67810 represents an incisional biopsy of an eyelid lesion. Use 67840 when the lesion is excised rather than sampled by incision.
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CMS RVU26D · Effective 2026-10-01
67840 Eyelid lesion excision Medicare reimbursement rates in Minnesota
Reports excision of a non-chalazion eyelid lesion, with no closure or simple direct closure, such as removal of a localized eyelid growth. Compare 67840 office and facility rates across CMS payment localities in Minnesota.
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 67840 in Minnesota?
Minnesota 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
$279.82
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$132.03
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Ophthalmology procedure
About 67840: Eyelid lesion excision with simple closure
Reports excision of a non-chalazion eyelid lesion, with no closure or simple direct closure, such as removal of a localized eyelid growth.
An ophthalmologist or oculoplastic surgeon typically reports this procedure when removing a non-chalazion lesion from the upper or lower eyelid. Examples include an eyelid papilloma or cyst removed by excision. The procedure may leave the site open or use simple direct closure; more involved eyelid reconstruction is a different service. A specimen may be sent for examination, but the excision itself is the service represented here.
Choose this code when documentation supports removal of the lesion rather than an incisional biopsy, destruction, or treatment of a chalazion. Record the eyelid site, lesion, excision performed, and closure method. CMS assigns a 10-day global period, so related postoperative visits during that period are 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid under the statutory restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 67840
- 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 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 RVU2.04 · 25%
- Practice expense (office) RVU6.11 · 73%
- Malpractice RVU0.17 · 2%
45.5K
Medicare services in 2024 · #815 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.
67840 compared with similar codes
Office rates for Minnesota, from the same CMS release.
67800 is for excision of a single chalazion. 67840 is for a different type of eyelid lesion, not a chalazion.
67850 represents destruction of a small lesion at the eyelid margin. 67840 describes excision, with the site left open or simply closed.
Compare 67840 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
Minnesota →
Office / nonfacility
$279.82
Facility
$132.03
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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 67840 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
7,499
- Code
- 67840
- Physician work
- 2.04
- Practice expense
- 6.11
- Malpractice
- 0.17
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.04 | × 1.000 | 2.0400 |
| Practice expense | 6.11 | × 1.029 | 6.2872 |
| Malpractice | 0.17 | × 0.296 | 0.0503 |
| Total RVUs | 8.3775 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$279.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.04 | 1 |
| Practice expense | 6.11 | 1.029 |
| Malpractice | 0.17 | 0.296 |
(2.04 × 1 + 6.11 × 1.029 + 0.17 × 0.296) × $33.4009 = $279.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.04 | 1 |
| Practice expense | 1.81 | 1.029 |
| Malpractice | 0.17 | 0.296 |
(2.04 × 1 + 1.81 × 1.029 + 0.17 × 0.296) × $33.4009 = $132.03
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.
67840 billing questions
When should 67840 be used instead of 67810?
Use 67840 when the eyelid lesion is excised. Use 67810 when the service is an incisional biopsy rather than removal of the lesion.
Can 67840 be used for a chalazion?
No. This code is for a non-chalazion eyelid lesion; chalazion excision is represented by the appropriate chalazion code, such as 67800 for a single chalazion.
Is simple closure included in 67840?
Yes. The service includes leaving the excision site open or closing it directly in a simple manner. More involved eyelid reconstruction is not the simple closure described here.
How is bilateral eyelid excision reported?
For bilateral procedures, CMS pays 150% when modifier 50 is used. Document the eyelid sites and the services performed on each side.
Are postoperative visits separately reported during the global period?
Related postoperative visits within the 10-day global period are included in the procedure. The global period does not include unrelated services.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. CMS also restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery reporting 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.
