excision, full-thickness lid margin

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

67808 without 51 · national facility

$319.31

Eyelid lesion excision, full-thickness lid margin

67808-51 · Second procedure: 50%

$159.66

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 67808 has changed in Colorado

67808 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$328.45RVU26D
2026-07-01Not available in this setting$328.45RVU26C
2026-04-01Not available in this setting$328.45RVU26B
2026-01-01Not available in this setting$328.45RVU26A
2025-10-01Not available in this setting$364.51RVU25D
2025-07-01Not available in this setting$364.51RVU25C
2025-04-01Not available in this setting$364.51RVU25B
2025-01-01Not available in this setting$364.51RVU25A
2024-10-01Not available in this setting$374.42RVU24D
2024-07-01Not available in this setting$374.42RVU24C
2024-04-01Not available in this setting$374.42RVU24B
2024-03-09Not available in this setting$374.42RVU24AR
2024-01-01Not available in this setting$368.31RVU24A
2023-10-01Not available in this setting$375.25RVU23D
2023-07-01Not available in this setting$375.25RVU23C
2023-04-01Not available in this setting$375.25RVU23B
2023-01-01Not available in this setting$375.25RVU23A
2022-10-01Not available in this setting$374.61RVU22D
2022-07-01Not available in this setting$374.61RVU22C
2022-04-01Not available in this setting$374.61RVU22B
2022-01-01Not available in this setting$374.61RVU22A
2021-10-01Not available in this setting$375.98RVU21D
2021-07-01Not available in this setting$375.98RVU21C
2021-04-01Not available in this setting$375.98RVU21B
2021-01-01Not available in this setting$375.98RVU21A
2020-10-01Not available in this setting$381.23RVU20D
2020-07-01Not available in this setting$381.23RVU20C
2020-04-01Not available in this setting$381.23RVU20B
2020-01-01Not available in this setting$381.23RVU20A
2019-10-01Not available in this setting$380.72RVU19D
2019-07-01Not available in this setting$380.72RVU19C
2019-04-01Not available in this setting$380.72RVU19B
2019-01-01Not available in this setting$380.72RVU19A
2018-10-01Not available in this setting$382.49RVU18D
2018-07-01Not available in this setting$382.49RVU18C
2018-04-01Not available in this setting$382.49RVU18B
2018-01-01Not available in this setting$382.49RVU18AR1
2017-10-01Not available in this setting$378.50RVU17D
2017-07-01Not available in this setting$378.50RVU17C
2017-04-01Not available in this setting$378.50RVU17B
2017-01-01Not available in this setting$378.50RVU17A
2016-10-01Not available in this setting$377.84RVU16D
2016-07-01Not available in this setting$377.84RVU16C
2016-04-01Not available in this setting$377.84RVU16B
2016-01-01Not available in this setting$377.84RVU16A
2015-10-01Not available in this setting$377.75RVU15D
2015-07-01Not available in this setting$377.75RVU15C
2015-04-01Not available in this setting$375.87RVU15B
2015-01-01Not available in this setting$375.87RVU15A
2014-10-01Not available in this setting$392.89RVU14D
2014-07-01Not available in this setting$392.89RVU14C
2014-04-01Not available in this setting$392.89RVU14B
2014-01-01Not available in this setting$392.89RVU14A
2013-10-01Not available in this setting$387.48RVU13D
2013-07-01Not available in this setting$387.48RVU13C
2013-04-01Not available in this setting$387.48RVU13B
2013-01-01Not available in this setting$387.48RVU13AR

Price 67808 for an earlier date of service

Where the Colorado rate applies

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

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

67808 billing questions

How does this differ from code 67810?

67808 is for excision meeting the full-thickness lid-margin criteria. 67810 describes an incisional biopsy, rather than that excisional service.

What documentation supports reporting 67808?

Document the lesion’s eyelid location and that the excision involved the lid margin through its full thickness. Include the extent of tissue removed and any closure or reconstruction performed.

Can modifier 50 be reported for lesions on both eyelids?

No. CMS identifies bilateral adjustment as inappropriate for this code. Do not append modifier 50.

How does the global period affect postoperative visits?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be billed?

Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted for this code.

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 67808PPRRVU2026_Oct_nonQPP.csv, line 7,493 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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