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CMS RVU26D · Effective 2026-10-01

67805 in Redding

Office / nonfacility

$217.04

Base rate per service

Facility setting

$142.72

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 67805: Multiple chalazia on different eyelids

Reports excision of multiple chalazia located on different eyelids, typically by an ophthalmologist treating obstructed meibomian glands.

An ophthalmologist typically reports this procedure when treating multiple chalazia on different eyelids. A chalazion is a localized lump caused by blockage and inflammation of an eyelid’s meibomian gland. Treatment generally involves opening the affected area and curetting the obstructed material, often in an office setting. This code distinguishes lesions on different eyelids from multiple chalazia confined to one eyelid.

Document the chalazia treated and identify the different eyelids involved; the number and location of lesions support selection of this code over a single-lesion or same-eyelid code. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 67805

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 RVU2.21 · 36%
  • Practice expense (office) RVU3.79 · 61%
  • Malpractice RVU0.18 · 3%

842

Medicare services in 2024 · #3101 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.

67805 compared with similar codes

Office rates for Redding, from the same CMS release.

67801

Chalazion excision

Multiple, same eyelid

$173.13

Both codes describe multiple chalazia, but 67801 is for lesions on the same eyelid; 67805 is for lesions on different eyelids.

67808

Eyelid lesion excision

Full-thickness lid margin

No office rate

This is the related chalazion-excision code for the specified general-anesthesia circumstance. Choose based on the anesthesia circumstance in the applicable descriptor, not simply the number of eyelids involved.

67840

Eyelid lesion excision

Excludes chalazion

$296.01

Use 67805 for multiple chalazia on different eyelids. Code 67840 is for excision of other eyelid lesions, rather than chalazia.

67810

Eyelid biopsy

Eyelid skin or margin

$193.32

Code 67810 represents biopsy of an eyelid lesion for diagnostic tissue sampling; 67805 represents treatment by excision of multiple chalazia on different eyelids.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 67805 is $217.62—$0.58 higher than the $217.04 rate in Redding. Both use the same code, release and participation basis.

67805 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $217.04

  2. $0.58 higher than Redding

  3. Chico

    $217.04

    The same base rate than Redding

  4. El Centro

    $217.07

    $0.03 higher than Redding

  5. Fresno

    $217.04

    The same base rate than Redding

  6. The same base rate than Redding

  7. $13.55 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, 67805 ranges from $185.65 in Arkansas to $267.70 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 · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Merced

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Modesto

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Napa

    California · 67805

    Office

    $248.37

    Facility

    $159.00

    $31.33 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67805

    Office

    $229.26

    Facility

    $149.11

    $12.22 higher than Redding for the office setting.

  • Rest Of California

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67805

    Office

    $219.02

    Facility

    $144.70

    $1.98 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67805

    Office

    $226.92

    Facility

    $148.06

    $9.88 higher than Redding for the office setting.

  • Salinas

    California · 67805

    Office

    $226.04

    Facility

    $147.46

    $9.00 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67805

    Office

    $230.69

    Facility

    $149.60

    $13.65 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67805

    Office

    $262.08

    Facility

    $166.48

    $45.04 higher than Redding for the office setting.

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

    California · 67805

    Office

    $261.87

    Facility

    $166.27

    $44.83 higher than Redding for the office setting.

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

    California · 67805

    Office

    $267.70

    Facility

    $169.93

    $50.66 higher than Redding for the office setting.

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

    California · 67805

    Office

    $266.86

    Facility

    $169.09

    $49.82 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67805

    Office

    $222.48

    Facility

    $145.25

    $5.44 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 67805

    Office

    $232.39

    Facility

    $150.01

    $15.35 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 67805

    Office

    $226.71

    Facility

    $147.65

    $9.67 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 67805

    Office

    $234.70

    Facility

    $151.44

    $17.66 higher than Redding for the office setting.

  • Stockton

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 67805

    Office

    $248.07

    Facility

    $158.71

    $31.03 higher than Redding for the office setting.

  • Visalia

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 67805

    Office

    $217.04

    Facility

    $142.72

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67805

    Office

    $233.62

    Facility

    $153.74

    $16.58 higher than Redding for the office setting.

  • Miami

    Florida · 67805

    Office

    $220.80

    Facility

    $150.22

    $3.76 higher than Redding for the office setting.

  • Chicago

    Illinois · 67805

    Office

    $215.35

    Facility

    $147.21

    $1.69 lower than Redding for the office setting.

  • Manhattan

    New York · 67805

    Office

    $235.17

    Facility

    $156.38

    $18.13 higher than Redding for the office setting.

  • Alaska*

    Alaska · 67805

    Office

    $248.85

    Facility

    $176.64

    $31.81 higher than Redding for the office setting.

  • Alabama

    Alabama · 67805

    Office

    $187.98

    Facility

    $128.66

    $29.06 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 67805

    Office

    $185.65

    Facility

    $127.41

    $31.39 lower than Redding for the office setting.

  • Arizona

    Arizona · 67805

    Office

    $201.63

    Facility

    $135.93

    $15.41 lower than Redding for the office setting.

  • Colorado

    Colorado · 67805

    Office

    $214.09

    Facility

    $141.95

    $2.95 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 67805

    Office

    $218.90

    Facility

    $145.88

    $1.86 higher than Redding for the office setting.

  • Delaware

    Delaware · 67805

    Office

    $204.66

    Facility

    $137.67

    $12.38 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 67805

    Office

    $212.92

    Facility

    $144.24

    $4.12 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 67805

    Office

    $203.87

    Facility

    $139.05

    $13.17 lower than Redding for the office setting.

  • Atlanta

    Georgia · 67805

    Office

    $209.87

    Facility

    $140.98

    $7.17 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 67805

    Office

    $193.90

    Facility

    $133.42

    $23.14 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 67805

    Office

    $221.23

    Facility

    $144.14

    $4.19 higher than Redding for the office setting.

  • Iowa

    Iowa · 67805

    Office

    $192.03

    Facility

    $129.99

    $25.01 lower than Redding for the office setting.

  • Idaho

    Idaho · 67805

    Office

    $193.12

    Facility

    $130.74

    $23.92 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 67805

    Office

    $202.39

    Facility

    $140.01

    $14.65 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 67805

    Office

    $198.79

    Facility

    $136.88

    $18.25 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 67805

    Office

    $214.99

    Facility

    $145.36

    $2.05 lower than Redding for the office setting.

  • Indiana

    Indiana · 67805

    Office

    $194.09

    Facility

    $131.23

    $22.95 lower than Redding for the office setting.

  • Kansas

    Kansas · 67805

    Office

    $191.28

    Facility

    $129.99

    $25.76 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 67805

    Office

    $191.86

    Facility

    $131.58

    $25.18 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 67805

    Office

    $199.77

    Facility

    $135.96

    $17.27 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 67805

    Office

    $191.61

    Facility

    $131.60

    $25.43 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 67805

    Office

    $233.34

    Facility

    $152.38

    $16.30 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67805

    Office

    $213.09

    Facility

    $141.69

    $3.95 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67805

    Office

    $218.26

    Facility

    $145.51

    $1.22 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 67805

    Office

    $208.18

    Facility

    $139.56

    $8.86 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 67805

    Office

    $194.02

    Facility

    $131.64

    $23.02 lower than Redding for the office setting.

  • Southern Maine

    Maine · 67805

    Office

    $203.06

    Facility

    $135.87

    $13.98 lower than Redding for the office setting.

  • Detroit

    Michigan · 67805

    Office

    $206.11

    Facility

    $140.68

    $10.93 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 67805

    Office

    $196.18

    Facility

    $134.27

    $20.86 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 67805

    Office

    $205.86

    Facility

    $136.09

    $11.18 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 67805

    Office

    $198.56

    Facility

    $134.89

    $18.48 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 67805

    Office

    $200.35

    Facility

    $135.80

    $16.69 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 67805

    Office

    $188.79

    Facility

    $130.35

    $28.25 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 67805

    Office

    $187.25

    Facility

    $128.87

    $29.79 lower than Redding for the office setting.

  • Montana**

    Montana · 67805

    Office

    $206.41

    Facility

    $138.60

    $10.63 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 67805

    Office

    $195.77

    Facility

    $132.50

    $21.27 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 67805

    Office

    $202.85

    Facility

    $135.04

    $14.19 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 67805

    Office

    $192.93

    Facility

    $130.35

    $24.11 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 67805

    Office

    $210.86

    Facility

    $140.27

    $6.18 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 67805

    Office

    $231.73

    Facility

    $153.08

    $14.69 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 67805

    Office

    $221.60

    Facility

    $147.56

    $4.56 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 67805

    Office

    $197.12

    Facility

    $134.94

    $19.92 lower than Redding for the office setting.

  • Nevada**

    Nevada · 67805

    Office

    $205.54

    Facility

    $137.67

    $11.50 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67805

    Office

    $240.22

    Facility

    $159.60

    $23.18 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67805

    Office

    $223.03

    Facility

    $148.78

    $5.99 higher than Redding for the office setting.

  • Queens

    New York · 67805

    Office

    $236.84

    Facility

    $156.69

    $19.80 higher than Redding for the office setting.

  • Rest Of New York

    New York · 67805

    Office

    $198.30

    Facility

    $133.89

    $18.74 lower than Redding for the office setting.

  • Ohio

    Ohio · 67805

    Office

    $195.45

    Facility

    $133.55

    $21.59 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 67805

    Office

    $191.53

    Facility

    $130.98

    $25.51 lower than Redding for the office setting.

  • Portland

    Oregon · 67805

    Office

    $220.11

    Facility

    $144.78

    $3.07 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 67805

    Office

    $204.13

    Facility

    $136.59

    $12.91 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67805

    Office

    $214.10

    Facility

    $143.51

    $2.94 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67805

    Office

    $195.71

    Facility

    $133.46

    $21.33 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 67805

    Office

    $207.72

    Facility

    $139.17

    $9.32 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 67805

    Office

    $211.35

    Facility

    $141.31

    $5.69 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 67805

    Office

    $195.89

    Facility

    $133.24

    $21.15 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 67805

    Office

    $202.43

    Facility

    $134.62

    $14.61 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 67805

    Office

    $192.11

    Facility

    $130.48

    $24.93 lower than Redding for the office setting.

  • Austin

    Texas · 67805

    Office

    $213.22

    Facility

    $141.49

    $3.82 lower than Redding for the office setting.

  • Beaumont

    Texas · 67805

    Office

    $194.60

    Facility

    $132.90

    $22.44 lower than Redding for the office setting.

  • Brazoria

    Texas · 67805

    Office

    $204.55

    Facility

    $137.35

    $12.49 lower than Redding for the office setting.

  • Dallas

    Texas · 67805

    Office

    $205.72

    Facility

    $138.19

    $11.32 lower than Redding for the office setting.

  • Fort Worth

    Texas · 67805

    Office

    $204.53

    Facility

    $137.68

    $12.51 lower than Redding for the office setting.

  • Galveston

    Texas · 67805

    Office

    $205.09

    Facility

    $137.76

    $11.95 lower than Redding for the office setting.

  • Houston

    Texas · 67805

    Office

    $208.38

    Facility

    $141.05

    $8.66 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 67805

    Office

    $199.38

    Facility

    $135.03

    $17.66 lower than Redding for the office setting.

  • Utah

    Utah · 67805

    Office

    $198.21

    Facility

    $134.47

    $18.83 lower than Redding for the office setting.

  • Virginia

    Virginia · 67805

    Office

    $202.50

    Facility

    $135.85

    $14.54 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67805

    Office

    $207.72

    Facility

    $139.17

    $9.32 lower than Redding for the office setting.

  • Vermont

    Vermont · 67805

    Office

    $202.18

    Facility

    $135.06

    $14.86 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 67805

    Office

    $212.65

    Facility

    $141.25

    $4.39 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 67805

    Office

    $237.74

    Facility

    $154.55

    $20.70 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 67805

    Office

    $196.94

    Facility

    $131.98

    $20.10 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 67805

    Office

    $192.43

    Facility

    $133.50

    $24.61 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 67805

    Office

    $204.85

    Facility

    $137.05

    $12.19 lower than Redding for the office setting.

See how rates vary across the country

67805 · 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.

$185.65

$248.85

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$248.851
AL$187.981
AR$185.651
AZ$201.631
CA$217.04–$267.7029
CO$214.091
CT$218.901
DC$233.621
DE$204.661
FL$203.87–$220.803
GA$193.90–$209.872
GU$221.231
HI$221.231
IA$192.031
ID$193.121
IL$198.79–$215.354
IN$194.091
KS$191.281
KY$191.861
LA$191.61–$199.772
MA$213.09–$233.342
MD$208.18–$233.623
ME$194.02–$203.062
MI$196.18–$206.112
MN$205.861
MO$188.79–$200.353
MS$187.251
MT$206.411
NC$195.771
ND$202.851
NE$192.931
NH$210.861
NJ$221.60–$231.732
NM$197.121
NV$205.541
NY$198.30–$240.225
OH$195.451
OK$191.531
OR$204.13–$220.112
PA$195.71–$214.102
PR$207.721
RI$211.351
SC$195.891
SD$202.431
TN$192.111
TX$194.60–$213.228
UT$198.211
VA$202.50–$233.622
VI$207.721
VT$202.181
WA$212.65–$237.742
WI$196.941
WV$192.431
WY$204.851

Explore 67805 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.

Why are the office and facility amounts different?

For 67805 in Redding, the physician’s office rate is $217.04 and the facility-setting rate is $142.72: a difference of $74.32.

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 67805 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$238.74

$217.04 × 110% = $238.74

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 67805 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,492

Code
67805
Physician work
2.21
Practice expense
3.79
Malpractice
0.18

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67805 in Redding
ComponentRVULocality factorAdjusted
Physician work2.21× 1.0172.2476
Practice expense3.79× 1.0964.1538
Malpractice0.18× 0.5360.0965
Total RVUs6.4979
Conversion factor× 33.4009

Office / nonfacility rate, Redding$217.04

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

Open 67805 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.211.017
Practice expense3.791.096
Malpractice0.180.536

(2.21 × 1.017 + 3.79 × 1.096 + 0.18 × 0.536) × $33.4009 = $217.04

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.211.017
Practice expense1.761.096
Malpractice0.180.536

(2.21 × 1.017 + 1.76 × 1.096 + 0.18 × 0.536) × $33.4009 = $142.72

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

67805 · Office / nonfacility

$217.04

Effective 2026-10-01

The base rate is $10.81 higher than on 2025-10-01, moving from $206.23 to $217.04 (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

    $206.23changed to$217.04

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.27 changed to 2.21
    • Practice expense RVU 3.64 changed to 3.79
    • Malpractice RVU 0.17 changed to 0.18
    • 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: $206.23

    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$217.04$142.72RVU26D
2026-07-01$217.04$142.72RVU26C
2026-04-01$217.04$142.72RVU26B
2026-01-01$217.04$142.72RVU26A
2025-10-01$206.23$162.74RVU25D
2025-07-01$206.23$162.74RVU25C
2025-04-01$206.23$162.74RVU25B
2025-01-01$206.23$162.74RVU25A

67805 billing questions

When should 67805 be selected instead of 67801?

Use 67805 for multiple chalazia on different eyelids. Use 67801 when multiple chalazia are treated on the same eyelid.

Can modifier 50 be added when both eyes are treated?

No. The code describes treatment of multiple chalazia on different eyelids, and CMS identifies modifier 50 as inappropriate.

Are related postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the procedure’s global period.

How should the record support reporting 67805?

Document the chalazia treated and the different eyelids on which they were located. This distinguishes the service from treatment of multiple lesions on one eyelid.

Can an assistant or co-surgeon be reported for this procedure?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic 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 67805PPRRVU2026_Oct_nonQPP.csv, line 7,492 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)