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CPT code 67820: Eyelash epilation, forceps technique2026 Medicare rate & RVUs in Queens, NY

Forceps epilation removes misdirected eyelashes that irritate the eye, typically when a clinician treats trichiasis in an office or outpatient setting.

CMS RVU26DEffective Oct 1, 2026One payment locality142.2K Medicare services in 2024

In Queens, NY, Medicare pays $21.06 for 67820 in the office and $21.46 when it’s performed in a hospital or facility.

$21.06Office (non-facility)
$21.46Hospital or facility
+12.6%vs the national office rate ($18.70)

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.

We’ll open 67820 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 67820 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 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 Queens, NY 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. Queens, NY pays $21.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

67820 in Queens, NY vs other payment areas
  1. Queens, NY · this page$21.06
  2. Manhattan, NY · New York$21.00−$0.06
  3. NYC suburbs and Long Island, NY · New York$21.39+$0.33
  4. Poughkeepsie and northern NYC suburbs, NY · New York$20.04−$1.02
  5. Rest of New York · New York$18.12−$2.94
  6. Los Angeles, CA · California$20.31−$0.75
  7. Washington, DC area · District of Columbia$20.71−$0.35

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

Every other payment area

67820 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$20.04$20.39
Chicago, ILIllinois$19.68$20.02
AlaskaAlaska$24.08$24.44
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

67820 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.

$17.30

$24.08

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

View every state and territory as a table
67820 office rate range by state
State / territoryOffice rate rangeLocalities
AK$24.081
AL$17.451
AR$17.301
AZ$18.371
CA$19.31–$22.9329
CO$19.171
CT$19.641
DC$20.711
DE$18.601
FL$18.70–$20.043
GA$18.00–$18.992
GU$19.481
HI$19.481
IA$17.651
ID$17.741
IL$18.41–$19.684
IN$17.801
KS$17.641
KY$17.791
LA$17.79–$18.342
MA$19.14–$20.552
MD$18.85–$20.713
ME$17.84–$18.392
MI$18.12–$18.892
MN$18.461
MO$17.63–$18.343
MS$17.461
MT$18.701
NC$17.951
ND$18.311
NE$17.701
NH$18.941
NJ$19.89–$20.632
NM$18.201
NV$18.601
NY$18.12–$21.395
OH$18.041
OK$17.731
OR$18.48–$19.552
PA$18.04–$19.332
PR$18.781
RI$19.081
SC$18.021
SD$18.261
TN$17.701
TX$17.97–$19.098
UT$18.181
VA$18.38–$20.712
VI$18.781
VT$18.301
WA$19.09–$20.842
WI$17.921
WV$17.991
WY$18.531

See 67820 in every payment locality

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

Office or facility?

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 67820 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0640.3298
Practice expense0.23× 1.1820.2719
Malpractice0.02× 1.4420.0288
Total RVUs0.6305
Conversion factor× 33.4009

Office rate, Queens, NY$21.06

Office: (0.31 × 1.064 + 0.23 × 1.182 + 0.02 × 1.442) × $33.4009 = $21.06

Facility: (0.31 × 1.064 + 0.24 × 1.182 + 0.02 × 1.442) × $33.4009 = $21.46

Open 67820 in the RVU calculator

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

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

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).

When to use modifier 50

Codes related to 67820

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

Codes related to 67820
CodeHow it relatesOffice range, Queens, NY
Same family
67825Trichiasis correction, non-forceps methodTrichiasis epilation using a method other than forceps.$155.37
67830Trichiasis repair, incision of lid marginTrichiasis correction using an incision-based lid-margin approach.$311.89
67835Trichiasis repair, tarsal incisionTrichiasis correction involving excision of tarsal tissue.No office rate

How 67820 has changed in Queens, NY

67820 · Office / nonfacility

$21.06

Effective 2026-10-01

The base rate is $0.59 higher than on 2025-10-01, moving from $20.47 to $21.06 (2.9%).

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

    $20.47changed to$21.06

    • 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
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $21.07changed to$20.47

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $20.73changed to$21.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $22.35changed to$20.73

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.23 changed to 0.22
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $22.89changed to$22.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.22 changed to 0.23
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $25.22changed to$22.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.27 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.86changed to$25.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.41 changed to 0.27
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.18changed to$31.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.59 changed to 0.41
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $48.64changed to$39.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.81 changed to 0.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $58.75changed to$48.64

    • 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 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $58.20changed to$58.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.67
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $58.41changed to$58.20

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $58.12changed to$58.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $62.42changed to$58.12

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.11 changed to 0.04
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $60.51changed to$62.42

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.72 changed to 0.66
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $60.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$21.06$21.46RVU26D
2026-07-01$21.06$21.46RVU26C
2026-04-01$21.06$21.46RVU26B
2026-01-01$21.06$21.46RVU26A
2025-10-01$20.47$24.34RVU25D
2025-07-01$20.47$24.34RVU25C
2025-04-01$20.47$24.34RVU25B
2025-01-01$20.47$24.34RVU25A
2024-10-01$21.07$25.05RVU24D
2024-07-01$21.07$25.05RVU24C
2024-04-01$21.07$25.05RVU24B
2024-03-09$21.07$25.05RVU24AR
2024-01-01$20.73$24.64RVU24A
2023-10-01$22.35$25.63RVU23D
2023-07-01$22.35$25.63RVU23C
2023-04-01$22.35$25.63RVU23B
2023-01-01$22.35$25.63RVU23A
2022-10-01$22.89$26.28RVU22D
2022-07-01$22.89$26.28RVU22C
2022-04-01$22.89$26.28RVU22B
2022-01-01$22.89$26.28RVU22A
2021-10-01$25.22$26.93RVU21D
2021-07-01$25.22$26.93RVU21C
2021-04-01$25.22$26.93RVU21B
2021-01-01$25.22$26.93RVU21A
2020-10-01$31.86$34.05RVU20D
2020-07-01$31.86$34.05RVU20C
2020-04-01$31.86$34.05RVU20B
2020-01-01$31.86$34.05RVU20A
2019-10-01$39.18$41.77RVU19D
2019-07-01$39.18$41.77RVU19C
2019-04-01$39.18$41.77RVU19B
2019-01-01$39.18$41.77RVU19A
2018-10-01$48.64$51.66RVU18D
2018-07-01$48.64$51.66RVU18C
2018-04-01$48.64$51.66RVU18B
2018-01-01$48.64$51.66RVU18AR1
2017-10-01$58.75$62.62RVU17D
2017-07-01$58.75$62.62RVU17C
2017-04-01$58.75$62.62RVU17B
2017-01-01$58.75$62.62RVU17A
2016-10-01$58.20$62.49RVU16D
2016-07-01$58.20$62.49RVU16C
2016-04-01$58.20$62.49RVU16B
2016-01-01$58.20$62.49RVU16A
2015-10-01$58.41$62.72RVU15D
2015-07-01$58.41$62.72RVU15C
2015-04-01$58.12$62.41RVU15B
2015-01-01$58.12$62.41RVU15A
2014-10-01$62.42$66.71RVU14D
2014-07-01$62.42$66.71RVU14C
2014-04-01$62.42$66.71RVU14B
2014-01-01$62.42$66.71RVU14A
2013-10-01$60.51$64.98RVU13D
2013-07-01$60.51$64.98RVU13C
2013-04-01$60.51$64.98RVU13B
2013-01-01$60.51$64.98RVU13AR

Price 67820 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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
RVUs for 67820PPRRVU2026_Oct_nonQPP.csv, line 7,495 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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