CPT code 67850: Eyelid lesion destruction2026 Medicare rate & RVUs in Delaware
Destruction treats a lesion smaller than 1 cm at the eyelid margin, typically when an ophthalmologist eradicates it without excisional removal.
Medicare pays $207.76 for 67850 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67850 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $207.76 | $111.73 |
How the 67850 rate is calculated
Each of 67850’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67850
RVUs × geographic indexes × conversion factor
Work1.70
1.70 RVUs× 1.000 GPCI
Practice expense4.43
4.43 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
6.2800
Conversion factor
$33.4009
Medicare rate
$209.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67850
67850 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67850
Eyelid lesion destruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67850
Eyelid lesion destruction
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67850 without 50 · national office
$209.76
Eyelid lesion destruction
67850-50 · Bilateral: 150%
$314.64
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
67850 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67840Eyelid lesion excision
- 67850 is for destruction of a lesion under 1 cm at the eyelid margin; 67840 is for excisional removal of an eyelid lesion.
- 67810Eyelid biopsy
- 67810 obtains eyelid tissue for diagnostic examination. Choose 67850 when the service destroys the small lid-margin lesion rather than sampling it.
- 17110Benign lesion destruction
- 17110 addresses destruction of qualifying benign lesions at other cutaneous sites. 67850 is specific to a lesion under 1 cm at the eyelid margin.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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