Billing code 67801: Chalazion excisionMedicare rate & RVUs in Florida
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.
Medicare pays $163.21–$176.67 for 67801 in the office in Florida, from Rest Of Florida to Miami. 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 67801 covers
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.
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.
Where 67801 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$163.21 to $176.67
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $170.32 | $114.83 |
| Miami | $176.67 | $119.65 |
| Rest Of Florida | $163.21 | $110.85 |
How the 67801 rate is calculated
Each of 67801’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 · 67801
RVUs × geographic indexes × conversion factor
Work1.86
1.86 RVUs× 1.000 GPCI
Practice expense2.93
2.93 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
4.9400
Conversion factor
$33.4009
Medicare rate
$165.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67801
67801 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67801
Chalazion excision
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 67801
Chalazion excision
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 51 · payment effect
With and without the modifier
67801 without 51 · national office
$165.00
Chalazion excision
67801-51 · Second procedure: 50%
$82.50
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
67801 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67800Chalazion removal
- 67800 is for one chalazion; 67801 is for multiple chalazia on the same eyelid.
- 67805Chalazion excision
- Choose 67805 when multiple chalazia are treated on different eyelids; 67801 describes multiple lesions on one eyelid.
- 67810Eyelid biopsy
- 67810 is an eyelid skin biopsy. Use it when tissue diagnosis is the purpose, rather than excision of multiple chalazia.
- 67840Eyelid lesion excision
- 67840 addresses excision of an eyelid lesion rather than the treatment of multiple chalazia on one eyelid.
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 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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