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CPT code 67820: Eyelash epilation, forceps technique2026 Medicare rate & RVUs in Beaumont, TX

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 Beaumont, TX, Medicare pays $17.97 for 67820 in the office and $18.27 when it’s performed in a hospital or facility.

$17.97Office (non-facility)
$18.27Hospital or facility
−3.9%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 Beaumont, TX
  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 Beaumont, TX 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. Beaumont, TX pays $17.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

67820 in Beaumont, TX vs other payment areas
  1. Beaumont, TX · this page$17.97
  2. Austin, TX · Texas$19.09+$1.12
  3. Brazoria, TX · Texas$18.57+$0.60
  4. Dallas, TX · Texas$18.67+$0.70
  5. Fort Worth, TX · Texas$18.60+$0.63
  6. Galveston, TX · Texas$18.62+$0.65
  7. Houston, TX · Texas$18.98+$1.01

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

Every other payment area

67820 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$18.25$18.56
Los Angeles, CACalifornia$20.31$20.71
Washington, DC areaDistrict of Columbia$20.71$21.10
Miami, FLFlorida$20.04$20.39
Chicago, ILIllinois$19.68$20.02
Manhattan, NYNew York$21.00$21.39
AlaskaAlaska$24.08$24.44
AlabamaAlabama$17.45$17.75

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 Beaumont, TX 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

97

Locality
Beaumont, TX
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office calculation for 67820 in Beaumont, TX
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense0.23× 0.9100.2093
Malpractice0.02× 0.9290.0186
Total RVUs0.5379
Conversion factor× 33.4009

Office rate, Beaumont, TX$17.97

Office: (0.31 × 1 + 0.23 × 0.91 + 0.02 × 0.929) × $33.4009 = $17.97

Facility: (0.31 × 1 + 0.24 × 0.91 + 0.02 × 0.929) × $33.4009 = $18.27

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, Beaumont, TX
Same family
67825Trichiasis correction, non-forceps methodTrichiasis epilation using a method other than forceps.$127.35
67830Trichiasis repair, incision of lid marginTrichiasis correction using an incision-based lid-margin approach.$249.60
67835Trichiasis repair, tarsal incisionTrichiasis correction involving excision of tarsal tissue.No office rate

How 67820 has changed in Beaumont, TX

67820 · Office / nonfacility

$17.97

Effective 2026-10-01

The base rate is $0.58 higher than on 2025-10-01, moving from $17.39 to $17.97 (3.3%).

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

    $17.39changed to$17.97

    • 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
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.90changed to$17.39

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.60changed to$17.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.55changed to$17.60

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.924 changed to 0.903
    • Malpractice GPCI 0.749 changed to 0.947

  5. January 1, 2023

    RVU23A

    $18.64changed to$18.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.944 changed to 0.924
    • Malpractice GPCI 0.550 changed to 0.749

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $20.44changed to$18.64

    • 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

    $25.87changed to$20.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.41 changed to 0.27
    • Practice expense GPCI 0.934 changed to 0.944
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.78changed to$25.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.59 changed to 0.41
    • Practice expense GPCI 0.924 changed to 0.934
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $39.07changed to$31.78

    • 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

    $48.72changed to$39.07

    • 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
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $48.10changed to$48.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.67
    • Practice expense GPCI 0.902 changed to 0.913
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $48.28changed to$48.10

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $48.04changed to$48.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $50.39changed to$48.04

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.11 changed to 0.04
    • Practice expense GPCI 0.899 changed to 0.902
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $49.56changed to$50.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.72 changed to 0.66
    • Practice expense GPCI 0.896 changed to 0.899
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $49.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.97$18.27RVU26D
2026-07-01$17.97$18.27RVU26C
2026-04-01$17.97$18.27RVU26B
2026-01-01$17.97$18.27RVU26A
2025-10-01$17.39$20.31RVU25D
2025-07-01$17.39$20.31RVU25C
2025-04-01$17.39$20.31RVU25B
2025-01-01$17.39$20.31RVU25A
2024-10-01$17.90$20.90RVU24D
2024-07-01$17.90$20.90RVU24C
2024-04-01$17.90$20.90RVU24B
2024-03-09$17.90$20.90RVU24AR
2024-01-01$17.60$20.56RVU24A
2023-10-01$18.55$21.06RVU23D
2023-07-01$18.55$21.06RVU23C
2023-04-01$18.55$21.06RVU23B
2023-01-01$18.55$21.06RVU23A
2022-10-01$18.64$21.26RVU22D
2022-07-01$18.64$21.26RVU22C
2022-04-01$18.64$21.26RVU22B
2022-01-01$18.64$21.26RVU22A
2021-10-01$20.44$21.76RVU21D
2021-07-01$20.44$21.76RVU21C
2021-04-01$20.44$21.76RVU21B
2021-01-01$20.44$21.76RVU21A
2020-10-01$25.87$27.56RVU20D
2020-07-01$25.87$27.56RVU20C
2020-04-01$25.87$27.56RVU20B
2020-01-01$25.87$27.56RVU20A
2019-10-01$31.78$33.78RVU19D
2019-07-01$31.78$33.78RVU19C
2019-04-01$31.78$33.78RVU19B
2019-01-01$31.78$33.78RVU19A
2018-10-01$39.07$41.40RVU18D
2018-07-01$39.07$41.40RVU18C
2018-04-01$39.07$41.40RVU18B
2018-01-01$39.07$41.40RVU18AR1
2017-10-01$48.72$51.67RVU17D
2017-07-01$48.72$51.67RVU17C
2017-04-01$48.72$51.67RVU17B
2017-01-01$48.72$51.67RVU17A
2016-10-01$48.10$51.33RVU16D
2016-07-01$48.10$51.33RVU16C
2016-04-01$48.10$51.33RVU16B
2016-01-01$48.10$51.33RVU16A
2015-10-01$48.28$51.52RVU15D
2015-07-01$48.28$51.52RVU15C
2015-04-01$48.04$51.26RVU15B
2015-01-01$48.04$51.26RVU15A
2014-10-01$50.39$53.61RVU14D
2014-07-01$50.39$53.61RVU14C
2014-04-01$50.39$53.61RVU14B
2014-01-01$50.39$53.61RVU14A
2013-10-01$49.56$52.91RVU13D
2013-07-01$49.56$52.91RVU13C
2013-04-01$49.56$52.91RVU13B
2013-01-01$49.56$52.91RVU13AR

Price 67820 for an earlier date of service

Where the Beaumont, TX rate applies

Beaumont, TX is a Medicare payment area, not a city. Our Census mapping connects it to 13 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Beaumont
  • Beauxart Gardens
  • Bevil Oaks
  • Central Gardens
  • China
  • Fannett
  • Groves
  • Hamshire

Browse all communities in Texas

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 Beaumont, TXGPCI2026.csv, line 97 (RVU26D)

Open CMS sourceHow we calculate rates

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