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

In Wisconsin, Medicare pays $265.39 for 67840 in the office and $127.80 when it’s performed in a hospital or facility.

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.

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 Wisconsin 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. Wisconsin pays $265.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67840 rates by state

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

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.

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

Codes related to 67840

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

How 67840 has changed in Wisconsin

Price 67840 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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