$249.92
67850 is for destruction of a lesion under 1 cm at the eyelid margin; 67840 is for excisional removal of an eyelid lesion.
On this page
CMS RVU26D · Effective 2026-10-01
67850 Eyelid lesion destruction Medicare reimbursement rates in Alabama
Destruction treats a lesion smaller than 1 cm at the eyelid margin, typically when an ophthalmologist eradicates it without excisional removal. Compare 67850 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 67850 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$189.09
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$104.04
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmic procedure
About 67850: Destruction of Small Eyelid-Margin Lesion
Destruction treats a lesion smaller than 1 cm at the eyelid margin, typically when an ophthalmologist eradicates it without excisional removal.
An ophthalmologist or other qualified eye-care professional uses a destructive method, such as cryotherapy or electrosurgery, to treat a lesion located at the eyelid margin and measuring less than 1 cm. The method destroys the targeted tissue rather than removing the lesion by excision. This may be selected for a small lesion when treatment, rather than obtaining tissue for diagnosis, is the goal.
Report the service for a lesion at the lid margin that meets the size criterion; do not select it for a larger lesion or a lesion treated by excision. Document the exact site, lesion size, treatment method, and medical reason for treatment. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67850
- 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 RVU1.70 · 27%
- Practice expense (office) RVU4.43 · 71%
- Malpractice RVU0.15 · 2%
7.8K
Medicare services in 2024 · #1601 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.
67850 compared with similar codes
Office rates for Alabama, from the same CMS release.
$162.07
67810 obtains eyelid tissue for diagnostic examination. Choose 67850 when the service destroys the small lid-margin lesion rather than sampling it.
$99.44
17110 addresses destruction of qualifying benign lesions at other cutaneous sites. 67850 is specific to a lesion under 1 cm at the eyelid margin.
Compare 67850 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$189.09
Facility
$104.04
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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 67850 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
7,500
- Code
- 67850
- Physician work
- 1.70
- Practice expense
- 4.43
- Malpractice
- 0.15
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.70 | × 1.000 | 1.7000 |
| Practice expense | 4.43 | × 0.875 | 3.8762 |
| Malpractice | 0.15 | × 0.566 | 0.0849 |
| Total RVUs | 5.6612 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$189.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.7 | 1 |
| Practice expense | 4.43 | 0.875 |
| Malpractice | 0.15 | 0.566 |
(1.7 × 1 + 4.43 × 0.875 + 0.15 × 0.566) × $33.4009 = $189.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.7 | 1 |
| Practice expense | 1.52 | 0.875 |
| Malpractice | 0.15 | 0.566 |
(1.7 × 1 + 1.52 × 0.875 + 0.15 × 0.566) × $33.4009 = $104.04
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.
67850 billing questions
When should this code be chosen instead of 67840?
Use 67850 for destruction of a lesion under 1 cm at the eyelid margin. Code 67840 describes excisional removal of an eyelid lesion.
Can a biopsy be reported for the same lesion?
This code represents destructive treatment, not tissue sampling. If the service is a diagnostic eyelid biopsy, consider 67810 instead; report services separately only when each was actually performed and independently reportable.
What documentation supports the code?
Record the lesion's eyelid-margin location, size under 1 cm, treatment method, and clinical reason for destruction.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in this minor procedure's payment.
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.
7,49767830,,Revise eyelashes,A,,1.71,6.19,,1.72,,0.14,8.04,3.57,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49867835,,Revise eyelashes,A,,5.56,5.37,NA,5.37,,0.43,11.36,11.36,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49967840,,Remove eyelid lesion,A,,2.04,6.11,,1.81,,0.17,8.32,4.02,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50067850,,Dstrj lesion lid margin <1cm,A,,1.70,4.43,,1.52,,0.15,6.28,3.37,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50167875,,Closure of eyelid by suture,A,,1.32,3.98,,1.00,,0.11,5.41,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50267880,,Revision of eyelid,A,,4.49,9.23,,4.70,,0.38,14.10,9.57,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,50367882,,Revision of eyelid,A,,5.87,10.87,,5.82,,0.46,17.20,12.15,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515