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

In South Dakota, Medicare pays $178.59 for 67810 in the office and $52.67 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $178.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67810 rates by state

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

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.

Payment rules and modifiers for 67810

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

What modifiers do to the payment

When to use modifier 50

Codes related to 67810

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

How 67810 has changed in South Dakota

Price 67810 for an earlier date of service

Where the South Dakota rate applies

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

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates