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CMS RVU26D · Effective 2026-10-01

67700 in Chico

Office / nonfacility

$301.83

Base rate per service

Facility setting

$106.71

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 67700: Eyelid abscess incision and drainage

An ophthalmologist drains an abscess of the eyelid through an incision, reporting this code for the eyelid-specific procedure rather than chalazion treatment.

This procedure opens an eyelid abscess to drain its contents. An ophthalmologist typically performs it in an office or outpatient setting when examination identifies a localized eyelid infection requiring incision and drainage. It is distinct from treatment of a chalazion, which is a different type of eyelid lesion and is coded separately.

The record should identify the affected eyelid, document the abscess and the incision-and-drainage service, and distinguish the condition from a chalazion. The procedure has 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 the others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 67700

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 procedure with modifier 50 is paid at 150%.
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 · 16%
  • Practice expense (office) RVU6.92 · 82%
  • Malpractice RVU0.11 · 1%

8.7K

Medicare services in 2024 · #1553 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.

67700 compared with similar codes

Office rates for Chico, from the same CMS release.

67800

Chalazion removal

Single lesion

$137.46

Use 67800 for treatment of a single chalazion. Use 67700 when the treated eyelid lesion is an abscess requiring drainage.

10060

Abscess drainage

Simple, single abscess

$135.37

Code 10060 covers simple drainage of an abscess at a site without a more specific eyelid procedure code; 67700 identifies eyelid abscess drainage.

67710

Tarsorrhaphy release

Severing prior lid closure

$258.23

Code 67710 severs a tarsorrhaphy. It does not describe drainage of an eyelid abscess.

67715

Canthotomy

Orbital pressure relief

$294.27

Code 67715 is a canthotomy, a different eyelid procedure; 67700 is selected for incision and drainage of an eyelid abscess.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 67700 is $302.19—$0.36 higher than the $301.83 rate in Chico. Both use the same code, release and participation basis.

67700 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $301.83

  2. $0.36 higher than Chico

  3. El Centro

    $301.85

    $0.02 higher than Chico

  4. Fresno

    $301.83

    The same base rate than Chico

  5. The same base rate than Chico

  6. $21.68 higher than Chico

  7. Madera

    $301.83

    The same base rate than Chico

Other payment areas listed in California 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, 67700 ranges from $246.20 in Arkansas to $386.06 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
  • Merced

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Modesto

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Napa

    California · 67700

    Office

    $355.14

    Facility

    $120.50

    $53.31 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67700

    Office

    $322.53

    Facility

    $112.10

    $20.70 higher than Chico for the office setting.

  • Redding

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67700

    Office

    $303.04

    Facility

    $107.92

    $1.21 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67700

    Office

    $318.18

    Facility

    $111.14

    $16.35 higher than Chico for the office setting.

  • Salinas

    California · 67700

    Office

    $317.03

    Facility

    $110.70

    $15.20 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67700

    Office

    $325.56

    Facility

    $112.64

    $23.73 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67700

    Office

    $377.69

    Facility

    $126.67

    $75.86 higher than Chico for the office setting.

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

    California · 67700

    Office

    $377.57

    Facility

    $126.55

    $75.74 higher than Chico for the office setting.

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

    California · 67700

    Office

    $386.06

    Facility

    $129.34

    $84.23 higher than Chico for the office setting.

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

    California · 67700

    Office

    $385.55

    Facility

    $128.83

    $83.72 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67700

    Office

    $311.77

    Facility

    $109.00

    $9.94 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 67700

    Office

    $329.52

    Facility

    $113.22

    $27.69 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 67700

    Office

    $318.51

    Facility

    $110.93

    $16.68 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 67700

    Office

    $332.93

    Facility

    $114.32

    $31.10 higher than Chico for the office setting.

  • Stockton

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 67700

    Office

    $354.96

    Facility

    $120.32

    $53.13 higher than Chico for the office setting.

  • Visalia

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 67700

    Office

    $301.83

    Facility

    $106.71

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67700

    Office

    $324.60

    Facility

    $114.88

    $22.77 higher than Chico for the office setting.

  • Miami

    Florida · 67700

    Office

    $295.66

    Facility

    $110.34

    $6.17 lower than Chico for the office setting.

  • Chicago

    Illinois · 67700

    Office

    $286.80

    Facility

    $107.88

    $15.03 lower than Chico for the office setting.

  • Manhattan

    New York · 67700

    Office

    $323.09

    Facility

    $116.23

    $21.26 higher than Chico for the office setting.

  • Alaska*

    Alaska · 67700

    Office

    $316.82

    Facility

    $127.22

    $14.99 higher than Chico for the office setting.

  • Alabama

    Alabama · 67700

    Office

    $250.08

    Facility

    $94.31

    $51.75 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 67700

    Office

    $246.20

    Facility

    $93.27

    $55.63 lower than Chico for the office setting.

  • Arizona

    Arizona · 67700

    Office

    $272.87

    Facility

    $100.37

    $28.96 lower than Chico for the office setting.

  • Colorado

    Colorado · 67700

    Office

    $295.10

    Facility

    $105.68

    $6.73 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 67700

    Office

    $300.05

    Facility

    $108.32

    $1.78 lower than Chico for the office setting.

  • Delaware

    Delaware · 67700

    Office

    $277.65

    Facility

    $101.76

    $24.18 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 67700

    Office

    $286.54

    Facility

    $106.20

    $15.29 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 67700

    Office

    $272.25

    Facility

    $102.05

    $29.58 lower than Chico for the office setting.

  • Atlanta

    Georgia · 67700

    Office

    $285.14

    Facility

    $104.27

    $16.69 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 67700

    Office

    $256.31

    Facility

    $97.51

    $45.52 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 67700

    Office

    $310.69

    Facility

    $108.27

    $8.86 higher than Chico for the office setting.

  • Iowa

    Iowa · 67700

    Office

    $258.71

    Facility

    $95.81

    $43.12 lower than Chico for the office setting.

  • Idaho

    Idaho · 67700

    Office

    $260.14

    Facility

    $96.36

    $41.69 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 67700

    Office

    $265.80

    Facility

    $102.02

    $36.03 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 67700

    Office

    $262.53

    Facility

    $99.99

    $39.30 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 67700

    Office

    $289.96

    Facility

    $107.13

    $11.87 lower than Chico for the office setting.

  • Indiana

    Indiana · 67700

    Office

    $261.81

    Facility

    $96.78

    $40.02 lower than Chico for the office setting.

  • Kansas

    Kansas · 67700

    Office

    $256.56

    Facility

    $95.62

    $45.27 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 67700

    Office

    $254.60

    Facility

    $96.33

    $47.23 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 67700

    Office

    $267.43

    Facility

    $99.91

    $34.40 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 67700

    Office

    $253.83

    Facility

    $96.28

    $48.00 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 67700

    Office

    $326.88

    Facility

    $114.32

    $25.05 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67700

    Office

    $292.80

    Facility

    $105.34

    $9.03 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67700

    Office

    $299.04

    Facility

    $108.02

    $2.79 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 67700

    Office

    $283.50

    Facility

    $103.33

    $18.33 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 67700

    Office

    $260.69

    Facility

    $96.90

    $41.14 lower than Chico for the office setting.

  • Southern Maine

    Maine · 67700

    Office

    $277.13

    Facility

    $100.71

    $24.70 lower than Chico for the office setting.

  • Detroit

    Michigan · 67700

    Office

    $275.00

    Facility

    $103.20

    $26.83 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 67700

    Office

    $260.93

    Facility

    $98.39

    $40.90 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 67700

    Office

    $284.68

    Facility

    $101.49

    $17.15 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 67700

    Office

    $266.38

    Facility

    $99.22

    $35.45 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 67700

    Office

    $269.48

    Facility

    $100.00

    $32.35 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 67700

    Office

    $248.58

    Facility

    $95.12

    $53.25 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 67700

    Office

    $247.48

    Facility

    $94.20

    $54.35 lower than Chico for the office setting.

  • Montana**

    Montana · 67700

    Office

    $280.56

    Facility

    $102.53

    $21.27 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 67700

    Office

    $263.76

    Facility

    $97.66

    $38.07 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 67700

    Office

    $278.39

    Facility

    $100.36

    $23.44 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 67700

    Office

    $260.48

    Facility

    $96.17

    $41.35 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 67700

    Office

    $289.58

    Facility

    $104.26

    $12.25 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 67700

    Office

    $320.68

    Facility

    $114.17

    $18.85 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 67700

    Office

    $304.02

    Facility

    $109.61

    $2.19 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 67700

    Office

    $262.12

    Facility

    $98.87

    $39.71 lower than Chico for the office setting.

  • Nevada**

    Nevada · 67700

    Office

    $280.19

    Facility

    $101.98

    $21.64 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67700

    Office

    $330.33

    Facility

    $118.66

    $28.50 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67700

    Office

    $305.36

    Facility

    $110.42

    $3.53 higher than Chico for the office setting.

  • Queens

    New York · 67700

    Office

    $327.19

    Facility

    $116.76

    $25.36 higher than Chico for the office setting.

  • Rest Of New York

    New York · 67700

    Office

    $267.92

    Facility

    $98.79

    $33.91 lower than Chico for the office setting.

  • Ohio

    Ohio · 67700

    Office

    $260.49

    Facility

    $97.95

    $41.34 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 67700

    Office

    $255.02

    Facility

    $96.04

    $46.81 lower than Chico for the office setting.

  • Portland

    Oregon · 67700

    Office

    $306.02

    Facility

    $108.23

    $4.19 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 67700

    Office

    $278.55

    Facility

    $101.24

    $23.28 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67700

    Office

    $291.58

    Facility

    $106.25

    $10.25 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67700

    Office

    $261.41

    Facility

    $97.98

    $40.42 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 67700

    Office

    $283.05

    Facility

    $103.07

    $18.78 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 67700

    Office

    $288.67

    Facility

    $104.77

    $13.16 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 67700

    Office

    $262.45

    Facility

    $97.95

    $39.38 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 67700

    Office

    $278.13

    Facility

    $100.10

    $23.70 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 67700

    Office

    $257.83

    Facility

    $96.01

    $44.00 lower than Chico for the office setting.

  • Austin

    Texas · 67700

    Office

    $293.65

    Facility

    $105.29

    $8.18 lower than Chico for the office setting.

  • Beaumont

    Texas · 67700

    Office

    $259.50

    Facility

    $97.50

    $42.33 lower than Chico for the office setting.

  • Brazoria

    Texas · 67700

    Office

    $278.05

    Facility

    $101.62

    $23.78 lower than Chico for the office setting.

  • Dallas

    Texas · 67700

    Office

    $279.53

    Facility

    $102.22

    $22.30 lower than Chico for the office setting.

  • Fort Worth

    Texas · 67700

    Office

    $277.27

    Facility

    $101.74

    $24.56 lower than Chico for the office setting.

  • Galveston

    Texas · 67700

    Office

    $278.68

    Facility

    $101.90

    $23.15 lower than Chico for the office setting.

  • Houston

    Texas · 67700

    Office

    $280.70

    Facility

    $103.92

    $21.13 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 67700

    Office

    $268.42

    Facility

    $99.48

    $33.41 lower than Chico for the office setting.

  • Utah

    Utah · 67700

    Office

    $266.32

    Facility

    $98.98

    $35.51 lower than Chico for the office setting.

  • Virginia

    Virginia · 67700

    Office

    $275.56

    Facility

    $100.56

    $26.27 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67700

    Office

    $283.05

    Facility

    $103.07

    $18.78 lower than Chico for the office setting.

  • Vermont

    Vermont · 67700

    Office

    $276.44

    Facility

    $100.19

    $25.39 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 67700

    Office

    $292.53

    Facility

    $105.07

    $9.30 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 67700

    Office

    $334.65

    Facility

    $116.21

    $32.82 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 67700

    Office

    $268.32

    Facility

    $97.77

    $33.51 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 67700

    Office

    $251.87

    Facility

    $97.17

    $49.96 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 67700

    Office

    $279.61

    Facility

    $101.59

    $22.22 lower than Chico for the office setting.

See how rates vary across the country

67700 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$246.20

$343.95

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$316.821
AL$250.081
AR$246.201
AZ$272.871
CA$301.83–$386.0629
CO$295.101
CT$300.051
DC$324.601
DE$277.651
FL$272.25–$295.663
GA$256.31–$285.142
GU$310.691
HI$310.691
IA$258.711
ID$260.141
IL$262.53–$289.964
IN$261.811
KS$256.561
KY$254.601
LA$253.83–$267.432
MA$292.80–$326.882
MD$283.50–$324.603
ME$260.69–$277.132
MI$260.93–$275.002
MN$284.681
MO$248.58–$269.483
MS$247.481
MT$280.561
NC$263.761
ND$278.391
NE$260.481
NH$289.581
NJ$304.02–$320.682
NM$262.121
NV$280.191
NY$267.92–$330.335
OH$260.491
OK$255.021
OR$278.55–$306.022
PA$261.41–$291.582
PR$283.051
RI$288.671
SC$262.451
SD$278.131
TN$257.831
TX$259.50–$293.658
UT$266.321
VA$275.56–$324.602
VI$283.051
VT$276.441
WA$292.53–$334.652
WI$268.321
WV$251.871
WY$279.611

Explore 67700 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.

Why are the office and facility amounts different?

For 67700 in Chico, the physician’s office rate is $301.83 and the facility-setting rate is $106.71: a difference of $195.12.

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 67700 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$332.01

$301.83 × 110% = $332.01

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 67700 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,487

Code
67700
Physician work
1.37
Practice expense
6.92
Malpractice
0.11

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67700 in Chico
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0171.3933
Practice expense6.92× 1.0967.5843
Malpractice0.11× 0.5360.0590
Total RVUs9.0366
Conversion factor× 33.4009

Office / nonfacility rate, Chico$301.83

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

Open 67700 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.371.017
Practice expense6.921.096
Malpractice0.110.536

(1.37 × 1.017 + 6.92 × 1.096 + 0.11 × 0.536) × $33.4009 = $301.83

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.371.017
Practice expense1.591.096
Malpractice0.110.536

(1.37 × 1.017 + 1.59 × 1.096 + 0.11 × 0.536) × $33.4009 = $106.71

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

67700 · Office / nonfacility

$301.83

Effective 2026-10-01

The base rate is $15.80 higher than on 2025-10-01, moving from $286.03 to $301.83 (5.5%).

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

    $286.03changed to$301.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.40 changed to 1.37
    • Practice expense RVU 6.73 changed to 6.92
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $286.03

    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$301.83$106.71RVU26D
2026-07-01$301.83$106.71RVU26C
2026-04-01$301.83$106.71RVU26B
2026-01-01$301.83$106.71RVU26A
2025-10-01$286.03$117.74RVU25D
2025-07-01$286.03$117.74RVU25C
2025-04-01$286.03$117.74RVU25B
2025-01-01$286.03$117.74RVU25A

67700 billing questions

How is this different from chalazion treatment?

Report 67700 for incision and drainage of an eyelid abscess. A chalazion is a different lesion; code 67800 describes treatment of a single chalazion.

What documentation supports 67700?

Document the eyelid involved, the abscess findings, and the incision-and-drainage service performed. Make clear that the lesion is an abscess rather than a chalazion.

Are related postoperative visits separately payable?

Related postoperative visits during the 10-day global period are included in the procedure.

How is bilateral treatment reported?

When both eyelids are treated, report modifier 50 for the bilateral procedure. CMS pays the bilateral procedure at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for 67700. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

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 67700PPRRVU2026_Oct_nonQPP.csv, line 7,487 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)