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CPT code 67840: Eyelid lesion excision, excludes chalazion2026 Medicare rate & RVUs in Washington, DC area

Reports excision of a non-chalazion eyelid lesion, with no closure or simple direct closure, such as removal of a localized eyelid growth.

CMS RVU26DEffective Oct 1, 2026One payment locality45.5K Medicare services in 2024

In Washington, DC area, Medicare pays $318.54 for 67840 in the office and $149.35 when it’s performed in a hospital or facility.

$318.54Office (non-facility)
$149.35Hospital or facility
+14.6%vs the national office rate ($277.90)

Check a contract rate as a % of Medicare · 67840 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 67840 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 67840 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 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.

How Washington, DC area compares for 67840

Across 109 of 109 payment localities, the office rate for 67840 runs from $246.37 in Arkansas to $372.96 in San Benito County, CA. Washington, DC area pays $318.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

67840 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$318.54
  2. Los Angeles, CA · California$316.13−$2.41
  3. Miami, FL · Florida$294.94−$23.60
  4. Chicago, IL · Illinois$286.75−$31.79
  5. Manhattan, NY · New York$318.64+$0.10
  6. Alaska · Alaska$322.68+$4.14
  7. Alabama · Alabama$249.92−$68.62

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

67840 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$246.37$122.99
ArizonaArizona$270.75$131.58
Bakersfield, CACalifornia$296.56$139.15
Chico, CACalifornia$296.01$138.60
El Centro, CACalifornia$296.04$138.63
Fresno, CACalifornia$296.01$138.60
Hanford, CACalifornia$296.01$138.60
Madera, CACalifornia$296.01$138.60

67840 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.

$246.37

$334.49

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

View every state and territory as a table
67840 office rate range by state
State / territoryOffice rate rangeLocalities
AK$322.681
AL$249.921
AR$246.371
AZ$270.751
CA$296.01–$372.9629
CO$290.531
CT$296.161
DC$318.541
DE$275.211
FL$271.77–$294.943
GA$256.95–$282.512
GU$303.461
HI$303.461
IA$257.121
ID$258.581
IL$263.34–$288.274
IN$260.081
KS$255.491
KY$254.761
LA$254.19–$266.632
MA$288.65–$319.662
MD$280.56–$318.543
ME$259.42–$273.962
MI$260.87–$274.652
MN$279.821
MO$249.58–$268.113
MS$248.051
MT$277.881
NC$262.171
ND$274.521
NE$258.651
NH$285.551
NJ$299.95–$315.232
NM$262.101
NV$277.151
NY$266.01–$325.695
OH$260.191
OK$254.791
OR$275.39–$300.182
PA$260.85–$288.592
PR$280.061
RI$285.311
SC$261.531
SD$274.131
TN$256.701
TX$259.13–$289.228
UT$265.071
VA$272.76–$318.542
VI$280.061
VT$273.051
WA$288.24–$326.592
WI$265.391
WV$253.611
WY$276.421

See 67840 in every payment locality

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.

How the rate is built · 67840

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.04

2.04 RVUs× 1.000 GPCI

Practice expense6.11

6.11 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

8.3200

Conversion factor

$33.4009

Medicare rate

$277.90

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,499

Code
67840
Physician work
2.04
Practice expense
6.11
Malpractice
0.17

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 67840 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.04× 1.0542.1502
Practice expense6.11× 1.1787.1976
Malpractice0.17× 1.1130.1892
Total RVUs9.5369
Conversion factor× 33.4009

Office rate, Washington, DC area$318.54

Office: (2.04 × 1.054 + 6.11 × 1.178 + 0.17 × 1.113) × $33.4009 = $318.54

Facility: (2.04 × 1.054 + 1.81 × 1.178 + 0.17 × 1.113) × $33.4009 = $149.35

Open 67840 in the RVU calculator

Payment rules and modifiers for 67840

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

CMS payment indicators · 67840

Eyelid lesion excision, excludes chalazion

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 · 67840

Eyelid lesion excision, excludes chalazion

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

67840 without 50 · national office

$277.90

Eyelid lesion excision, excludes chalazion

67840-50 · Bilateral: 150%

$416.85

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 67840

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

Codes related to 67840
CodeHow it relatesOffice range, Washington, DC area
Used instead
67810Eyelid biopsy, eyelid skin or marginUsed for an incisional eyelid biopsy rather than excision of the lesion.$208.25
67800Chalazion removal, single lesionUsed for excision of a single chalazion, which 67840 excludes.$147.93
67850Eyelid lesion destruction, margin lesion under 1 cmDestroys a small eyelid-margin lesion rather than removing it by excision.$239.73

How 67840 has changed in Washington, DC area

67840 · Office / nonfacility

$318.54

Effective 2026-10-01

The base rate is $12.39 higher than on 2025-10-01, moving from $306.15 to $318.54 (4.0%).

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

    $306.15changed to$318.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.09 changed to 2.04
    • Practice expense RVU 5.93 changed to 6.11
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $322.58changed to$306.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.11 changed to 5.93
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $317.32changed to$322.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $334.48changed to$317.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.13 changed to 6.11
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $346.07changed to$334.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.12 changed to 6.13
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $352.34changed to$346.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.22 changed to 6.12
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $335.91changed to$352.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.66 changed to 6.22
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $331.78changed to$335.91

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $329.68changed to$331.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.62 changed to 5.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $324.19changed to$329.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.51 changed to 5.62
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $323.70changed to$324.19

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $324.44changed to$323.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.50 changed to 5.51

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $322.83changed to$324.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $327.96changed to$322.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.46 changed to 5.50
    • Malpractice RVU 0.33 changed to 0.16
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $334.26changed to$327.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.05 changed to 5.46
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $334.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$318.54$149.35RVU26D
2026-07-01$318.54$149.35RVU26C
2026-04-01$318.54$149.35RVU26B
2026-01-01$318.54$149.35RVU26A
2025-10-01$306.15$170.81RVU25D
2025-07-01$306.15$170.81RVU25C
2025-04-01$306.15$170.81RVU25B
2025-01-01$306.15$170.81RVU25A
2024-10-01$322.58$175.77RVU24D
2024-07-01$322.58$175.77RVU24C
2024-04-01$322.58$175.77RVU24B
2024-03-09$322.58$175.77RVU24AR
2024-01-01$317.32$172.90RVU24A
2023-10-01$334.48$179.80RVU23D
2023-07-01$334.48$179.80RVU23C
2023-04-01$334.48$179.80RVU23B
2023-01-01$334.48$179.80RVU23A
2022-10-01$346.07$182.24RVU22D
2022-07-01$346.07$182.24RVU22C
2022-04-01$346.07$182.24RVU22B
2022-01-01$346.07$182.24RVU22A
2021-10-01$352.34$182.42RVU21D
2021-07-01$352.34$182.42RVU21C
2021-04-01$352.34$182.42RVU21B
2021-01-01$352.34$182.42RVU21A
2020-10-01$335.91$183.88RVU20D
2020-07-01$335.91$183.88RVU20C
2020-04-01$335.91$183.88RVU20B
2020-01-01$335.91$183.88RVU20A
2019-10-01$331.78$183.26RVU19D
2019-07-01$331.78$183.26RVU19C
2019-04-01$331.78$183.26RVU19B
2019-01-01$331.78$183.26RVU19A
2018-10-01$329.68$183.93RVU18D
2018-07-01$329.68$183.93RVU18C
2018-04-01$329.68$183.93RVU18B
2018-01-01$329.68$183.93RVU18AR1
2017-10-01$324.19$182.78RVU17D
2017-07-01$324.19$182.78RVU17C
2017-04-01$324.19$182.78RVU17B
2017-01-01$324.19$182.78RVU17A
2016-10-01$323.70$182.62RVU16D
2016-07-01$323.70$182.62RVU16C
2016-04-01$323.70$182.62RVU16B
2016-01-01$323.70$182.62RVU16A
2015-10-01$324.44$183.28RVU15D
2015-07-01$324.44$183.28RVU15C
2015-04-01$322.83$182.37RVU15B
2015-01-01$322.83$182.37RVU15A
2014-10-01$327.96$188.88RVU14D
2014-07-01$327.96$188.88RVU14C
2014-04-01$327.96$188.88RVU14B
2014-01-01$327.96$188.88RVU14A
2013-10-01$334.26$186.71RVU13D
2013-07-01$334.26$186.71RVU13C
2013-04-01$334.26$186.71RVU13B
2013-01-01$334.26$186.71RVU13AR

Price 67840 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

67840 billing questions

When should 67840 be used instead of 67810?

Use 67840 when the eyelid lesion is excised. Use 67810 when the service is an incisional biopsy rather than removal of the lesion.

Can 67840 be used for a chalazion?

No. This code is for a non-chalazion eyelid lesion; chalazion excision is represented by the appropriate chalazion code, such as 67800 for a single chalazion.

Is simple closure included in 67840?

Yes. The service includes leaving the excision site open or closing it directly in a simple manner. More involved eyelid reconstruction is not the simple closure described here.

How is bilateral eyelid excision reported?

For bilateral procedures, CMS pays 150% when modifier 50 is used. Document the eyelid sites and the services performed on each side.

Are postoperative visits separately reported during the global period?

Related postoperative visits within the 10-day global period are included in the procedure. The global period does not include unrelated services.

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. CMS also restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery reporting for this code.

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 67840PPRRVU2026_Oct_nonQPP.csv, line 7,499 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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