$122.78
67800 covers a different eyelid lesion excision scope. Report 67808 when the operative documentation supports full-thickness involvement of the lid margin.
On this page
CMS RVU26D · Effective 2026-10-01
67808 Eyelid lesion excision Medicare reimbursement rates in Indiana
Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness. Compare 67808 office and facility rates across CMS payment localities in Indiana.
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 67808 in Indiana?
Indiana 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
No supported rate
Facility setting
$301.50
1 of 1 localities have a supported rate.
Payment area: Indiana
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 surgery
About 67808: Full-thickness eyelid margin lesion excision
Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness.
An ophthalmologist or oculoplastic surgeon uses this code for excision of a non-chalazion eyelid lesion that involves the lid margin through its full thickness. The operative service may be performed in an office procedure room or an operating room. Examples of relevant documentation include the lesion’s eyelid location and the tissue depth and margin involvement that support full-thickness excision.
Choose this code based on the documented extent of the excision, not simply the presence of an eyelid growth or the number of lesions. The note should identify the lesion and describe the full-thickness lid-margin removal and any closure or reconstruction performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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 for this code; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 67808
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU4.49 · 47%
- Practice expense (office) RVU4.70 · 49%
- Malpractice RVU0.37 · 4%
341
Medicare services in 2024 · #3883 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.
67808 compared with similar codes
Office rates for Indiana, from the same CMS release.
$169.00
67810 is an incisional biopsy. Use 67808 for excision meeting the full-thickness lid-margin criteria, not for tissue sampling alone.
$260.08
Both codes concern eyelid lesion excision, but their defined service scopes differ. Match the code to the documented extent and nature of the procedure.
$196.38
67850 describes destruction of a lid-margin lesion. 67808 is for surgical excision through the full thickness of the lid margin.
Compare 67808 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
Indiana →
Office / nonfacility
Unavailable
Facility
$301.50
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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 67808 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
7,493
- Code
- 67808
- Physician work
- 4.49
- Practice expense
- 4.70
- Malpractice
- 0.37
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.000 | 4.4900 |
| Practice expense | 4.70 | × 0.927 | 4.3569 |
| Malpractice | 0.37 | × 0.486 | 0.1798 |
| Total RVUs | 9.0267 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$301.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.49 | 1 |
| Practice expense | 4.7 | 0.927 |
| Malpractice | 0.37 | 0.486 |
(4.49 × 1 + 4.7 × 0.927 + 0.37 × 0.486) × $33.4009 = $301.50
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.
67808 billing questions
How does this differ from code 67810?
67808 is for excision meeting the full-thickness lid-margin criteria. 67810 describes an incisional biopsy, rather than that excisional service.
What documentation supports reporting 67808?
Document the lesion’s eyelid location and that the excision involved the lid margin through its full thickness. Include the extent of tissue removed and any closure or reconstruction performed.
Can modifier 50 be reported for lesions on both eyelids?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not append modifier 50.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
7,49067800,,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
7,49467810,,Incal bx eyelid skn lid mrgn,A,,1.15,4.16,,0.39,,0.11,5.42,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49567820,,Revise eyelashes,A,,0.31,0.23,,0.24,,0.02,0.56,0.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49667825,,Revise eyelashes,A,,1.39,2.55,,1.72,,0.11,4.05,3.22,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915