Billing code 67805: Chalazion excisionMedicare rate & RVUs
Reports excision of multiple chalazia located on different eyelids, typically by an ophthalmologist treating obstructed meibomian glands.
Medicare pays $206.42 for 67805 nationally in the office and $138.61 in a hospital or facility. Local office rates run $185.65–$267.70.
Medicare rate · 67805
Chalazion excision
Swap in your local Medicare rate.
- Work RVUs
- 2.21
- Total RVUs
- 6.18
- Global days
- 010
National rate · 2026
$206.42
Office setting, before claim adjustments.
See every locality for 67805 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 67805 covers
An ophthalmologist typically reports this procedure when treating multiple chalazia on different eyelids. A chalazion is a localized lump caused by blockage and inflammation of an eyelid’s meibomian gland. Treatment generally involves opening the affected area and curetting the obstructed material, often in an office setting. This code distinguishes lesions on different eyelids from multiple chalazia confined to one eyelid.
Document the chalazia treated and identify the different eyelids involved; the number and location of lesions support selection of this code over a single-lesion or same-eyelid code. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 67805 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$185.65 to $267.70
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $187.98 | $128.66 |
| Alaska* | $248.85 | $176.64 |
| Arizona | $201.63 | $135.93 |
| Arkansas | $185.65 | $127.41 |
| Atlanta | $209.87 | $140.98 |
| Austin | $213.22 | $141.49 |
| Bakersfield | $217.62 | $143.31 |
| Baltimore/Surr. Cntys | $218.26 | $145.51 |
| Beaumont | $194.60 | $132.90 |
| Brazoria | $204.55 | $137.35 |
| Chicago | $215.35 | $147.21 |
| Chico | $217.04 | $142.72 |
| Colorado | $214.09 | $141.95 |
| Connecticut | $218.90 | $145.88 |
| Dallas | $205.72 | $138.19 |
| Dc + Md/Va Suburbs | $233.62 | $153.74 |
| Delaware | $204.66 | $137.67 |
| Detroit | $206.11 | $140.68 |
| East St. Louis | $202.39 | $140.01 |
| El Centro | $217.07 | $142.75 |
| Fort Lauderdale | $212.92 | $144.24 |
| Fort Worth | $204.53 | $137.68 |
| Fresno | $217.04 | $142.72 |
| Galveston | $205.09 | $137.76 |
| Hanford-Corcoran | $217.04 | $142.72 |
| Hawaii, Guam | $221.23 | $144.14 |
| Houston | $208.38 | $141.05 |
| Idaho | $193.12 | $130.74 |
| Indiana | $194.09 | $131.23 |
| Iowa | $192.03 | $129.99 |
| Kansas | $191.28 | $129.99 |
| Kentucky | $191.86 | $131.58 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $230.59 | $150.38 |
| Madera | $217.04 | $142.72 |
| Manhattan | $235.17 | $156.38 |
| Merced | $217.04 | $142.72 |
| Metropolitan Boston | $233.34 | $152.38 |
| Metropolitan Kansas City | $198.56 | $134.89 |
| Metropolitan Philadelphia | $214.10 | $143.51 |
| Metropolitan St. Louis | $200.35 | $135.80 |
| Miami | $220.80 | $150.22 |
| Minnesota | $205.86 | $136.09 |
| Mississippi | $187.25 | $128.87 |
| Modesto | $217.04 | $142.72 |
| Montana** | $206.41 | $138.60 |
| Napa | $248.37 | $159.00 |
| Nebraska | $192.93 | $130.35 |
| Nevada** | $205.54 | $137.67 |
| New Hampshire | $210.86 | $140.27 |
| New Mexico | $197.12 | $134.94 |
| New Orleans | $199.77 | $135.96 |
| North Carolina | $195.77 | $132.50 |
| North Dakota** | $202.85 | $135.04 |
| Northern Nj | $231.73 | $153.08 |
| Nyc Suburbs/Long Island | $240.22 | $159.60 |
| Ohio | $195.45 | $133.55 |
| Oklahoma | $191.53 | $130.98 |
| Oxnard-Thousand Oaks-Ventura | $229.26 | $149.11 |
| Portland | $220.11 | $144.78 |
| Poughkpsie/N Nyc Suburbs | $223.03 | $148.78 |
| Puerto Rico | $207.72 | $139.17 |
| Queens | $236.84 | $156.69 |
| Redding | $217.04 | $142.72 |
| Rest Of California | $217.04 | $142.72 |
| Rest Of Florida | $203.87 | $139.05 |
| Rest Of Georgia | $193.90 | $133.42 |
| Rest Of Illinois | $198.79 | $136.88 |
| Rest Of Louisiana | $191.61 | $131.60 |
| Rest Of Maine | $194.02 | $131.64 |
| Rest Of Maryland | $208.18 | $139.56 |
| Rest Of Massachusetts | $213.09 | $141.69 |
| Rest Of Michigan | $196.18 | $134.27 |
| Rest Of Missouri | $188.79 | $130.35 |
| Rest Of New Jersey | $221.60 | $147.56 |
| Rest Of New York | $198.30 | $133.89 |
| Rest Of Oregon | $204.13 | $136.59 |
| Rest Of Pennsylvania | $195.71 | $133.46 |
| Rest Of Texas | $199.38 | $135.03 |
| Rest Of Washington | $212.65 | $141.25 |
| Rhode Island | $211.35 | $141.31 |
| Riverside-San Bernardino-Ontario | $219.02 | $144.70 |
| Sacramento-Roseville-Folsom | $226.92 | $148.06 |
| Salinas | $226.04 | $147.46 |
| San Diego-Chula Vista-Carlsbad | $230.69 | $149.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $262.08 | $166.48 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $261.87 | $166.27 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $267.70 | $169.93 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $266.86 | $169.09 |
| San Luis Obispo-Paso Robles | $222.48 | $145.25 |
| Santa Cruz-Watsonville | $232.39 | $150.01 |
| Santa Maria-Santa Barbara | $226.71 | $147.65 |
| Santa Rosa-Petaluma | $234.70 | $151.44 |
| Seattle (King Cnty) | $237.74 | $154.55 |
| South Carolina | $195.89 | $133.24 |
| South Dakota** | $202.43 | $134.62 |
| Southern Maine | $203.06 | $135.87 |
| Stockton | $217.04 | $142.72 |
| Suburban Chicago | $214.99 | $145.36 |
| Tennessee | $192.11 | $130.48 |
| Utah | $198.21 | $134.47 |
| Vallejo | $248.07 | $158.71 |
| Vermont | $202.18 | $135.06 |
| Virgin Islands | $207.72 | $139.17 |
| Virginia | $202.50 | $135.85 |
| Visalia | $217.04 | $142.72 |
| West Virginia | $192.43 | $133.50 |
| Wisconsin | $196.94 | $131.98 |
| Wyoming** | $204.85 | $137.05 |
| Yuba City | $217.04 | $142.72 |
67805 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.
$185.65
$248.85
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $248.85 | 1 |
| AL | $187.98 | 1 |
| AR | $185.65 | 1 |
| AZ | $201.63 | 1 |
| CA | $217.04–$267.70 | 29 |
| CO | $214.09 | 1 |
| CT | $218.90 | 1 |
| DC | $233.62 | 1 |
| DE | $204.66 | 1 |
| FL | $203.87–$220.80 | 3 |
| GA | $193.90–$209.87 | 2 |
| GU | $221.23 | 1 |
| HI | $221.23 | 1 |
| IA | $192.03 | 1 |
| ID | $193.12 | 1 |
| IL | $198.79–$215.35 | 4 |
| IN | $194.09 | 1 |
| KS | $191.28 | 1 |
| KY | $191.86 | 1 |
| LA | $191.61–$199.77 | 2 |
| MA | $213.09–$233.34 | 2 |
| MD | $208.18–$233.62 | 3 |
| ME | $194.02–$203.06 | 2 |
| MI | $196.18–$206.11 | 2 |
| MN | $205.86 | 1 |
| MO | $188.79–$200.35 | 3 |
| MS | $187.25 | 1 |
| MT | $206.41 | 1 |
| NC | $195.77 | 1 |
| ND | $202.85 | 1 |
| NE | $192.93 | 1 |
| NH | $210.86 | 1 |
| NJ | $221.60–$231.73 | 2 |
| NM | $197.12 | 1 |
| NV | $205.54 | 1 |
| NY | $198.30–$240.22 | 5 |
| OH | $195.45 | 1 |
| OK | $191.53 | 1 |
| OR | $204.13–$220.11 | 2 |
| PA | $195.71–$214.10 | 2 |
| PR | $207.72 | 1 |
| RI | $211.35 | 1 |
| SC | $195.89 | 1 |
| SD | $202.43 | 1 |
| TN | $192.11 | 1 |
| TX | $194.60–$213.22 | 8 |
| UT | $198.21 | 1 |
| VA | $202.50–$233.62 | 2 |
| VI | $207.72 | 1 |
| VT | $202.18 | 1 |
| WA | $212.65–$237.74 | 2 |
| WI | $196.94 | 1 |
| WV | $192.43 | 1 |
| WY | $204.85 | 1 |
How the 67805 rate is calculated
Each of 67805’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 · 67805
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.21Practice expense 3.79Malpractice 0.18
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67805
67805 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67805
Chalazion excision
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 67805
Chalazion excision
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 51 · payment effect
With and without the modifier
67805 without 51 · national office
$206.42
Chalazion excision
67805-51 · Second procedure: 50%
$103.21
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
67805 compared with similar codes
Compare codes
67805 vs 67801 vs 67808 vs 67840 vs 67810: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67801Chalazion excision
- Both codes describe multiple chalazia, but 67801 is for lesions on the same eyelid; 67805 is for lesions on different eyelids.
- 67808Eyelid lesion excision
- This is the related chalazion-excision code for the specified general-anesthesia circumstance. Choose based on the anesthesia circumstance in the applicable descriptor, not simply the number of eyelids involved.
- 67840Eyelid lesion excision
- Use 67805 for multiple chalazia on different eyelids. Code 67840 is for excision of other eyelid lesions, rather than chalazia.
- 67810Eyelid biopsy
- Code 67810 represents biopsy of an eyelid lesion for diagnostic tissue sampling; 67805 represents treatment by excision of multiple chalazia on different eyelids.
67805 billing questions
When should 67805 be selected instead of 67801?
Use 67805 for multiple chalazia on different eyelids. Use 67801 when multiple chalazia are treated on the same eyelid.
Can modifier 50 be added when both eyes are treated?
No. The code describes treatment of multiple chalazia on different eyelids, and CMS identifies modifier 50 as inappropriate.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the procedure’s global period.
How should the record support reporting 67805?
Document the chalazia treated and the different eyelids on which they were located. This distinguishes the service from treatment of multiple lesions on one eyelid.
Can an assistant or co-surgeon be reported for this procedure?
Medicare does not pay an assistant at surgery for this code. 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
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