$137.46
67800 covers a different eyelid lesion excision scope. Report 67808 when the operative documentation supports full-thickness involvement of the lid margin.
On this page
CMS RVU26D · Effective 2026-10-01
67808 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$331.20
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 67808: Full-thickness eyelid margin lesion excision
Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness.
An ophthalmologist or oculoplastic surgeon uses this code for excision of a non-chalazion eyelid lesion that involves the lid margin through its full thickness. The operative service may be performed in an office procedure room or an operating room. Examples of relevant documentation include the lesion’s eyelid location and the tissue depth and margin involvement that support full-thickness excision.
Choose this code based on the documented extent of the excision, not simply the presence of an eyelid growth or the number of lesions. The note should identify the lesion and describe the full-thickness lid-margin removal and any closure or reconstruction performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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 for this code; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 67808
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU4.49 · 47%
- Practice expense (office) RVU4.70 · 49%
- Malpractice RVU0.37 · 4%
341
Medicare services in 2024 · #3883 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.
67808 compared with similar codes
Office rates for Modesto, from the same CMS release.
$193.32
67810 is an incisional biopsy. Use 67808 for excision meeting the full-thickness lid-margin criteria, not for tissue sampling alone.
$296.01
Both codes concern eyelid lesion excision, but their defined service scopes differ. Match the code to the documented extent and nature of the procedure.
$222.60
67850 describes destruction of a lid-margin lesion. 67808 is for surgical excision through the full thickness of the lid margin.
The same code, a different location
How does Modesto compare?
67808 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Madera
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Merced
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Napa
California · 67808
Office
Unavailable
Facility
$372.60
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67808
Office
Unavailable
Facility
$347.42
No comparable office rate is available.
Redding
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Rest Of California
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67808
Office
Unavailable
Facility
$335.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67808
Office
Unavailable
Facility
$344.57
No comparable office rate is available.
Salinas
California · 67808
Office
Unavailable
Facility
$343.19
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67808
Office
Unavailable
Facility
$348.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67808
Office
Unavailable
Facility
$391.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67808
Office
Unavailable
Facility
$390.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67808
Office
Unavailable
Facility
$399.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67808
Office
Unavailable
Facility
$397.74
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67808
Office
Unavailable
Facility
$337.95
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67808
Office
Unavailable
Facility
$350.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67808
Office
Unavailable
Facility
$343.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67808
Office
Unavailable
Facility
$353.87
No comparable office rate is available.
Stockton
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Vallejo
California · 67808
Office
Unavailable
Facility
$372.00
No comparable office rate is available.
Visalia
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Yuba City
California · 67808
Office
Unavailable
Facility
$331.20
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67808
Office
Unavailable
Facility
$356.75
No comparable office rate is available.
Miami
Florida · 67808
Office
Unavailable
Facility
$344.64
No comparable office rate is available.
Chicago
Illinois · 67808
Office
Unavailable
Facility
$337.15
No comparable office rate is available.
Manhattan
New York · 67808
Office
Unavailable
Facility
$361.58
No comparable office rate is available.
Alaska*
Alaska · 67808
Office
Unavailable
Facility
$398.95
No comparable office rate is available.
Alabama
Alabama · 67808
Office
Unavailable
Facility
$294.33
No comparable office rate is available.
Arkansas
Arkansas · 67808
Office
Unavailable
Facility
$291.18
No comparable office rate is available.
Arizona
Arizona · 67808
Office
Unavailable
Facility
$312.67
No comparable office rate is available.
Colorado
Colorado · 67808
Office
Unavailable
Facility
$328.45
No comparable office rate is available.
Connecticut
Connecticut · 67808
Office
Unavailable
Facility
$337.00
No comparable office rate is available.
Delaware
Delaware · 67808
Office
Unavailable
Facility
$316.93
No comparable office rate is available.
Fort Lauderdale
Florida · 67808
Office
Unavailable
Facility
$331.34
No comparable office rate is available.
Rest Of Florida
Florida · 67808
Office
Unavailable
Facility
$318.62
No comparable office rate is available.
Atlanta
Georgia · 67808
Office
Unavailable
Facility
$324.76
No comparable office rate is available.
Rest Of Georgia
Georgia · 67808
Office
Unavailable
Facility
$304.73
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67808
Office
Unavailable
Facility
$335.62
No comparable office rate is available.
Iowa
Iowa · 67808
Office
Unavailable
Facility
$298.52
No comparable office rate is available.
Idaho
Idaho · 67808
Office
Unavailable
Facility
$300.24
No comparable office rate is available.
East St. Louis
Illinois · 67808
Office
Unavailable
Facility
$319.29
No comparable office rate is available.
Rest Of Illinois
Illinois · 67808
Office
Unavailable
Facility
$312.61
No comparable office rate is available.
Suburban Chicago
Illinois · 67808
Office
Unavailable
Facility
$334.14
No comparable office rate is available.
Indiana
Indiana · 67808
Office
Unavailable
Facility
$301.50
No comparable office rate is available.
Kansas
Kansas · 67808
Office
Unavailable
Facility
$298.11
No comparable office rate is available.
Kentucky
Kentucky · 67808
Office
Unavailable
Facility
$300.84
No comparable office rate is available.
New Orleans
Louisiana · 67808
Office
Unavailable
Facility
$311.73
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67808
Office
Unavailable
Facility
$300.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67808
Office
Unavailable
Facility
$354.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67808
Office
Unavailable
Facility
$327.52
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67808
Office
Unavailable
Facility
$336.10
No comparable office rate is available.
Rest Of Maryland
Maryland · 67808
Office
Unavailable
Facility
$321.68
No comparable office rate is available.
Rest Of Maine
Maine · 67808
Office
Unavailable
Facility
$302.08
No comparable office rate is available.
Southern Maine
Maine · 67808
Office
Unavailable
Facility
$313.34
No comparable office rate is available.
Detroit
Michigan · 67808
Office
Unavailable
Facility
$322.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 67808
Office
Unavailable
Facility
$307.25
No comparable office rate is available.
Minnesota
Minnesota · 67808
Office
Unavailable
Facility
$315.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67808
Office
Unavailable
Facility
$309.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67808
Office
Unavailable
Facility
$311.80
No comparable office rate is available.
Rest Of Missouri
Missouri · 67808
Office
Unavailable
Facility
$297.33
No comparable office rate is available.
Mississippi
Mississippi · 67808
Office
Unavailable
Facility
$294.27
No comparable office rate is available.
Montana**
Montana · 67808
Office
Unavailable
Facility
$319.29
No comparable office rate is available.
North Carolina
North Carolina · 67808
Office
Unavailable
Facility
$304.33
No comparable office rate is available.
North Dakota**
North Dakota · 67808
Office
Unavailable
Facility
$311.97
No comparable office rate is available.
Nebraska
Nebraska · 67808
Office
Unavailable
Facility
$299.54
No comparable office rate is available.
New Hampshire
New Hampshire · 67808
Office
Unavailable
Facility
$324.20
No comparable office rate is available.
Northern Nj
New Jersey · 67808
Office
Unavailable
Facility
$354.72
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67808
Office
Unavailable
Facility
$340.95
No comparable office rate is available.
New Mexico
New Mexico · 67808
Office
Unavailable
Facility
$308.77
No comparable office rate is available.
Nevada**
Nevada · 67808
Office
Unavailable
Facility
$317.41
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67808
Office
Unavailable
Facility
$369.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67808
Office
Unavailable
Facility
$343.57
No comparable office rate is available.
Queens
New York · 67808
Office
Unavailable
Facility
$362.94
No comparable office rate is available.
Rest Of New York
New York · 67808
Office
Unavailable
Facility
$307.79
No comparable office rate is available.
Ohio
Ohio · 67808
Office
Unavailable
Facility
$305.75
No comparable office rate is available.
Oklahoma
Oklahoma · 67808
Office
Unavailable
Facility
$299.76
No comparable office rate is available.
Portland
Oregon · 67808
Office
Unavailable
Facility
$335.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 67808
Office
Unavailable
Facility
$315.01
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67808
Office
Unavailable
Facility
$330.83
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67808
Office
Unavailable
Facility
$305.76
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67808
Office
Unavailable
Facility
$320.85
No comparable office rate is available.
Rhode Island
Rhode Island · 67808
Office
Unavailable
Facility
$326.01
No comparable office rate is available.
South Carolina
South Carolina · 67808
Office
Unavailable
Facility
$305.53
No comparable office rate is available.
South Dakota**
South Dakota · 67808
Office
Unavailable
Facility
$311.11
No comparable office rate is available.
Tennessee
Tennessee · 67808
Office
Unavailable
Facility
$299.31
No comparable office rate is available.
Austin
Texas · 67808
Office
Unavailable
Facility
$327.31
No comparable office rate is available.
Beaumont
Texas · 67808
Office
Unavailable
Facility
$304.31
No comparable office rate is available.
Brazoria
Texas · 67808
Office
Unavailable
Facility
$316.38
No comparable office rate is available.
Dallas
Texas · 67808
Office
Unavailable
Facility
$318.28
No comparable office rate is available.
Fort Worth
Texas · 67808
Office
Unavailable
Facility
$316.87
No comparable office rate is available.
Galveston
Texas · 67808
Office
Unavailable
Facility
$317.29
No comparable office rate is available.
Houston
Texas · 67808
Office
Unavailable
Facility
$324.06
No comparable office rate is available.
Rest Of Texas
Texas · 67808
Office
Unavailable
Facility
$310.11
No comparable office rate is available.
Utah
Utah · 67808
Office
Unavailable
Facility
$308.63
No comparable office rate is available.
Virginia
Virginia · 67808
Office
Unavailable
Facility
$313.01
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67808
Office
Unavailable
Facility
$320.85
No comparable office rate is available.
Vermont
Vermont · 67808
Office
Unavailable
Facility
$311.64
No comparable office rate is available.
Rest Of Washington
Washington · 67808
Office
Unavailable
Facility
$326.63
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67808
Office
Unavailable
Facility
$360.18
No comparable office rate is available.
Wisconsin
Wisconsin · 67808
Office
Unavailable
Facility
$304.17
No comparable office rate is available.
West Virginia
West Virginia · 67808
Office
Unavailable
Facility
$304.07
No comparable office rate is available.
Wyoming**
Wyoming · 67808
Office
Unavailable
Facility
$316.10
No comparable office rate is available.
See how rates vary across the country
67808 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67808 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$364.32
$331.20 × 110% = $364.32
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.
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 67808 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,493
- Code
- 67808
- Physician work
- 4.49
- Practice expense
- 4.70
- Malpractice
- 0.37
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.017 | 4.5663 |
| Practice expense | 4.70 | × 1.096 | 5.1512 |
| Malpractice | 0.37 | × 0.536 | 0.1983 |
| Total RVUs | 9.9159 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$331.20
Open 67808 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.49 | 1.017 |
| Practice expense | 4.7 | 1.096 |
| Malpractice | 0.37 | 0.536 |
(4.49 × 1.017 + 4.7 × 1.096 + 0.37 × 0.536) × $33.4009 = $331.20
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
67808 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $331.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $331.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $331.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $331.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $369.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $369.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $369.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $369.89 | RVU25A |
67808 billing questions
How does this differ from code 67810?
67808 is for excision meeting the full-thickness lid-margin criteria. 67810 describes an incisional biopsy, rather than that excisional service.
What documentation supports reporting 67808?
Document the lesion’s eyelid location and that the excision involved the lid margin through its full thickness. Include the extent of tissue removed and any closure or reconstruction performed.
Can modifier 50 be reported for lesions on both eyelids?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not append modifier 50.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted 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 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.
7,49067800,,Remove eyelid lesion,A,,1.37,2.43,,1.12,,0.11,3.91,2.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49167801,,Remove eyelid lesions,A,,1.86,2.93,,1.29,,0.15,4.94,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49267805,,Remove eyelid lesions,A,,2.21,3.79,,1.76,,0.18,6.18,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49367808,,Remove eyelid lesion(s),A,,4.49,4.70,NA,4.70,,0.37,9.56,9.56,0,090,0.10,0.70,0.20,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49467810,,Incal bx eyelid skn lid mrgn,A,,1.15,4.16,,0.39,,0.11,5.42,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49567820,,Revise eyelashes,A,,0.31,0.23,,0.24,,0.02,0.56,0.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49667825,,Revise eyelashes,A,,1.39,2.55,,1.72,,0.11,4.05,3.22,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536