$139.78–$153.30
Choose 67820 for forceps removal of misdirected lashes. Choose 67825 when the clinician epilates by another method, such as electrosurgery or cryotherapy.
On this page
CMS RVU26D · Effective 2026-10-01
67820 Eyelash epilation Medicare reimbursement rates in Massachusetts
Forceps epilation removes misdirected eyelashes that irritate the eye, typically when a clinician treats trichiasis in an office or outpatient setting. Compare 67820 office and facility rates across CMS payment localities in Massachusetts.
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 67820 in Massachusetts?
Massachusetts 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
$19.14–$20.55
2 of 2 localities have a supported rate.
Facility setting
$19.49–$20.94
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.
Ophthalmology procedure
About 67820: Forceps epilation for trichiasis
Forceps epilation removes misdirected eyelashes that irritate the eye, typically when a clinician treats trichiasis in an office or outpatient setting.
This service treats trichiasis by pulling misdirected eyelashes with forceps. The lashes may rub the cornea or conjunctiva and cause irritation or injury. An ophthalmologist or other qualified ophthalmic clinician commonly performs the treatment in an office or outpatient setting. The technique is specific: the clinician removes the offending lashes with forceps rather than using an alternative method or surgically altering the lid margin or tarsus.
Report the service when documentation supports trichiasis and forceps removal of the lashes. Record the treated eye and side, the clinical problem, and the method used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67820
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 procedure with modifier 50 is paid at 150%.
- 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 RVU0.31 · 55%
- Practice expense (office) RVU0.23 · 41%
- Malpractice RVU0.02 · 4%
142.2K
Medicare services in 2024 · #463 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.
67820 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$279.47–$310.48
67820 describes forceps removal of lashes; 67830 is for correction through an incision-based procedure on the lid margin.
No office rate
67820 removes lashes with forceps. 67835 involves a more extensive correction that includes excision of tarsal tissue.
Compare 67820 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
Metropolitan Boston →
Office / nonfacility
$20.55
Facility
$20.94
Rest Of Massachusetts →
Office / nonfacility
$19.14
Facility
$19.49
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67820 billing questions
How does 67820 differ from 67825?
67820 is for removing misdirected lashes with forceps. 67825 is used when epilation is performed by a method other than forceps, such as electrosurgery or cryotherapy.
When is 67830 more appropriate?
Use 67830 when the clinician corrects trichiasis through an incision-based lid-margin procedure, rather than simply removing lashes with forceps.
What should the note document?
Document trichiasis, the affected eye and side, the lashes or area treated, and that forceps were used for removal.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure: modifier 50 is paid at 150%. Document treatment on both sides and follow applicable claim-format instructions.
Are same-day evaluation and postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The service is also subject to the standard multiple procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
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.
7,49267805,,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
7,49767830,,Revise eyelashes,A,,1.71,6.19,,1.72,,0.14,8.04,3.57,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,49867835,,Revise eyelashes,A,,5.56,5.37,NA,5.37,,0.43,11.36,11.36,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00