$155.39–$167.76
67800 is for one chalazion. Choose 67801 when multiple chalazia are removed from the same eyelid.
On this page
CMS RVU26D · Effective 2026-10-01
67800 Chalazion removal Medicare reimbursement rates in Georgia
Removal of one chalazion from an eyelid, typically by an ophthalmologist when conservative treatment has not resolved the localized lump. Compare 67800 office and facility rates across CMS payment localities in Georgia.
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 67800 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$122.54–$132.77
2 of 2 localities have a supported rate.
Facility setting
$83.51–$88.32
2 of 2 localities have a supported rate.
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 surgery
About 67800: Single chalazion removal
Removal of one chalazion from an eyelid, typically by an ophthalmologist when conservative treatment has not resolved the localized lump.
67800 represents surgical removal of one chalazion, a localized inflammatory lump associated with an obstructed eyelid oil gland. An ophthalmologist commonly performs the procedure in an office procedure room under local anesthesia, opening and curetting the lesion from the inner eyelid. Persistent or symptomatic chalazia are typical reasons for removal; this code is not for excising any type of eyelid growth.
Report this code for one chalazion. For multiple chalazia, select the applicable sibling code based on the number and lid distribution, or the anesthesia circumstances. Document the diagnosis, lesion count and location, anesthesia, and work performed. Related postoperative visits during the 10-day global 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 an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 67800
- 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 RVU1.37 · 35%
- Practice expense (office) RVU2.43 · 62%
- Malpractice RVU0.11 · 3%
15.4K
Medicare services in 2024 · #1244 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.
67800 compared with similar codes
Office rates for Georgia, from the same CMS release.
$193.90–$209.87
67805 is the multiple-chalazion code for lesions involving different eyelids; 67800 is for one chalazion.
$256.95–$282.51
67800 is specific to a chalazion. 67840 is for excision of a different type of eyelid lesion.
$166.73–$184.11
67810 describes an eyelid lesion biopsy. Use 67800 when the procedure removes a diagnosed chalazion.
Compare 67800 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$132.77
Facility
$88.32
Rest Of Georgia →
Office / nonfacility
$122.54
Facility
$83.51
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67800 billing questions
When should 67800 be chosen over a multiple-chalazion code?
Use 67800 for removal of one chalazion. For more than one, choose the applicable sibling code based on lesion count, lid distribution, and anesthesia circumstances.
Is 67800 appropriate for a non-chalazion eyelid growth?
No. It is for a chalazion; a different code may apply to excision or biopsy of another eyelid lesion, depending on the service performed.
Can modifier 50 be appended for chalazia on both eyelids?
No. CMS identifies bilateral adjustment as inappropriate for 67800.
What documentation supports reporting 67800?
Record the chalazion diagnosis, the number and eyelid location of lesions, anesthesia, and the removal technique. The record should support that one chalazion was treated.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. The 10-day global period includes related postoperative visits.
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.
7,48767700,,Blepharotomy drg absc eyelid,A,,1.37,6.92,,1.59,,0.11,8.40,3.07,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48867710,,Severing tarsorrhaphy,A,,1.04,6.05,,1.48,,0.08,7.17,2.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48967715,,Canthotomy,A,,1.24,6.80,,1.64,,0.18,8.22,3.06,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49067800,,Remove eyelid lesion,A,,1.37,2.43,,1.12,,0.11,3.91,2.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49167801,,Remove eyelid lesions,A,,1.86,2.93,,1.29,,0.15,4.94,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49267805,,Remove eyelid lesions,A,,2.21,3.79,,1.76,,0.18,6.18,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49367808,,Remove eyelid lesion(s),A,,4.49,4.70,NA,4.70,,0.37,9.56,9.56,0,090,0.10,0.70,0.20,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00