FeeBase
Log inGet started
Menu

CPT code 67810: Eyelid biopsy, eyelid skin or margin2026 Medicare rate & RVUs in Puerto Rico

Ophthalmologists report this incisional eyelid biopsy to sample suspicious eyelid skin or lid-margin tissue when diagnosis is needed without complete lesion excision.

CMS RVU26DEffective Oct 1, 2026One payment locality16.9K Medicare services in 2024

In Puerto Rico, Medicare pays $182.51 for 67810 in the office and $55.20 when it’s performed in a hospital or facility.

$182.51Office (non-facility)
$55.20Hospital or facility
+0.8%vs the national office rate ($181.03)

Check a contract rate as a % of Medicare · 67810 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 67810 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 67810 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 67810 covers

An ophthalmologist, often an oculoplastic surgeon, takes a tissue sample from eyelid skin or the lid margin for diagnostic evaluation. Typical situations include a suspicious, changing, ulcerated, or nonhealing eyelid growth. The service may be performed in an office or facility setting, and the sample is submitted for tissue examination. This code describes obtaining a biopsy sample, not removing the entire lesion as treatment.

Report 67810 when the procedure is an incisional biopsy of eyelid skin or margin; document the sampled site, the lesion’s clinical appearance, and that tissue was obtained for diagnosis. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; 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 Puerto Rico compares for 67810

Across 109 of 109 payment localities, the office rate for 67810 runs from $159.66 in Arkansas to $244.97 in San Benito County, CA. Puerto Rico pays $182.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

67810 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$182.51
  2. Los Angeles, CA · California$206.80+$24.29
  3. Washington, DC area · District of Columbia$208.25+$25.74
  4. Miami, FL · Florida$192.35+$9.84
  5. Chicago, IL · Illinois$186.75+$4.24
  6. Manhattan, NY · New York$208.15+$25.64
  7. Alaska · Alaska$207.62+$25.11

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

Every other payment area

67810 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$162.07$51.89
ArkansasArkansas$159.66$51.49
ArizonaArizona$176.20$54.18
Bakersfield, CACalifornia$193.67$55.66
Chico, CACalifornia$193.32$55.31
El Centro, CACalifornia$193.34$55.33
Fresno, CACalifornia$193.32$55.31
Hanford, CACalifornia$193.32$55.31

67810 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.

$159.66

$219.14

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

View every state and territory as a table
67810 office rate range by state
State / territoryOffice rate rangeLocalities
AK$207.621
AL$162.071
AR$159.661
AZ$176.201
CA$193.32–$244.9729
CO$189.581
CT$193.271
DC$208.251
DE$179.191
FL$176.77–$192.353
GA$166.73–$184.112
GU$198.521
HI$198.521
IA$167.011
ID$167.981
IL$171.01–$187.894
IN$169.001
KS$165.871
KY$165.301
LA$164.90–$173.332
MA$188.27–$209.162
MD$182.78–$208.253
ME$168.53–$178.432
MI$169.42–$178.692
MN$182.481
MO$161.76–$174.373
MS$160.761
MT$181.031
NC$170.401
ND$178.851
NE$168.051
NH$186.271
NJ$195.71–$205.932
NM$170.241
NV$180.561
NY$172.99–$212.905
OH$168.971
OK$165.351
OR$179.39–$196.132
PA$169.44–$188.132
PR$182.511
RI$185.951
SC$169.921
SD$178.591
TN$166.691
TX$168.27–$188.758
UT$172.321
VA$177.59–$208.252
VI$182.511
VT$177.831
WA$188.02–$213.822
WI$172.651
WV$164.411
WY$180.081

See 67810 in every payment locality

How the 67810 rate is calculated

Each of 67810’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 · 67810

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.15

1.15 RVUs× 1.000 GPCI

Practice expense4.16

4.16 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

5.4200

Conversion factor

$33.4009

Medicare rate

$181.03

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,494

Code
67810
Physician work
1.15
Practice expense
4.16
Malpractice
0.11

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 67810 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.15× 1.0001.1500
Practice expense4.16× 1.0114.2058
Malpractice0.11× 0.9850.1084
Total RVUs5.4641
Conversion factor× 33.4009

Office rate, Puerto Rico$182.51

Office: (1.15 × 1 + 4.16 × 1.011 + 0.11 × 0.985) × $33.4009 = $182.51

Facility: (1.15 × 1 + 0.39 × 1.011 + 0.11 × 0.985) × $33.4009 = $55.20

Open 67810 in the RVU calculator

Payment rules and modifiers for 67810

The CMS indicators that decide how 67810 is paid alongside other services.

CMS payment indicators · 67810

Eyelid biopsy, eyelid skin or margin

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67810 without 50 · national office

$181.03

Eyelid biopsy, eyelid skin or margin

67810-50 · Bilateral: 150%

$271.55

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 67810

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

Codes related to 67810
CodeHow it relatesOffice range, Puerto Rico
Used instead
67840Eyelid lesion excision, excludes chalazionUsed for excision of an eyelid lesion rather than an incisional diagnostic sample.$280.06
68100Conjunctival biopsy, diagnostic tissue samplingBiopsy code for conjunctival tissue; 67810 is for eyelid skin or margin.$181.09
11102Tangential skin biopsy, first or only lesionA skin-biopsy code for a different site and method; 67810 is eyelid-specific.$96.29

How 67810 has changed in Puerto Rico

67810 · Office / nonfacility

$182.51

Effective 2026-10-01

The base rate is $6.65 higher than on 2025-10-01, moving from $175.86 to $182.51 (3.8%).

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

    $175.86changed to$182.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.18 changed to 1.15
    • Practice expense RVU 4.11 changed to 4.16
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $184.00changed to$175.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.21 changed to 4.11
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $180.99changed to$184.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $189.17changed to$180.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.26 changed to 4.21
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $188.07changed to$189.17

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $193.19changed to$188.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $194.09changed to$193.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.24 changed to 4.26

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $186.20changed to$194.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.84 changed to 4.24
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $180.71changed to$186.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.67 changed to 3.84
    • Malpractice RVU 0.14 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $176.88changed to$180.71

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.56 changed to 3.67
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $154.56changed to$176.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.54 changed to 3.56
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $132.93changed to$154.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.53 changed to 3.54
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $133.05changed to$132.93

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.52 changed to 3.53
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $132.39changed to$133.05

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $129.20changed to$132.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.44 changed to 3.52
    • Malpractice RVU 0.17 changed to 0.14
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $131.40changed to$129.20

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.89 changed to 3.44
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $131.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$182.51$55.20RVU26D
2026-07-01$182.51$55.20RVU26C
2026-04-01$182.51$55.20RVU26B
2026-01-01$182.51$55.20RVU26A
2025-10-01$175.86$66.08RVU25D
2025-07-01$175.86$66.08RVU25C
2025-04-01$175.86$66.08RVU25B
2025-01-01$175.86$66.08RVU25A
2024-10-01$184.00$67.01RVU24D
2024-07-01$184.00$67.01RVU24C
2024-04-01$184.00$67.01RVU24B
2024-03-09$184.00$67.01RVU24AR
2024-01-01$180.99$65.92RVU24A
2023-10-01$189.17$68.25RVU23D
2023-07-01$188.07$68.11RVU23C
2023-04-01$188.07$68.11RVU23B
2023-01-01$188.07$68.11RVU23A
2022-10-01$193.19$68.66RVU22D
2022-07-01$193.19$68.66RVU22C
2022-04-01$193.19$68.66RVU22B
2022-01-01$193.19$68.66RVU22A
2021-10-01$194.09$69.58RVU21D
2021-07-01$194.09$69.58RVU21C
2021-04-01$194.09$69.58RVU21B
2021-01-01$194.09$69.58RVU21A
2020-10-01$186.20$72.34RVU20D
2020-07-01$186.20$72.34RVU20C
2020-04-01$186.20$72.34RVU20B
2020-01-01$186.20$72.34RVU20A
2019-10-01$180.71$73.29RVU19D
2019-07-01$180.71$73.29RVU19C
2019-04-01$180.71$73.29RVU19B
2019-01-01$180.71$73.29RVU19A
2018-10-01$176.88$73.93RVU18D
2018-07-01$176.88$73.93RVU18C
2018-04-01$176.88$73.93RVU18B
2018-01-01$176.88$73.93RVU18AR1
2017-10-01$154.56$68.23RVU17D
2017-07-01$154.56$68.23RVU17C
2017-04-01$154.56$68.23RVU17B
2017-01-01$154.56$68.23RVU17A
2016-10-01$132.93$62.00RVU16D
2016-07-01$132.93$62.00RVU16C
2016-04-01$132.93$62.00RVU16B
2016-01-01$132.93$62.00RVU16A
2015-10-01$133.05$62.12RVU15D
2015-07-01$133.05$62.12RVU15C
2015-04-01$132.39$61.81RVU15B
2015-01-01$132.39$61.81RVU15A
2014-10-01$129.20$61.52RVU14D
2014-07-01$129.20$61.52RVU14C
2014-04-01$129.20$61.52RVU14B
2014-01-01$129.20$61.52RVU14A
2013-10-01$131.40$59.66RVU13D
2013-07-01$131.40$59.66RVU13C
2013-04-01$131.40$59.66RVU13B
2013-01-01$131.40$59.66RVU13AR

Price 67810 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

67810 billing questions

When should 67810 be chosen instead of 67840?

Use 67810 when tissue is sampled for diagnosis. Use 67840 when the eyelid lesion is excised rather than sampled.

Does 67810 include removal of the whole lesion?

No. It represents an incisional biopsy sample; document a complete excision separately when that is the service performed.

How is a bilateral eyelid biopsy reported?

CMS recognizes modifier 50 for bilateral reporting and pays the procedure at 150%. Document the eyelid sites sampled.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and the others at 50%.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

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 67810PPRRVU2026_Oct_nonQPP.csv, line 7,494 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67810 pays in Puerto Rico?

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

Fee sheets

Put 67810 and the rest of your codes on one sheet

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

Build my fee sheet