How much does Medicare pay for CPT 67840?

Medicare allowed an average of $253.00 per service and paid $192.27 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $793.38, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 67840?

Removal of growth of eyelid. It was billed 27,510 times to 24,337 Medicare beneficiaries by 825 providers in 2024.

Does 67840 pay differently in an office than a hospital?

Yes. The allowed amount averaged $271.10 in an office setting and $126.25 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 67840 most?

Ophthalmology, with 24,076 services from 740 clinicians. Next are Ambulatory Surgical Center, General Practice, Plastic and Reconstructive Surgery.

CPT 67840

Removal of growth of eyelid

$253.00Medicare-allowed amount per service, averaged across 27,510 services

Providers submitted

$793.38

Asking price, not received

Medicare allowed

$253.00

The fee schedule figure

Medicare paid

$192.27

Balance is patient coinsurance

Providers submitted an average of $793.38 for this code and Medicare allowed $253.00 — 3.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $192.27 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $271.10
Hospital / facility: $126.25

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 24,071 services were billed in an office setting and 3,439 in a facility.

Services: 27,510
Beneficiaries: 24,337
Providers billing it: 825
Total allowed: $6,960,030

What Medicare pays for CPT 67840

Across 27,510 services billed by 825 providers to 24,337 beneficiaries, Medicare allowed an average of $253.00 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 67840

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	24,076	21,972	$262.47	740
Ambulatory Surgical Center	1,547	1,273	$135.35	57
General Practice	933	296	$215.24	1
Plastic and Reconstructive Surgery	450	350	$249.69	10
Physician Assistant	246	217	$212.24	4
Dermatology	152	130	$268.33	6
Nurse Practitioner	56	52	$217.36	4
Optometry	50	47	$258.42	3

67840 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	3,495	$249.13	$190.33	101
California	3,270	$296.91	$190.38	105
New York	2,314	$274.50	$185.19	58
Massachusetts	2,084	$247.61	$154.61	26
Pennsylvania	1,319	$232.28	$173.63	41
New Jersey	1,116	$278.36	$191.92	31
Texas	1,065	$255.60	$191.31	46
Tennessee	986	$217.66	$175.68	23
Illinois	930	$240.84	$174.16	25
North Carolina	811	$241.31	$186.54	25
Michigan	809	$222.08	$171.24	31
Georgia	785	$228.59	$175.77	24
Virginia	767	$269.00	$200.88	16
Ohio	677	$215.08	$172.08	23
Washington	587	$253.72	$185.16	20
Louisiana	502	$254.53	$209.80	14
Maryland	489	$266.58	$185.35	15
South Carolina	468	$256.01	$202.92	17
Arizona	437	$258.84	$194.02	16
Missouri	388	$256.02	$206.77	14
Oklahoma	323	$200.38	$161.74	12
Indiana	318	$191.90	$154.17	10
Colorado	304	$279.45	$206.35	12
Alabama	286	$226.85	$197.95	11
Connecticut	244	$265.85	$187.04	10
Kansas	230	$228.52	$170.59	9
Arkansas	219	$235.14	$201.97	7
Wisconsin	218	$239.34	$184.41	7
Oregon	216	$282.25	$197.40	7
Kentucky	211	$230.55	$187.02	5
Iowa	203	$248.70	$199.20	6
Utah	162	$256.79	$209.69	9
Minnesota	140	$248.22	$189.93	5
New Hampshire	139	$258.53	$189.63	4
Maine	133	$264.71	$201.38	5
Mississippi	126	$179.88	$152.19	5
Nebraska	123	$160.06	$131.99	6
South Dakota	109	$158.74	$125.95	2
Nevada	92	$258.49	$184.52	3
District of Columbia	75	$333.64	$218.97	3
Rhode Island	64	$259.09	$198.54	3
West Virginia	48	$156.27	$116.27	3
Vermont	42	$220.30	$164.02	3
North Dakota	42	$178.14	$131.57	2
Montana	40	$271.97	$197.79	1
Idaho	37	$245.54	$204.20	1
Delaware	35	$286.47	$219.66	1
Hawaii	18	$290.87	$211.43	1
Alaska	14	$316.35	$154.40	1

Related codes

67820Removal of eyelashes$19.86
67810Biopsy of eyelid$171.92
67850Destruction of growth of eyelid margin$213.19
67800Removal of chronic growth of eyelid$126.17
67875Temporary closure of eyelids by suture$128.17
67825Removal of eyelashes$118.64

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.