67810 Incal bx eyelid skn lid mrgn
What 67810 is
CMS fee schedule short descriptor: Incal bx eyelid skn lid mrgn.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 67810 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.15 | 4.16 | 0.11 | 5.42 | $181.03 |
| Facility (hospital, ASC) | 1.15 | 0.39 | 0.11 | 1.65 | $55.11 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 67810 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 67810? These codes are bundled into it
67810 is a Column 1 code in 235 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
10005 | Fna bx w/us gdn 1st les | 1 - modifier may bypass | Check pair |
10007 | Fna bx w/fluor gdn 1st les | 1 - modifier may bypass | Check pair |
10009 | Fna bx w/ct gdn 1st les | 1 - modifier may bypass | Check pair |
10011 | Fna bx w/mr gdn 1st les | 1 - modifier may bypass | Check pair |
10021 | Fna bx w/o img gdn 1st les | 1 - modifier may bypass | Check pair |
11102 | Tangntl bx skin single les | 1 - modifier may bypass | Check pair |
11104 | Punch bx skin single lesion | 1 - modifier may bypass | Check pair |
11106 | Incal bx skn single les | 1 - modifier may bypass | Check pair |
11310 | Shave skin lesion 0.5 cm/< | 1 - modifier may bypass | Check pair |
11311 | Shave skin lesion 0.6-1.0 cm | 1 - modifier may bypass | Check pair |
11312 | Shave skin lesion 1.1-2.0 cm | 1 - modifier may bypass | Check pair |
11313 | Shave skin lesion >2.0 cm | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
Showing 30 of 235 column 2 codes. Use the pair checker for any specific combination.
67810 is bundled into these codes
67810 appears as a Column 2 code in 16 active edits. Reported with one of these Column 1 codes on the same date of service, 67810 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
11440 | Exc face-mm b9+marg 0.5 cm/< | 1 | Check pair |
11441 | Exc face-mm b9+marg 0.6-1 cm | 1 | Check pair |
11442 | Exc face-mm b9+marg 1.1-2 cm | 1 | Check pair |
11443 | Exc face-mm b9+marg 2.1-3 cm | 1 | Check pair |
11444 | Exc face-mm b9+marg 3.1-4 cm | 1 | Check pair |
11446 | Exc face-mm b9+marg >4 cm | 1 | Check pair |
11640 | Exc f/e/e/n/l mal+mrg 0.5cm< | 1 | Check pair |
11641 | Exc f/e/e/n/l mal+mrg 0.6-1 | 1 | Check pair |
11642 | Exc f/e/e/n/l mal+mrg 1.1-2 | 1 | Check pair |
11643 | Exc f/e/e/n/l mal+mrg 2.1-3 | 1 | Check pair |
11644 | Exc f/e/e/n/l mal+mrg 3.1-4 | 1 | Check pair |
11646 | Exc f/e/e/n/l mal+mrg >4 cm | 1 | Check pair |
67800 | Remove eyelid lesion | 1 | Check pair |
67801 | Remove eyelid lesions | 1 | Check pair |
67805 | Remove eyelid lesions | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.