CPT code 67830: Trichiasis repair, incision of lid margin2026 Medicare rate & RVUs in Merced, CA

Reports surgical correction of trichiasis by incising the eyelid margin to redirect lashes that turn inward and irritate the eye.

CMS RVU26DEffective Oct 1, 2026One payment locality474 Medicare services in 2024

In Merced, CA, Medicare pays $287.19 for 67830 in the office and $123.56 when it’s performed in a hospital or facility.

$287.19Office (non-facility)
$123.56Hospital or facility
+6.9%vs the national office rate ($268.54)

Check a contract rate as a % of Medicare · 67830 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 67830 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced, CA
  2. What 67830 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 67830 covers

This procedure corrects trichiasis, in which eyelashes grow or turn toward the eye and can rub the ocular surface. The ophthalmologist or oculoplastic surgeon incises the eyelid margin to alter lash direction; it is distinct from removing lashes with forceps or another epilation method. It may be performed in an office procedure room or a facility, depending on the patient and surgical setting.

Report this code when the operative technique involves incision of the lid margin, rather than epilation or incision with a mucous membrane graft. The record should identify the affected eyelid, document inward or misdirected lashes and their ocular effect, and describe the incision-based correction. CMS assigns a 10-day global period, including related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 Merced, CA compares for 67830

Across 109 of 109 payment localities, the office rate for 67830 runs from $237.12 in Arkansas to $364.04 in San Benito County, CA. Merced, CA pays $287.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

67830 in Merced, CA vs other payment areas
  1. Merced, CA · this page$287.19
  2. Bakersfield, CA · California$287.65+$0.46
  3. Chico, CA · California$287.19
  4. El Centro, CA · California$287.22+$0.03
  5. Fresno, CA · California$287.19
  6. Hanford, CA · California$287.19
  7. Los Angeles, CA · California$307.15+$19.96

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

Every other payment area

67830 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$287.19$123.56
Modesto, CACalifornia$287.19$123.56
Napa, CACalifornia$335.59$138.81
Oxnard, CACalifornia$306.01$129.53
Redding, CACalifornia$287.19$123.56
Rest of CaliforniaCalifornia$287.19$123.56
Riverside, CACalifornia$288.73$125.10
Sacramento, CACalifornia$302.13$128.49

67830 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.

$237.12

$325.62

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

View every state and territory as a table
67830 office rate range by state
State / territoryOffice rate rangeLocalities
AK$308.441
AL$240.671
AR$237.121
AZ$261.461
CA$287.19–$364.0429
CO$281.441
CT$286.591
DC$308.961
DE$265.881
FL$261.80–$284.173
GA$247.11–$272.962
GU$294.901
HI$294.901
IA$248.151
ID$249.541
IL$253.19–$278.144
IN$251.051
KS$246.381
KY$245.201
LA$244.57–$256.982
MA$279.47–$310.482
MD$271.21–$308.963
ME$250.24–$264.962
MI$251.16–$264.512
MN$271.251
MO$239.89–$258.633
MS$238.581
MT$268.531
NC$253.001
ND$265.771
NE$249.711
NH$276.441
NJ$290.30–$305.542
NM$252.321
NV$267.971
NY$256.82–$315.285
OH$250.591
OK$245.381
OR$266.33–$291.212
PA$251.33–$278.952
PR$270.751
RI$275.951
SC$252.131
SD$265.441
TN$247.561
TX$249.60–$280.128
UT$255.661
VA$263.65–$308.962
VI$270.751
VT$264.171
WA$279.13–$317.482
WI$256.621
WV$243.471
WY$267.331

See 67830 in every payment locality

How the 67830 rate is calculated

Each of 67830’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 · 67830

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense6.19

6.19 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

8.0400

Conversion factor

$33.4009

Medicare rate

$268.54

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

The exact Merced, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,497

Code
67830
Physician work
1.71
Practice expense
6.19
Malpractice
0.14

GPCI2026.csv

15

Locality
Merced, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 67830 in Merced, CA
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0171.7391
Practice expense6.19× 1.0966.7842
Malpractice0.14× 0.5360.0750
Total RVUs8.5984
Conversion factor× 33.4009

Office rate, Merced, CA$287.19

Office: (1.71 × 1.017 + 6.19 × 1.096 + 0.14 × 0.536) × $33.4009 = $287.19

Facility: (1.71 × 1.017 + 1.72 × 1.096 + 0.14 × 0.536) × $33.4009 = $123.56

Open 67830 in the RVU calculator

Payment rules and modifiers for 67830

67830 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67830

Trichiasis repair, incision of lid margin

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67830

Trichiasis repair, incision of lid margin

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67830 without 50 · national office

$268.54

Trichiasis repair, incision of lid margin

67830-50 · Bilateral: 150%

$402.81

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

How 67830 has changed in Merced, CA

67830 · Office / nonfacility

$287.19

Effective 2026-10-01

The base rate is $14.95 higher than on 2025-10-01, moving from $272.24 to $287.19 (5.5%).

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

    $272.24changed to$287.19

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.75 changed to 1.71
    • Practice expense RVU 6.00 changed to 6.19
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $286.16changed to$272.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.17 changed to 6.00
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $281.49changed to$286.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $289.63changed to$281.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.19 changed to 6.17
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $292.81changed to$289.63

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $300.11changed to$292.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.31 changed to 6.19
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $289.05changed to$300.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.74 changed to 6.31
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $289.91changed to$289.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.76 changed to 5.74
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.63changed to$289.91

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.73 changed to 5.76
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $284.40changed to$288.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.61 changed to 5.73
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$284.40

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$287.19$123.56RVU26D
2026-07-01$287.19$123.56RVU26C
2026-04-01$287.19$123.56RVU26B
2026-01-01$287.19$123.56RVU26A
2025-10-01$272.24$138.25RVU25D
2025-07-01$272.24$138.25RVU25C
2025-04-01$272.24$138.25RVU25B
2025-01-01$272.24$138.25RVU25A
2024-10-01$286.16$141.72RVU24D
2024-07-01$286.16$141.72RVU24C
2024-04-01$286.16$141.72RVU24B
2024-03-09$286.16$141.72RVU24AR
2024-01-01$281.49$139.41RVU24A
2023-10-01$289.63$142.27RVU23D
2023-07-01$289.63$142.27RVU23C
2023-04-01$289.63$142.27RVU23B
2023-01-01$289.63$142.27RVU23A
2022-10-01$292.81$141.33RVU22D
2022-07-01$292.81$141.33RVU22C
2022-04-01$292.81$141.33RVU22B
2022-01-01$292.81$141.33RVU22A
2021-10-01$300.11$142.55RVU21D
2021-07-01$300.11$142.55RVU21C
2021-04-01$300.11$142.55RVU21B
2021-01-01$300.11$142.55RVU21A
2020-10-01$289.05$144.63RVU20D
2020-07-01$289.05$144.63RVU20C
2020-04-01$289.05$144.63RVU20B
2020-01-01$289.05$144.63RVU20A
2019-10-01$289.91$145.92RVU19D
2019-07-01$289.91$145.92RVU19C
2019-04-01$289.91$145.92RVU19B
2019-01-01$289.91$145.92RVU19A
2018-10-01$288.63$146.74RVU18D
2018-07-01$288.63$146.74RVU18C
2018-04-01$288.63$146.74RVU18B
2018-01-01$288.63$146.74RVU18AR1
2017-10-01$284.40$145.77RVU17D
2017-07-01$284.40$145.77RVU17C
2017-04-01$284.40$145.77RVU17B
2017-01-01$284.40$145.77RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67830 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Merced
  • Atwater
  • Ballico
  • Bear Creek
  • Cressey
  • Delhi
  • Dos Palos
  • Dos Palos Y

Browse all communities in California

67830 billing questions

When should 67830 be chosen over 67820 or 67825?

Choose 67830 when the surgeon corrects trichiasis by incising the eyelid margin. Codes 67820 and 67825 describe epilation methods rather than this incision-based repair.

How does 67830 differ from 67835?

67830 describes incision of the lid margin without the graft distinction. The related code 67835 includes a free mucous membrane graft.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How is bilateral 67830 reported under the CMS payment rule?

Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.

What payment rules apply when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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 67830PPRRVU2026_Oct_nonQPP.csv, line 7,497 (RVU26D)
Geographic factors for Merced, CAGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67830 pays in Merced, CA?

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

Fee sheets · Coming soon

Put 67830 and the rest of your codes on one sheet

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

Join the waitlist