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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 RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.154.160.115.42$181.03
Facility (hospital, ASC)1.150.390.111.65$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).

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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 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
10005Fna bx w/us gdn 1st les1 - modifier may bypassCheck pair
10007Fna bx w/fluor gdn 1st les1 - modifier may bypassCheck pair
10009Fna bx w/ct gdn 1st les1 - modifier may bypassCheck pair
10011Fna bx w/mr gdn 1st les1 - modifier may bypassCheck pair
10021Fna bx w/o img gdn 1st les1 - modifier may bypassCheck pair
11102Tangntl bx skin single les1 - modifier may bypassCheck pair
11104Punch bx skin single lesion1 - modifier may bypassCheck pair
11106Incal bx skn single les1 - modifier may bypassCheck pair
11310Shave skin lesion 0.5 cm/<1 - modifier may bypassCheck pair
11311Shave skin lesion 0.6-1.0 cm1 - modifier may bypassCheck pair
11312Shave skin lesion 1.1-2.0 cm1 - modifier may bypassCheck pair
11313Shave skin lesion >2.0 cm1 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
11440Exc face-mm b9+marg 0.5 cm/<1Check pair
11441Exc face-mm b9+marg 0.6-1 cm1Check pair
11442Exc face-mm b9+marg 1.1-2 cm1Check pair
11443Exc face-mm b9+marg 2.1-3 cm1Check pair
11444Exc face-mm b9+marg 3.1-4 cm1Check pair
11446Exc face-mm b9+marg >4 cm1Check pair
11640Exc f/e/e/n/l mal+mrg 0.5cm<1Check pair
11641Exc f/e/e/n/l mal+mrg 0.6-11Check pair
11642Exc f/e/e/n/l mal+mrg 1.1-21Check pair
11643Exc f/e/e/n/l mal+mrg 2.1-31Check pair
11644Exc f/e/e/n/l mal+mrg 3.1-41Check pair
11646Exc f/e/e/n/l mal+mrg >4 cm1Check pair
67800Remove eyelid lesion1Check pair
67801Remove eyelid lesions1Check pair
67805Remove eyelid lesions1Check 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.