CPT code 67840: Eyelid lesion excision, excludes chalazion2026 Medicare rate & RVUs

Medicare pays $277.90 for 67840 nationally in the office and $134.27 in a hospital or facility. Local office rates run $246.37–$372.96.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 67840 covers

An ophthalmologist or oculoplastic surgeon typically reports this procedure when removing a non-chalazion lesion from the upper or lower eyelid. Examples include an eyelid papilloma or cyst removed by excision. The procedure may leave the site open or use simple direct closure; more involved eyelid reconstruction is a different service. A specimen may be sent for examination, but the excision itself is the service represented here.

Choose this code when documentation supports removal of the lesion rather than an incisional biopsy, destruction, or treatment of a chalazion. Record the eyelid site, lesion, excision performed, and closure method. CMS assigns a 10-day global period, so related postoperative visits during that period are 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid under the statutory restriction; 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.

Where 67840 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67840 rates by state

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

How the 67840 rate is calculated

Each of 67840’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 67840

67840 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

67840 compared with similar codes

How to choose

67810Eyelid biopsyEyelid skin or margin

67810 represents an incisional biopsy of an eyelid lesion. Use 67840 when the lesion is excised rather than sampled by incision.

67800Chalazion removalSingle lesion

67800 is for excision of a single chalazion. 67840 is for a different type of eyelid lesion, not a chalazion.

67850Eyelid lesion destructionMargin lesion under 1 cm

67850 represents destruction of a small lesion at the eyelid margin. 67840 describes excision, with the site left open or simply closed.

Codes related to 67840

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

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