Billing code 67700: Eyelid abscess drainageMedicare rate & RVUs in Guam
An ophthalmologist drains an abscess of the eyelid through an incision, reporting this code for the eyelid-specific procedure rather than chalazion treatment.
Medicare pays $310.69 for 67700 in the office in Guam (Hawaii, Guam). 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 67700 covers
This procedure opens an eyelid abscess to drain its contents. An ophthalmologist typically performs it in an office or outpatient setting when examination identifies a localized eyelid infection requiring incision and drainage. It is distinct from treatment of a chalazion, which is a different type of eyelid lesion and is coded separately.
The record should identify the affected eyelid, document the abscess and the incision-and-drainage service, and distinguish the condition from a chalazion. The procedure has 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 the others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this service; 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.
67700 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $310.69 | $108.27 |
How the 67700 rate is calculated
Each of 67700’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 · 67700
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.37Practice expense 6.92Malpractice 0.11
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67700
67700 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67700
Eyelid abscess drainage
| 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 · 67700
Eyelid abscess drainage
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
67700 without 50 · national office
$280.57
Eyelid abscess drainage
67700-50 · Bilateral: 150%
$420.86
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).
67700 compared with similar codes
Compare codes
67700 vs 67800 vs 10060 vs 67710 vs 67715: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67800Chalazion removal
- Use 67800 for treatment of a single chalazion. Use 67700 when the treated eyelid lesion is an abscess requiring drainage.
- 10060Abscess drainage
- Code 10060 covers simple drainage of an abscess at a site without a more specific eyelid procedure code; 67700 identifies eyelid abscess drainage.
- 67710Tarsorrhaphy release
- Code 67710 severs a tarsorrhaphy. It does not describe drainage of an eyelid abscess.
- 67715Canthotomy
- Code 67715 is a canthotomy, a different eyelid procedure; 67700 is selected for incision and drainage of an eyelid abscess.
67700 billing questions
How is this different from chalazion treatment?
Report 67700 for incision and drainage of an eyelid abscess. A chalazion is a different lesion; code 67800 describes treatment of a single chalazion.
What documentation supports 67700?
Document the eyelid involved, the abscess findings, and the incision-and-drainage service performed. Make clear that the lesion is an abscess rather than a chalazion.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure.
How is bilateral treatment reported?
When both eyelids are treated, report modifier 50 for the bilateral procedure. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for 67700. Co-surgeons and team surgery are not permitted.
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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