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CMS RVU26D · Effective 2026-10-01

67801 in Redding

Office / nonfacility

$173.13

Base rate per service

Facility setting

$113.09

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.

Ophthalmology procedure

About 67801: Multiple chalazion excision, same eyelid

Report this service when a clinician excises multiple chalazia from one eyelid during the same session, rather than a single lesion or lesions on different lids.

An ophthalmologist or other qualified eye-care clinician uses this service to remove multiple chalazia from the same eyelid, commonly by opening and curetting the affected glands. It is typically performed in an office setting under local anesthesia when several persistent or symptomatic chalazia on one lid need treatment. The code is specific to chalazia; it is not the choice for a suspicious eyelid growth requiring biopsy or removal as a non-chalazion lesion.

Documentation should support that more than one chalazion was treated and that the lesions were on the same eyelid. Use the single-lesion code for one chalazion and the different-lids code when multiple lesions are treated on different eyelids. This minor procedure has a 10-day global period, so related postoperative visits during that 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 for an assistant at surgery, co-surgeons, or team surgery for this service.

CMS billing rules for 67801

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 RVU1.86 · 38%
  • Practice expense (office) RVU2.93 · 59%
  • Malpractice RVU0.15 · 3%

1.6K

Medicare services in 2024 · #2637 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.

67801 compared with similar codes

Office rates for Redding, from the same CMS release.

67800

Chalazion removal

Single lesion

$137.46

67800 is for one chalazion; 67801 is for multiple chalazia on the same eyelid.

67805

Chalazion excision

Multiple, different eyelids

$217.04

Choose 67805 when multiple chalazia are treated on different eyelids; 67801 describes multiple lesions on one eyelid.

67810

Eyelid biopsy

Eyelid skin or margin

$193.32

67810 is an eyelid skin biopsy. Use it when tissue diagnosis is the purpose, rather than excision of multiple chalazia.

67840

Eyelid lesion excision

Excludes chalazion

$296.01

67840 addresses excision of an eyelid lesion rather than the treatment of multiple chalazia on one eyelid.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 67801 is $173.62—$0.49 higher than the $173.13 rate in Redding. Both use the same code, release and participation basis.

67801 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $173.13

  2. Bakersfield

    $173.62

    $0.49 higher than Redding

  3. Chico

    $173.13

    The same base rate than Redding

  4. El Centro

    $173.15

    $0.02 higher than Redding

  5. Fresno

    $173.13

    The same base rate than Redding

  6. Hanford-Corcoran

    $173.13

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $183.77

    $10.64 higher than Redding

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, 67801 ranges from $148.77 in Arkansas to $212.77 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

  • Madera

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Merced

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Modesto

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Napa

    California · 67801

    Office

    $197.57

    Facility

    $125.37

    $24.44 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67801

    Office

    $182.66

    Facility

    $117.92

    $9.53 higher than Redding for the office setting.

  • Rest Of California

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67801

    Office

    $174.78

    Facility

    $114.74

    $1.65 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67801

    Office

    $180.86

    Facility

    $117.16

    $7.73 higher than Redding for the office setting.

  • Salinas

    California · 67801

    Office

    $180.16

    Facility

    $116.68

    $7.03 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67801

    Office

    $183.75

    Facility

    $118.24

    $10.62 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67801

    Office

    $208.32

    Facility

    $131.08

    $35.19 higher than Redding for the office setting.

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

    California · 67801

    Office

    $208.15

    Facility

    $130.91

    $35.02 higher than Redding for the office setting.

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

    California · 67801

    Office

    $212.77

    Facility

    $133.78

    $39.64 higher than Redding for the office setting.

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

    California · 67801

    Office

    $212.07

    Facility

    $133.08

    $38.94 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67801

    Office

    $177.34

    Facility

    $114.94

    $4.21 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 67801

    Office

    $185.02

    Facility

    $118.47

    $11.89 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 67801

    Office

    $180.66

    Facility

    $116.79

    $7.53 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 67801

    Office

    $186.85

    Facility

    $119.59

    $13.72 higher than Redding for the office setting.

  • Stockton

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 67801

    Office

    $197.32

    Facility

    $125.13

    $24.19 higher than Redding for the office setting.

  • Visalia

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 67801

    Office

    $173.13

    Facility

    $113.09

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67801

    Office

    $186.34

    Facility

    $121.81

    $13.21 higher than Redding for the office setting.

  • Miami

    Florida · 67801

    Office

    $176.67

    Facility

    $119.65

    $3.54 higher than Redding for the office setting.

  • Chicago

    Illinois · 67801

    Office

    $172.41

    Facility

    $117.36

    $0.72 lower than Redding for the office setting.

  • Manhattan

    New York · 67801

    Office

    $187.77

    Facility

    $124.12

    $14.64 higher than Redding for the office setting.

  • Alaska*

    Alaska · 67801

    Office

    $200.17

    Facility

    $141.84

    $27.04 higher than Redding for the office setting.

  • Alabama

    Alabama · 67801

    Office

    $150.59

    Facility

    $102.66

    $22.54 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 67801

    Office

    $148.77

    Facility

    $101.72

    $24.36 lower than Redding for the office setting.

  • Arizona

    Arizona · 67801

    Office

    $161.25

    Facility

    $108.17

    $11.88 lower than Redding for the office setting.

  • Colorado

    Colorado · 67801

    Office

    $170.91

    Facility

    $112.63

    $2.22 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 67801

    Office

    $174.83

    Facility

    $115.84

    $1.70 higher than Redding for the office setting.

  • Delaware

    Delaware · 67801

    Office

    $163.63

    Facility

    $109.51

    $9.50 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 67801

    Office

    $170.32

    Facility

    $114.83

    $2.81 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 67801

    Office

    $163.21

    Facility

    $110.85

    $9.92 lower than Redding for the office setting.

  • Atlanta

    Georgia · 67801

    Office

    $167.76

    Facility

    $112.11

    $5.37 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 67801

    Office

    $155.39

    Facility

    $106.53

    $17.74 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 67801

    Office

    $176.30

    Facility

    $114.02

    $3.17 higher than Redding for the office setting.

  • Iowa

    Iowa · 67801

    Office

    $153.66

    Facility

    $103.54

    $19.47 lower than Redding for the office setting.

  • Idaho

    Idaho · 67801

    Office

    $154.53

    Facility

    $104.14

    $18.60 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 67801

    Office

    $162.25

    Facility

    $111.86

    $10.88 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 67801

    Office

    $159.31

    Facility

    $109.30

    $13.82 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 67801

    Office

    $171.95

    Facility

    $115.69

    $1.18 lower than Redding for the office setting.

  • Indiana

    Indiana · 67801

    Office

    $155.28

    Facility

    $104.50

    $17.85 lower than Redding for the office setting.

  • Kansas

    Kansas · 67801

    Office

    $153.12

    Facility

    $103.60

    $20.01 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 67801

    Office

    $153.71

    Facility

    $105.01

    $19.42 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 67801

    Office

    $159.91

    Facility

    $108.36

    $13.22 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 67801

    Office

    $153.54

    Facility

    $105.06

    $19.59 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 67801

    Office

    $185.98

    Facility

    $120.58

    $12.85 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67801

    Office

    $170.16

    Facility

    $112.48

    $2.97 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67801

    Office

    $174.33

    Facility

    $115.55

    $1.20 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 67801

    Office

    $166.39

    Facility

    $110.95

    $6.74 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 67801

    Office

    $155.28

    Facility

    $104.88

    $17.85 lower than Redding for the office setting.

  • Southern Maine

    Maine · 67801

    Office

    $162.27

    Facility

    $107.99

    $10.86 lower than Redding for the office setting.

  • Detroit

    Michigan · 67801

    Office

    $165.01

    Facility

    $112.15

    $8.12 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 67801

    Office

    $157.13

    Facility

    $107.12

    $16.00 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 67801

    Office

    $164.31

    Facility

    $107.95

    $8.82 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 67801

    Office

    $158.92

    Facility

    $107.48

    $14.21 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 67801

    Office

    $160.31

    Facility

    $108.16

    $12.82 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 67801

    Office

    $151.36

    Facility

    $104.15

    $21.77 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 67801

    Office

    $150.09

    Facility

    $102.93

    $23.04 lower than Redding for the office setting.

  • Montana**

    Montana · 67801

    Office

    $164.99

    Facility

    $110.21

    $8.14 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 67801

    Office

    $156.63

    Facility

    $105.53

    $16.50 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 67801

    Office

    $162.02

    Facility

    $107.25

    $11.11 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 67801

    Office

    $154.35

    Facility

    $103.79

    $18.78 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 67801

    Office

    $168.39

    Facility

    $111.36

    $4.74 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 67801

    Office

    $184.91

    Facility

    $121.37

    $11.78 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 67801

    Office

    $176.98

    Facility

    $117.16

    $3.85 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 67801

    Office

    $157.88

    Facility

    $107.65

    $15.25 lower than Redding for the office setting.

  • Nevada**

    Nevada · 67801

    Office

    $164.26

    Facility

    $109.43

    $8.87 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67801

    Office

    $191.77

    Facility

    $126.64

    $18.64 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67801

    Office

    $178.15

    Facility

    $118.16

    $5.02 higher than Redding for the office setting.

  • Queens

    New York · 67801

    Office

    $189.00

    Facility

    $124.26

    $15.87 higher than Redding for the office setting.

  • Rest Of New York

    New York · 67801

    Office

    $158.62

    Facility

    $106.58

    $14.51 lower than Redding for the office setting.

  • Ohio

    Ohio · 67801

    Office

    $156.53

    Facility

    $106.51

    $16.60 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 67801

    Office

    $153.41

    Facility

    $104.50

    $19.72 lower than Redding for the office setting.

  • Portland

    Oregon · 67801

    Office

    $175.57

    Facility

    $114.72

    $2.44 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 67801

    Office

    $163.12

    Facility

    $108.56

    $10.01 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67801

    Office

    $171.10

    Facility

    $114.07

    $2.03 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67801

    Office

    $156.70

    Facility

    $106.41

    $16.43 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 67801

    Office

    $166.00

    Facility

    $110.62

    $7.13 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 67801

    Office

    $168.87

    Facility

    $112.28

    $4.26 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 67801

    Office

    $156.81

    Facility

    $106.20

    $16.32 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 67801

    Office

    $161.67

    Facility

    $106.90

    $11.46 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 67801

    Office

    $153.78

    Facility

    $103.98

    $19.35 lower than Redding for the office setting.

  • Austin

    Texas · 67801

    Office

    $170.23

    Facility

    $112.28

    $2.90 lower than Redding for the office setting.

  • Beaumont

    Texas · 67801

    Office

    $155.84

    Facility

    $105.99

    $17.29 lower than Redding for the office setting.

  • Brazoria

    Texas · 67801

    Office

    $163.51

    Facility

    $109.23

    $9.62 lower than Redding for the office setting.

  • Dallas

    Texas · 67801

    Office

    $164.46

    Facility

    $109.90

    $8.67 lower than Redding for the office setting.

  • Fort Worth

    Texas · 67801

    Office

    $163.54

    Facility

    $109.53

    $9.59 lower than Redding for the office setting.

  • Galveston

    Texas · 67801

    Office

    $163.95

    Facility

    $109.56

    $9.18 lower than Redding for the office setting.

  • Houston

    Texas · 67801

    Office

    $166.70

    Facility

    $112.30

    $6.43 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 67801

    Office

    $159.52

    Facility

    $107.54

    $13.61 lower than Redding for the office setting.

  • Utah

    Utah · 67801

    Office

    $158.62

    Facility

    $107.13

    $14.51 lower than Redding for the office setting.

  • Virginia

    Virginia · 67801

    Office

    $161.86

    Facility

    $108.02

    $11.27 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67801

    Office

    $166.00

    Facility

    $110.62

    $7.13 lower than Redding for the office setting.

  • Vermont

    Vermont · 67801

    Office

    $161.55

    Facility

    $107.32

    $11.58 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 67801

    Office

    $169.80

    Facility

    $112.12

    $3.33 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 67801

    Office

    $189.41

    Facility

    $122.19

    $16.28 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 67801

    Office

    $157.42

    Facility

    $104.95

    $15.71 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 67801

    Office

    $154.34

    Facility

    $106.74

    $18.79 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 67801

    Office

    $163.70

    Facility

    $108.92

    $9.43 lower than Redding for the office setting.

See how rates vary across the country

67801 · 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.

$148.77

$200.17

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$200.171
AL$150.591
AR$148.771
AZ$161.251
CA$173.13–$212.7729
CO$170.911
CT$174.831
DC$186.341
DE$163.631
FL$163.21–$176.673
GA$155.39–$167.762
GU$176.301
HI$176.301
IA$153.661
ID$154.531
IL$159.31–$172.414
IN$155.281
KS$153.121
KY$153.711
LA$153.54–$159.912
MA$170.16–$185.982
MD$166.39–$186.343
ME$155.28–$162.272
MI$157.13–$165.012
MN$164.311
MO$151.36–$160.313
MS$150.091
MT$164.991
NC$156.631
ND$162.021
NE$154.351
NH$168.391
NJ$176.98–$184.912
NM$157.881
NV$164.261
NY$158.62–$191.775
OH$156.531
OK$153.411
OR$163.12–$175.572
PA$156.70–$171.102
PR$166.001
RI$168.871
SC$156.811
SD$161.671
TN$153.781
TX$155.84–$170.238
UT$158.621
VA$161.86–$186.342
VI$166.001
VT$161.551
WA$169.80–$189.412
WI$157.421
WV$154.341
WY$163.701

Explore 67801 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 67801 in Redding, the physician’s office rate is $173.13 and the facility-setting rate is $113.09: a difference of $60.04.

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 67801 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$190.44

$173.13 × 110% = $190.44

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.

Compare your contract offer →

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 67801 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,491

Code
67801
Physician work
1.86
Practice expense
2.93
Malpractice
0.15

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67801 in Redding
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0171.8916
Practice expense2.93× 1.0963.2113
Malpractice0.15× 0.5360.0804
Total RVUs5.1833
Conversion factor× 33.4009

Office / nonfacility rate, Redding$173.13

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

Open 67801 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.861.017
Practice expense2.931.096
Malpractice0.150.536

(1.86 × 1.017 + 2.93 × 1.096 + 0.15 × 0.536) × $33.4009 = $173.13

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.861.017
Practice expense1.291.096
Malpractice0.150.536

(1.86 × 1.017 + 1.29 × 1.096 + 0.15 × 0.536) × $33.4009 = $113.09

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

67801 · Office / nonfacility

$173.13

Effective 2026-10-01

The base rate is $8.24 higher than on 2025-10-01, moving from $164.89 to $173.13 (5.0%).

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

    $164.89changed to$173.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 2.81 changed to 2.93
    • Malpractice RVU 0.16 changed to 0.15
    • 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: $164.89

    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$173.13$113.09RVU26D
2026-07-01$173.13$113.09RVU26C
2026-04-01$173.13$113.09RVU26B
2026-01-01$173.13$113.09RVU26A
2025-10-01$164.89$130.95RVU25D
2025-07-01$164.89$130.95RVU25C
2025-04-01$164.89$130.95RVU25B
2025-01-01$164.89$130.95RVU25A

67801 billing questions

How does this differ from 67800?

67800 is for one chalazion. Use 67801 when multiple chalazia are treated on the same eyelid.

When should 67805 be reported instead?

67805 applies when multiple chalazia are treated on different eyelids. 67801 is for multiple lesions on one eyelid.

Can modifier 50 be used if both eyes are treated?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate. Select the code that reflects the number of lesions and eyelids treated.

Are postoperative visits separately reported?

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

What documentation supports this code?

Record the treated chalazia and the eyelid on which they were located. The record should establish that multiple lesions, rather than a single lesion, were treated on that same lid.

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

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery, co-surgeon, or team surgeon is not paid for this service.

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 67801PPRRVU2026_Oct_nonQPP.csv, line 7,491 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet