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CMS RVU26D · Effective 2026-10-01

67800 in Austin

Office / nonfacility

$134.98

Base rate per service

Facility setting

$88.68

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmic surgery

About 67800: Single chalazion removal

Removal of one chalazion from an eyelid, typically by an ophthalmologist when conservative treatment has not resolved the localized lump.

67800 represents surgical removal of one chalazion, a localized inflammatory lump associated with an obstructed eyelid oil gland. An ophthalmologist commonly performs the procedure in an office procedure room under local anesthesia, opening and curetting the lesion from the inner eyelid. Persistent or symptomatic chalazia are typical reasons for removal; this code is not for excising any type of eyelid growth.

Report this code for one chalazion. For multiple chalazia, select the applicable sibling code based on the number and lid distribution, or the anesthesia circumstances. Document the diagnosis, lesion count and location, anesthesia, and work performed. Related postoperative visits during the 10-day global period are included. When other 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 67800

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.37 · 35%
  • Practice expense (office) RVU2.43 · 62%
  • Malpractice RVU0.11 · 3%

15.4K

Medicare services in 2024 · #1244 by national volume

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.

67800 compared with similar codes

Office rates for Austin, from the same CMS release.

67801

Chalazion excision

Multiple, same eyelid

$170.23

67800 is for one chalazion. Choose 67801 when multiple chalazia are removed from the same eyelid.

67805

Chalazion excision

Multiple, different eyelids

$213.22

67805 is the multiple-chalazion code for lesions involving different eyelids; 67800 is for one chalazion.

67840

Eyelid lesion excision

Excludes chalazion

$289.22

67800 is specific to a chalazion. 67840 is for excision of a different type of eyelid lesion.

67810

Eyelid biopsy

Eyelid skin or margin

$188.75

67810 describes an eyelid lesion biopsy. Use 67800 when the procedure removes a diagnosed chalazion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 67800 is $123.03—$11.95 lower than the $134.98 rate in Austin. Both use the same code, release and participation basis.

67800 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $134.98

  2. Beaumont

    $123.03

    $11.95 lower than Austin

  3. Brazoria

    $129.42

    $5.56 lower than Austin

  4. Dallas

    $130.16

    $4.82 lower than Austin

  5. Fort Worth

    $129.40

    $5.58 lower than Austin

  6. Galveston

    $129.76

    $5.22 lower than Austin

  7. Houston

    $131.78

    $3.20 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 67800 ranges from $117.37 in Arkansas to $169.80 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 67800

    Office

    $126.10

    Facility

    $84.58

    $8.88 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 67800

    Office

    $146.09

    Facility

    $94.33

    $11.11 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67800

    Office

    $147.93

    Facility

    $96.39

    $12.95 higher than Austin for the office setting.

  • Miami

    Florida · 67800

    Office

    $139.54

    Facility

    $93.99

    $4.56 higher than Austin for the office setting.

  • Chicago

    Illinois · 67800

    Office

    $136.08

    Facility

    $92.11

    $1.10 higher than Austin for the office setting.

  • Manhattan

    New York · 67800

    Office

    $148.83

    Facility

    $97.98

    $13.85 higher than Austin for the office setting.

  • Alaska*

    Alaska · 67800

    Office

    $157.10

    Facility

    $110.50

    $22.12 higher than Austin for the office setting.

  • Alabama

    Alabama · 67800

    Office

    $118.86

    Facility

    $80.57

    $16.12 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 67800

    Office

    $117.37

    Facility

    $79.79

    $17.61 lower than Austin for the office setting.

  • Arizona

    Arizona · 67800

    Office

    $127.55

    Facility

    $85.15

    $7.43 lower than Austin for the office setting.

  • Bakersfield

    California · 67800

    Office

    $137.82

    Facility

    $89.87

    $2.84 higher than Austin for the office setting.

  • Chico

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • El Centro

    California · 67800

    Office

    $137.48

    Facility

    $89.53

    $2.50 higher than Austin for the office setting.

  • Fresno

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Madera

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Merced

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Modesto

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Napa

    California · 67800

    Office

    $157.48

    Facility

    $99.81

    $22.50 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67800

    Office

    $145.27

    Facility

    $93.55

    $10.29 higher than Austin for the office setting.

  • Redding

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Rest Of California

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67800

    Office

    $138.67

    Facility

    $90.72

    $3.69 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67800

    Office

    $143.77

    Facility

    $92.88

    $8.79 higher than Austin for the office setting.

  • Salinas

    California · 67800

    Office

    $143.22

    Facility

    $92.50

    $8.24 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67800

    Office

    $146.20

    Facility

    $93.86

    $11.22 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67800

    Office

    $166.23

    Facility

    $104.54

    $31.25 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 67800

    Office

    $166.11

    Facility

    $104.41

    $31.13 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 67800

    Office

    $169.80

    Facility

    $106.71

    $34.82 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 67800

    Office

    $169.29

    Facility

    $106.20

    $34.31 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67800

    Office

    $140.95

    Facility

    $91.12

    $5.97 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 67800

    Office

    $147.30

    Facility

    $94.14

    $12.32 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 67800

    Office

    $143.65

    Facility

    $92.63

    $8.67 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 67800

    Office

    $148.77

    Facility

    $95.04

    $13.79 higher than Austin for the office setting.

  • Stockton

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Vallejo

    California · 67800

    Office

    $157.30

    Facility

    $99.63

    $22.32 higher than Austin for the office setting.

  • Visalia

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Yuba City

    California · 67800

    Office

    $137.46

    Facility

    $89.51

    $2.48 higher than Austin for the office setting.

  • Colorado

    Colorado · 67800

    Office

    $135.54

    Facility

    $88.98

    $0.56 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 67800

    Office

    $138.53

    Facility

    $91.41

    $3.55 higher than Austin for the office setting.

  • Delaware

    Delaware · 67800

    Office

    $129.48

    Facility

    $86.25

    $5.50 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 67800

    Office

    $134.62

    Facility

    $90.30

    $0.36 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 67800

    Office

    $128.87

    Facility

    $87.04

    $6.11 lower than Austin for the office setting.

  • Atlanta

    Georgia · 67800

    Office

    $132.77

    Facility

    $88.32

    $2.21 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 67800

    Office

    $122.54

    Facility

    $83.51

    $12.44 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 67800

    Office

    $140.17

    Facility

    $90.42

    $5.19 higher than Austin for the office setting.

  • Iowa

    Iowa · 67800

    Office

    $121.48

    Facility

    $81.45

    $13.50 lower than Austin for the office setting.

  • Idaho

    Idaho · 67800

    Office

    $122.17

    Facility

    $81.91

    $12.81 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 67800

    Office

    $127.83

    Facility

    $87.58

    $7.15 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 67800

    Office

    $125.60

    Facility

    $85.66

    $9.38 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 67800

    Office

    $135.95

    Facility

    $91.01

    $0.97 higher than Austin for the office setting.

  • Indiana

    Indiana · 67800

    Office

    $122.78

    Facility

    $82.22

    $12.20 lower than Austin for the office setting.

  • Kansas

    Kansas · 67800

    Office

    $120.98

    Facility

    $81.43

    $14.00 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 67800

    Office

    $121.28

    Facility

    $82.38

    $13.70 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 67800

    Office

    $126.31

    Facility

    $85.13

    $8.67 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 67800

    Office

    $121.11

    Facility

    $82.39

    $13.87 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 67800

    Office

    $147.82

    Facility

    $95.57

    $12.84 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67800

    Office

    $134.89

    Facility

    $88.81

    $0.09 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67800

    Office

    $138.13

    Facility

    $91.18

    $3.15 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 67800

    Office

    $131.73

    Facility

    $87.45

    $3.25 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 67800

    Office

    $122.72

    Facility

    $82.46

    $12.26 lower than Austin for the office setting.

  • Southern Maine

    Maine · 67800

    Office

    $128.51

    Facility

    $85.15

    $6.47 lower than Austin for the office setting.

  • Detroit

    Michigan · 67800

    Office

    $130.28

    Facility

    $88.05

    $4.70 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 67800

    Office

    $124.01

    Facility

    $84.06

    $10.97 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 67800

    Office

    $130.36

    Facility

    $85.34

    $4.62 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 67800

    Office

    $125.56

    Facility

    $84.48

    $9.42 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 67800

    Office

    $126.71

    Facility

    $85.05

    $8.27 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 67800

    Office

    $119.30

    Facility

    $81.58

    $15.68 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 67800

    Office

    $118.36

    Facility

    $80.68

    $16.62 lower than Austin for the office setting.

  • Montana**

    Montana · 67800

    Office

    $130.59

    Facility

    $86.83

    $4.39 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 67800

    Office

    $123.83

    Facility

    $83.01

    $11.15 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 67800

    Office

    $128.42

    Facility

    $84.66

    $6.56 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 67800

    Office

    $122.06

    Facility

    $81.68

    $12.92 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 67800

    Office

    $133.47

    Facility

    $87.92

    $1.51 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 67800

    Office

    $146.72

    Facility

    $95.96

    $11.74 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 67800

    Office

    $140.25

    Facility

    $92.47

    $5.27 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 67800

    Office

    $124.60

    Facility

    $84.48

    $10.38 lower than Austin for the office setting.

  • Nevada**

    Nevada · 67800

    Office

    $130.07

    Facility

    $86.27

    $4.91 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67800

    Office

    $152.01

    Facility

    $99.99

    $17.03 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67800

    Office

    $141.14

    Facility

    $93.23

    $6.16 higher than Austin for the office setting.

  • Queens

    New York · 67800

    Office

    $149.92

    Facility

    $98.20

    $14.94 higher than Austin for the office setting.

  • Rest Of New York

    New York · 67800

    Office

    $125.45

    Facility

    $83.88

    $9.53 lower than Austin for the office setting.

  • Ohio

    Ohio · 67800

    Office

    $123.57

    Facility

    $83.62

    $11.41 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 67800

    Office

    $121.09

    Facility

    $82.02

    $13.89 lower than Austin for the office setting.

  • Portland

    Oregon · 67800

    Office

    $139.40

    Facility

    $90.79

    $4.42 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 67800

    Office

    $129.18

    Facility

    $85.60

    $5.80 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67800

    Office

    $135.46

    Facility

    $89.91

    $0.48 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67800

    Office

    $123.74

    Facility

    $83.57

    $11.24 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 67800

    Office

    $131.44

    Facility

    $87.20

    $3.54 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 67800

    Office

    $133.75

    Facility

    $88.55

    $1.23 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 67800

    Office

    $123.88

    Facility

    $83.45

    $11.10 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 67800

    Office

    $128.16

    Facility

    $84.40

    $6.82 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 67800

    Office

    $121.51

    Facility

    $81.74

    $13.47 lower than Austin for the office setting.

  • Utah

    Utah · 67800

    Office

    $125.35

    Facility

    $84.22

    $9.63 lower than Austin for the office setting.

  • Virginia

    Virginia · 67800

    Office

    $128.14

    Facility

    $85.13

    $6.84 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67800

    Office

    $131.44

    Facility

    $87.20

    $3.54 lower than Austin for the office setting.

  • Vermont

    Vermont · 67800

    Office

    $127.97

    Facility

    $84.65

    $7.01 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 67800

    Office

    $134.62

    Facility

    $88.54

    $0.36 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 67800

    Office

    $150.64

    Facility

    $96.95

    $15.66 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 67800

    Office

    $124.65

    Facility

    $82.73

    $10.33 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 67800

    Office

    $121.55

    Facility

    $83.53

    $13.43 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 67800

    Office

    $129.64

    Facility

    $85.89

    $5.34 lower than Austin for the office setting.

See how rates vary across the country

67800 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$117.37

$157.10

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$157.101
AL$118.861
AR$117.371
AZ$127.551
CA$137.46–$169.8029
CO$135.541
CT$138.531
DC$147.931
DE$129.481
FL$128.87–$139.543
GA$122.54–$132.772
GU$140.171
HI$140.171
IA$121.481
ID$122.171
IL$125.60–$136.084
IN$122.781
KS$120.981
KY$121.281
LA$121.11–$126.312
MA$134.89–$147.822
MD$131.73–$147.933
ME$122.72–$128.512
MI$124.01–$130.282
MN$130.361
MO$119.30–$126.713
MS$118.361
MT$130.591
NC$123.831
ND$128.421
NE$122.061
NH$133.471
NJ$140.25–$146.722
NM$124.601
NV$130.071
NY$125.45–$152.015
OH$123.571
OK$121.091
OR$129.18–$139.402
PA$123.74–$135.462
PR$131.441
RI$133.751
SC$123.881
SD$128.161
TN$121.511
TX$123.03–$134.988
UT$125.351
VA$128.14–$147.932
VI$131.441
VT$127.971
WA$134.62–$150.642
WI$124.651
WV$121.551
WY$129.641

Explore 67800 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 67800 in Austin, the physician’s office rate is $134.98 and the facility-setting rate is $88.68: a difference of $46.30.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67800 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$148.48

$134.98 × 110% = $148.48

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67800 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,490

Code
67800
Physician work
1.37
Practice expense
2.43
Malpractice
0.11

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 67800 in Austin
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0021.3727
Practice expense2.43× 1.0582.5709
Malpractice0.11× 0.8860.0975
Total RVUs4.0411
Conversion factor× 33.4009

Office / nonfacility rate, Austin$134.98

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 67800 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.371.002
Practice expense2.431.058
Malpractice0.110.886

(1.37 × 1.002 + 2.43 × 1.058 + 0.11 × 0.886) × $33.4009 = $134.98

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.371.002
Practice expense1.121.058
Malpractice0.110.886

(1.37 × 1.002 + 1.12 × 1.058 + 0.11 × 0.886) × $33.4009 = $88.68

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

67800 · Office / nonfacility

$134.98

Effective 2026-10-01

The base rate is $6.65 higher than on 2025-10-01, moving from $128.33 to $134.98 (5.2%).

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

    $128.33changed to$134.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.41 changed to 1.37
    • Practice expense RVU 2.34 changed to 2.43
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $128.33

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$134.98$88.68RVU26D
2026-07-01$134.98$88.68RVU26C
2026-04-01$134.98$88.68RVU26B
2026-01-01$134.98$88.68RVU26A
2025-10-01$128.33$100.92RVU25D
2025-07-01$128.33$100.92RVU25C
2025-04-01$128.33$100.92RVU25B
2025-01-01$128.33$100.92RVU25A

67800 billing questions

When should 67800 be chosen over a multiple-chalazion code?

Use 67800 for removal of one chalazion. For more than one, choose the applicable sibling code based on lesion count, lid distribution, and anesthesia circumstances.

Is 67800 appropriate for a non-chalazion eyelid growth?

No. It is for a chalazion; a different code may apply to excision or biopsy of another eyelid lesion, depending on the service performed.

Can modifier 50 be appended for chalazia on both eyelids?

No. CMS identifies bilateral adjustment as inappropriate for 67800.

What documentation supports reporting 67800?

Record the chalazion diagnosis, the number and eyelid location of lesions, anesthesia, and the removal technique. The record should support that one chalazion was treated.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. The 10-day global period includes related postoperative visits.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 67800PPRRVU2026_Oct_nonQPP.csv, line 7,490 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet