CPT code 67820: Eyelash epilation, forceps technique2026 Medicare rate & RVUs in Montana
Forceps epilation removes misdirected eyelashes that irritate the eye, typically when a clinician treats trichiasis in an office or outpatient setting.
In Montana, Medicare pays $18.70 for 67820 in the office and $19.04 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 67820 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 67820 covers
This service treats trichiasis by pulling misdirected eyelashes with forceps. The lashes may rub the cornea or conjunctiva and cause irritation or injury. An ophthalmologist or other qualified ophthalmic clinician commonly performs the treatment in an office or outpatient setting. The technique is specific: the clinician removes the offending lashes with forceps rather than using an alternative method or surgically altering the lid margin or tarsus.
Report the service when documentation supports trichiasis and forceps removal of the lashes. Record the treated eye and side, the clinical problem, and the method used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Montana compares for 67820
Across 109 of 109 payment localities, the office rate for 67820 runs from $17.30 in Arkansas to $24.08 in Alaska. Montana pays $18.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$18.70
- Los Angeles, CA · California$20.31+$1.61
- Washington, DC area · District of Columbia$20.71+$2.01
- Miami, FL · Florida$20.04+$1.34
- Chicago, IL · Illinois$19.68+$0.98
- Manhattan, NY · New York$21.00+$2.30
- Alaska · Alaska$24.08+$5.38
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $17.45 | $17.75 |
| ArkansasArkansas | $17.30 | $17.58 |
| ArizonaArizona | $18.37 | $18.69 |
| Bakersfield, CACalifornia | $19.38 | $19.74 |
| Chico, CACalifornia | $19.31 | $19.67 |
| El Centro, CACalifornia | $19.31 | $19.68 |
| Fresno, CACalifornia | $19.31 | $19.67 |
| Hanford, CACalifornia | $19.31 | $19.67 |
| Madera, CACalifornia | $19.31 | $19.67 |
| Merced, CACalifornia | $19.31 | $19.67 |
| Modesto, CACalifornia | $19.31 | $19.67 |
| Napa, CACalifornia | $21.47 | $21.91 |
| Oxnard, CACalifornia | $20.14 | $20.54 |
| Redding, CACalifornia | $19.31 | $19.67 |
| Rest of CaliforniaCalifornia | $19.31 | $19.67 |
| Riverside, CACalifornia | $19.53 | $19.90 |
| Sacramento, CACalifornia | $20.02 | $20.41 |
| Salinas, CACalifornia | $19.94 | $20.32 |
| San Diego, CACalifornia | $20.21 | $20.61 |
| Marin County, CACalifornia | $22.48 | $22.95 |
| San Francisco, CACalifornia | $22.45 | $22.92 |
| San Benito County, CACalifornia | $22.93 | $23.41 |
| Santa Clara County, CACalifornia | $22.84 | $23.32 |
| San Luis Obispo, CACalifornia | $19.64 | $20.02 |
| Santa Cruz, CACalifornia | $20.26 | $20.67 |
| Santa Maria, CACalifornia | $19.96 | $20.35 |
| Santa Rosa, CACalifornia | $20.46 | $20.87 |
| Stockton, CACalifornia | $19.31 | $19.67 |
| Vallejo, CACalifornia | $21.44 | $21.88 |
| Visalia, CACalifornia | $19.31 | $19.67 |
| Yuba City, CACalifornia | $19.31 | $19.67 |
| ColoradoColorado | $19.17 | $19.53 |
| ConnecticutConnecticut | $19.64 | $20.00 |
| DelawareDelaware | $18.60 | $18.93 |
| Fort Lauderdale, FLFlorida | $19.34 | $19.68 |
| Rest of FloridaFlorida | $18.70 | $19.02 |
| Atlanta, GAGeorgia | $18.99 | $19.33 |
| Rest of GeorgiaGeorgia | $18.00 | $18.30 |
| Hawaii, Guam, HIHawaii | $19.48 | $19.86 |
| IowaIowa | $17.65 | $17.95 |
| IdahoIdaho | $17.74 | $18.05 |
| East St. Louis, ILIllinois | $18.77 | $19.07 |
| Rest of IllinoisIllinois | $18.41 | $18.72 |
| Suburban Chicago, ILIllinois | $19.50 | $19.84 |
| IndianaIndiana | $17.80 | $18.11 |
| KansasKansas | $17.64 | $17.94 |
| KentuckyKentucky | $17.79 | $18.09 |
| New Orleans, LALouisiana | $18.34 | $18.66 |
| Rest of LouisianaLouisiana | $17.79 | $18.09 |
| Metropolitan Boston, MAMassachusetts | $20.55 | $20.94 |
| Rest of MassachusettsMassachusetts | $19.14 | $19.49 |
| Baltimore area, MDMaryland | $19.59 | $19.95 |
| Rest of MarylandMaryland | $18.85 | $19.18 |
| Rest of MaineMaine | $17.84 | $18.14 |
| Southern Maine, MEMaine | $18.39 | $18.72 |
| Detroit, MIMichigan | $18.89 | $19.22 |
| Rest of MichiganMichigan | $18.12 | $18.43 |
| MinnesotaMinnesota | $18.46 | $18.80 |
| Metropolitan Kansas City, MOMissouri | $18.22 | $18.53 |
| Metropolitan St. Louis, MOMissouri | $18.34 | $18.66 |
| Rest of MissouriMissouri | $17.63 | $17.91 |
| MississippiMississippi | $17.46 | $17.75 |
| North CarolinaNorth Carolina | $17.95 | $18.26 |
| North DakotaNorth Dakota | $18.31 | $18.64 |
| NebraskaNebraska | $17.70 | $18.01 |
| New HampshireNew Hampshire | $18.94 | $19.28 |
| Northern New JerseyNew Jersey | $20.63 | $21.02 |
| Rest of New JerseyNew Jersey | $19.89 | $20.25 |
| New MexicoNew Mexico | $18.20 | $18.51 |
| NevadaNevada | $18.60 | $18.93 |
| NYC suburbs and Long Island, NYNew York | $21.39 | $21.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $20.04 | $20.41 |
| Queens, NYNew York | $21.06 | $21.46 |
| Rest of New YorkNew York | $18.12 | $18.44 |
| OhioOhio | $18.04 | $18.35 |
| OklahomaOklahoma | $17.73 | $18.03 |
| Portland, OROregon | $19.55 | $19.92 |
| Rest of OregonOregon | $18.48 | $18.81 |
| Metropolitan Philadelphia, PAPennsylvania | $19.33 | $19.68 |
| Rest of PennsylvaniaPennsylvania | $18.04 | $18.34 |
| Puerto RicoPuerto Rico | $18.78 | $19.12 |
| Rhode IslandRhode Island | $19.08 | $19.43 |
| South CarolinaSouth Carolina | $18.02 | $18.33 |
| South DakotaSouth Dakota | $18.26 | $18.59 |
| TennesseeTennessee | $17.70 | $18.00 |
| Austin, TXTexas | $19.09 | $19.45 |
| Beaumont, TXTexas | $17.97 | $18.27 |
| Brazoria, TXTexas | $18.57 | $18.90 |
| Dallas, TXTexas | $18.67 | $19.00 |
| Fort Worth, TXTexas | $18.60 | $18.93 |
| Galveston, TXTexas | $18.62 | $18.95 |
| Houston, TXTexas | $18.98 | $19.32 |
| Rest of TexasTexas | $18.25 | $18.56 |
| UtahUtah | $18.18 | $18.49 |
| VirginiaVirginia | $18.38 | $18.71 |
| Virgin Islands, VIUnited States Virgin Islands | $18.78 | $19.12 |
| VermontVermont | $18.30 | $18.63 |
| Rest of WashingtonWashington | $19.09 | $19.44 |
| King County, WAWashington | $20.84 | $21.25 |
| WisconsinWisconsin | $17.92 | $18.24 |
| West VirginiaWest Virginia | $17.99 | $18.28 |
| WyomingWyoming | $18.53 | $18.86 |
67820 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$17.30
$24.08
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $24.08 | 1 |
| AL | $17.45 | 1 |
| AR | $17.30 | 1 |
| AZ | $18.37 | 1 |
| CA | $19.31–$22.93 | 29 |
| CO | $19.17 | 1 |
| CT | $19.64 | 1 |
| DC | $20.71 | 1 |
| DE | $18.60 | 1 |
| FL | $18.70–$20.04 | 3 |
| GA | $18.00–$18.99 | 2 |
| GU | $19.48 | 1 |
| HI | $19.48 | 1 |
| IA | $17.65 | 1 |
| ID | $17.74 | 1 |
| IL | $18.41–$19.68 | 4 |
| IN | $17.80 | 1 |
| KS | $17.64 | 1 |
| KY | $17.79 | 1 |
| LA | $17.79–$18.34 | 2 |
| MA | $19.14–$20.55 | 2 |
| MD | $18.85–$20.71 | 3 |
| ME | $17.84–$18.39 | 2 |
| MI | $18.12–$18.89 | 2 |
| MN | $18.46 | 1 |
| MO | $17.63–$18.34 | 3 |
| MS | $17.46 | 1 |
| MT | $18.70 | 1 |
| NC | $17.95 | 1 |
| ND | $18.31 | 1 |
| NE | $17.70 | 1 |
| NH | $18.94 | 1 |
| NJ | $19.89–$20.63 | 2 |
| NM | $18.20 | 1 |
| NV | $18.60 | 1 |
| NY | $18.12–$21.39 | 5 |
| OH | $18.04 | 1 |
| OK | $17.73 | 1 |
| OR | $18.48–$19.55 | 2 |
| PA | $18.04–$19.33 | 2 |
| PR | $18.78 | 1 |
| RI | $19.08 | 1 |
| SC | $18.02 | 1 |
| SD | $18.26 | 1 |
| TN | $17.70 | 1 |
| TX | $17.97–$19.09 | 8 |
| UT | $18.18 | 1 |
| VA | $18.38–$20.71 | 2 |
| VI | $18.78 | 1 |
| VT | $18.30 | 1 |
| WA | $19.09–$20.84 | 2 |
| WI | $17.92 | 1 |
| WV | $17.99 | 1 |
| WY | $18.53 | 1 |
How the 67820 rate is calculated
Each of 67820’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 · 67820
RVUs × geographic indexes × conversion factor
Work0.31
0.31 RVUs× 1.000 GPCI
Practice expense0.23
0.23 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.5600
Conversion factor
$33.4009
Medicare rate
$18.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,495
- Code
- 67820
- Physician work
- 0.31
- Practice expense
- 0.23
- Malpractice
- 0.02
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.23 | × 1.000 | 0.2300 |
| Malpractice | 0.02 | × 0.998 | 0.0200 |
| Total RVUs | 0.5600 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$18.70
Office: (0.31 × 1 + 0.23 × 1 + 0.02 × 0.998) × $33.4009 = $18.70
Facility: (0.31 × 1 + 0.24 × 1 + 0.02 × 0.998) × $33.4009 = $19.04
Payment rules and modifiers for 67820
The CMS indicators that decide how 67820 is paid alongside other services.
CMS payment indicators · 67820
Eyelash epilation, forceps technique
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67820 without 50 · national office
$18.70
Eyelash epilation, forceps technique
67820-50 · Bilateral: 150%
$28.05
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).
How 67820 has changed in Montana
67820 · Office / nonfacility
$18.70
Effective 2026-10-01
The base rate is $0.60 higher than on 2025-10-01, moving from $18.10 to $18.70 (3.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$18.10changed to$18.70
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.32 changed to 0.31
- Practice expense RVU 0.22 changed to 0.23
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$18.63changed to$18.10
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$18.32changed to$18.63
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$19.30changed to$18.32
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.23 changed to 0.22
January 1, 2023
RVU23A
$19.36changed to$19.30
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.22 changed to 0.23
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$21.27changed to$19.36
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.27 changed to 0.22
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$27.29changed to$21.27
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.41 changed to 0.27
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$33.97changed to$27.29
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.59 changed to 0.41
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$41.85changed to$33.97
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.81 changed to 0.59
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$51.58changed to$41.85
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 0.71 changed to 0.32
- Practice expense RVU 0.67 changed to 0.81
- Malpractice RVU 0.04 changed to 0.02
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$50.81changed to$51.58
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.66 changed to 0.67
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$50.99changed to$50.81
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$50.74changed to$50.99
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$53.67changed to$50.74
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.11 changed to 0.04
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$52.78changed to$53.67
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.72 changed to 0.66
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $52.78
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $18.70 | $19.04 | RVU26D |
| 2026-07-01 | $18.70 | $19.04 | RVU26C |
| 2026-04-01 | $18.70 | $19.04 | RVU26B |
| 2026-01-01 | $18.70 | $19.04 | RVU26A |
| 2025-10-01 | $18.10 | $21.33 | RVU25D |
| 2025-07-01 | $18.10 | $21.33 | RVU25C |
| 2025-04-01 | $18.10 | $21.33 | RVU25B |
| 2025-01-01 | $18.10 | $21.33 | RVU25A |
| 2024-10-01 | $18.63 | $21.96 | RVU24D |
| 2024-07-01 | $18.63 | $21.96 | RVU24C |
| 2024-04-01 | $18.63 | $21.96 | RVU24B |
| 2024-03-09 | $18.63 | $21.96 | RVU24AR |
| 2024-01-01 | $18.32 | $21.60 | RVU24A |
| 2023-10-01 | $19.30 | $22.01 | RVU23D |
| 2023-07-01 | $19.30 | $22.01 | RVU23C |
| 2023-04-01 | $19.30 | $22.01 | RVU23B |
| 2023-01-01 | $19.30 | $22.01 | RVU23A |
| 2022-10-01 | $19.36 | $22.13 | RVU22D |
| 2022-07-01 | $19.36 | $22.13 | RVU22C |
| 2022-04-01 | $19.36 | $22.13 | RVU22B |
| 2022-01-01 | $19.36 | $22.13 | RVU22A |
| 2021-10-01 | $21.27 | $22.66 | RVU21D |
| 2021-07-01 | $21.27 | $22.66 | RVU21C |
| 2021-04-01 | $21.27 | $22.66 | RVU21B |
| 2021-01-01 | $21.27 | $22.66 | RVU21A |
| 2020-10-01 | $27.29 | $29.09 | RVU20D |
| 2020-07-01 | $27.29 | $29.09 | RVU20C |
| 2020-04-01 | $27.29 | $29.09 | RVU20B |
| 2020-01-01 | $27.29 | $29.09 | RVU20A |
| 2019-10-01 | $33.97 | $36.13 | RVU19D |
| 2019-07-01 | $33.97 | $36.13 | RVU19C |
| 2019-04-01 | $33.97 | $36.13 | RVU19B |
| 2019-01-01 | $33.97 | $36.13 | RVU19A |
| 2018-10-01 | $41.85 | $44.37 | RVU18D |
| 2018-07-01 | $41.85 | $44.37 | RVU18C |
| 2018-04-01 | $41.85 | $44.37 | RVU18B |
| 2018-01-01 | $41.85 | $44.37 | RVU18AR1 |
| 2017-10-01 | $51.58 | $54.81 | RVU17D |
| 2017-07-01 | $51.58 | $54.81 | RVU17C |
| 2017-04-01 | $51.58 | $54.81 | RVU17B |
| 2017-01-01 | $51.58 | $54.81 | RVU17A |
| 2016-10-01 | $50.81 | $54.39 | RVU16D |
| 2016-07-01 | $50.81 | $54.39 | RVU16C |
| 2016-04-01 | $50.81 | $54.39 | RVU16B |
| 2016-01-01 | $50.81 | $54.39 | RVU16A |
| 2015-10-01 | $50.99 | $54.58 | RVU15D |
| 2015-07-01 | $50.99 | $54.58 | RVU15C |
| 2015-04-01 | $50.74 | $54.31 | RVU15B |
| 2015-01-01 | $50.74 | $54.31 | RVU15A |
| 2014-10-01 | $53.67 | $57.25 | RVU14D |
| 2014-07-01 | $53.67 | $57.25 | RVU14C |
| 2014-04-01 | $53.67 | $57.25 | RVU14B |
| 2014-01-01 | $53.67 | $57.25 | RVU14A |
| 2013-10-01 | $52.78 | $56.52 | RVU13D |
| 2013-07-01 | $52.78 | $56.52 | RVU13C |
| 2013-04-01 | $52.78 | $56.52 | RVU13B |
| 2013-01-01 | $52.78 | $56.52 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
67820 billing questions
How does 67820 differ from 67825?
67820 is for removing misdirected lashes with forceps. 67825 is used when epilation is performed by a method other than forceps, such as electrosurgery or cryotherapy.
When is 67830 more appropriate?
Use 67830 when the clinician corrects trichiasis through an incision-based lid-margin procedure, rather than simply removing lashes with forceps.
What should the note document?
Document trichiasis, the affected eye and side, the lashes or area treated, and that forceps were used for removal.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure: modifier 50 is paid at 150%. Document treatment on both sides and follow applicable claim-format instructions.
Are same-day evaluation and postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The service is also subject to the standard multiple procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. 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
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