$122.06
67800 is for one chalazion; 67801 is for multiple chalazia on the same eyelid.
On this page
CMS RVU26D · Effective 2026-10-01
67801 Chalazion excision Medicare reimbursement rates in Nebraska
Report this service when a clinician excises multiple chalazia from one eyelid during the same session, rather than a single lesion or lesions on different lids. Compare 67801 office and facility rates across CMS payment localities in Nebraska.
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 67801 in Nebraska?
Nebraska 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
$154.35
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$103.79
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 67801: Multiple chalazion excision, same eyelid
Report this service when a clinician excises multiple chalazia from one eyelid during the same session, rather than a single lesion or lesions on different lids.
An ophthalmologist or other qualified eye-care clinician uses this service to remove multiple chalazia from the same eyelid, commonly by opening and curetting the affected glands. It is typically performed in an office setting under local anesthesia when several persistent or symptomatic chalazia on one lid need treatment. The code is specific to chalazia; it is not the choice for a suspicious eyelid growth requiring biopsy or removal as a non-chalazion lesion.
Documentation should support that more than one chalazion was treated and that the lesions were on the same eyelid. Use the single-lesion code for one chalazion and the different-lids code when multiple lesions are treated on different eyelids. This minor procedure has a 10-day global period, so related postoperative visits during that 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 for an assistant at surgery, co-surgeons, or team surgery for this service.
CMS billing rules for 67801
- 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 RVU1.86 · 38%
- Practice expense (office) RVU2.93 · 59%
- Malpractice RVU0.15 · 3%
1.6K
Medicare services in 2024 · #2637 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.
67801 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$192.93
Choose 67805 when multiple chalazia are treated on different eyelids; 67801 describes multiple lesions on one eyelid.
$168.05
67810 is an eyelid skin biopsy. Use it when tissue diagnosis is the purpose, rather than excision of multiple chalazia.
$258.65
67840 addresses excision of an eyelid lesion rather than the treatment of multiple chalazia on one eyelid.
Compare 67801 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
Nebraska →
Office / nonfacility
$154.35
Facility
$103.79
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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 67801 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,491
- Code
- 67801
- Physician work
- 1.86
- Practice expense
- 2.93
- Malpractice
- 0.15
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.000 | 1.8600 |
| Practice expense | 2.93 | × 0.923 | 2.7044 |
| Malpractice | 0.15 | × 0.378 | 0.0567 |
| Total RVUs | 4.6211 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$154.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 2.93 | 0.923 |
| Malpractice | 0.15 | 0.378 |
(1.86 × 1 + 2.93 × 0.923 + 0.15 × 0.378) × $33.4009 = $154.35
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 1.29 | 0.923 |
| Malpractice | 0.15 | 0.378 |
(1.86 × 1 + 1.29 × 0.923 + 0.15 × 0.378) × $33.4009 = $103.79
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.
67801 billing questions
How does this differ from 67800?
67800 is for one chalazion. Use 67801 when multiple chalazia are treated on the same eyelid.
When should 67805 be reported instead?
67805 applies when multiple chalazia are treated on different eyelids. 67801 is for multiple lesions on one eyelid.
Can modifier 50 be used if both eyes are treated?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate. Select the code that reflects the number of lesions and eyelids treated.
Are postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
What documentation supports this code?
Record the treated chalazia and the eyelid on which they were located. The record should establish that multiple lesions, rather than a single lesion, were treated on that same lid.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery, co-surgeon, or team surgeon is not paid for this service.
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.
7,48867710,,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
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068