CPT code 67840: Eyelid lesion excision, excludes chalazion2026 Medicare rate & RVUs in Maine
Reports excision of a non-chalazion eyelid lesion, with no closure or simple direct closure, such as removal of a localized eyelid growth.
Medicare pays $259.42–$273.96 for 67840 in the office in Maine, from Rest of Maine to Southern Maine, ME. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | $259.42 | $127.29 |
| Southern Maine, ME | $273.96 | $131.63 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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).
67840 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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