CPT code 67808: Eyelid lesion excision, full-thickness lid margin2026 Medicare rate & RVUs in Guam
Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness.
CMS doesn’t publish an office rate for 67808 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
67808 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | $335.62 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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%).
67808 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67800Chalazion removalSingle lesion
- 67800 covers a different eyelid lesion excision scope. Report 67808 when the operative documentation supports full-thickness involvement of the lid margin.
- 67810Eyelid biopsyEyelid skin or margin
- 67810 is an incisional biopsy. Use 67808 for excision meeting the full-thickness lid-margin criteria, not for tissue sampling alone.
- 67840Eyelid lesion excisionExcludes chalazion
- Both codes concern eyelid lesion excision, but their defined service scopes differ. Match the code to the documented extent and nature of the procedure.
- 67850Eyelid lesion destructionMargin lesion under 1 cm
- 67850 describes destruction of a lid-margin lesion. 67808 is for surgical excision through the full thickness of the lid margin.
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
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