$129.64
Use 67800 for treatment of a single chalazion. Use 67700 when the treated eyelid lesion is an abscess requiring drainage.
On this page
CMS RVU26D · Effective 2026-10-01
67700 Eyelid abscess drainage Medicare reimbursement rates in Wyoming
An ophthalmologist drains an abscess of the eyelid through an incision, reporting this code for the eyelid-specific procedure rather than chalazion treatment. Compare 67700 office and facility rates across CMS payment localities in Wyoming.
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 67700 in Wyoming?
Wyoming 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
$279.61
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$101.59
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 67700: Eyelid abscess incision and drainage
An ophthalmologist drains an abscess of the eyelid through an incision, reporting this code for the eyelid-specific procedure rather than chalazion treatment.
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.
CMS billing rules for 67700
- 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 RVU1.37 · 16%
- Practice expense (office) RVU6.92 · 82%
- Malpractice RVU0.11 · 1%
8.7K
Medicare services in 2024 · #1553 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.
67700 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$127.46
Code 10060 covers simple drainage of an abscess at a site without a more specific eyelid procedure code; 67700 identifies eyelid abscess drainage.
$238.79
Code 67710 severs a tarsorrhaphy. It does not describe drainage of an eyelid abscess.
$272.99
Code 67715 is a canthotomy, a different eyelid procedure; 67700 is selected for incision and drainage of an eyelid abscess.
Compare 67700 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
Wyoming** →
Office / nonfacility
$279.61
Facility
$101.59
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 67700 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,487
- Code
- 67700
- Physician work
- 1.37
- Practice expense
- 6.92
- Malpractice
- 0.11
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 6.92 | × 1.000 | 6.9200 |
| Malpractice | 0.11 | × 0.740 | 0.0814 |
| Total RVUs | 8.3714 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$279.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1 |
| Practice expense | 6.92 | 1 |
| Malpractice | 0.11 | 0.74 |
(1.37 × 1 + 6.92 × 1 + 0.11 × 0.74) × $33.4009 = $279.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1 |
| Practice expense | 1.59 | 1 |
| Malpractice | 0.11 | 0.74 |
(1.37 × 1 + 1.59 × 1 + 0.11 × 0.74) × $33.4009 = $101.59
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.
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 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.
7,48467560,,Revise eye socket implant,A,,11.88,16.27,NA,16.27,,1.06,29.21,29.21,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48567570,,Decompress optic nerve,A,,14.04,18.02,NA,18.02,,1.12,33.18,33.18,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48667599,,Unlisted procedure orbit,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48767700,,Blepharotomy drg absc eyelid,A,,1.37,6.92,,1.59,,0.11,8.40,3.07,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48867710,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,