CPT code 67015: Choroidal drainage, posterior sclerotomy2026 Medicare rate & RVUs in Vermont
Reports surgical drainage of fluid or blood from the choroidal space through a posterior scleral incision, often for a choroidal detachment.
In Vermont, Medicare pays $512.58 for 67015 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 67015 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 67015 covers
An ophthalmologist uses a posterior sclerotomy to drain fluid or blood from the choroidal space, such as in a choroidal detachment or hemorrhage. The target is the choroid, not the vitreous cavity or subretinal space. This is an operative eye procedure and may be performed during treatment of a complex retinal condition when choroidal drainage is needed.
Report the service when the operative note supports drainage through a posterior scleral incision and identifies the indication and eye treated. Document any other procedures performed as distinct services; drainage of choroidal fluid is different from vitreous removal or drainage of subretinal fluid. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
How Vermont compares for 67015
Across 109 of 109 payment localities, the facility rate for 67015 runs from $476.91 in Arkansas to $662.35 in San Benito County, CA. Vermont pays $512.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$512.58
- Los Angeles, CA · California$577.81+$65.23
- Washington, DC area · District of Columbia$587.72+$75.14
- Miami, FL · Florida$563.70+$51.12
- Chicago, IL · Illinois$551.18+$38.60
- Manhattan, NY · New York$594.35+$81.77
- Alaska · Alaska$650.16+$137.58
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $482.23 |
| ArkansasArkansas | — | $476.91 |
| ArizonaArizona | — | $513.27 |
| Bakersfield, CACalifornia | — | $547.89 |
| Chico, CACalifornia | — | $546.08 |
| El Centro, CACalifornia | — | $546.18 |
| Fresno, CACalifornia | — | $546.08 |
| Hanford, CACalifornia | — | $546.08 |
| Madera, CACalifornia | — | $546.08 |
| Merced, CACalifornia | — | $546.08 |
| Modesto, CACalifornia | — | $546.08 |
| Napa, CACalifornia | — | $616.99 |
| Oxnard, CACalifornia | — | $573.76 |
| Redding, CACalifornia | — | $546.08 |
| Rest of CaliforniaCalifornia | — | $546.08 |
| Riverside, CACalifornia | — | $552.14 |
| Sacramento, CACalifornia | — | $568.83 |
| Salinas, CACalifornia | — | $566.57 |
| San Diego, CACalifornia | — | $576.57 |
| Marin County, CACalifornia | — | $648.70 |
| San Francisco, CACalifornia | — | $648.07 |
| San Benito County, CACalifornia | — | $662.35 |
| Santa Clara County, CACalifornia | — | $659.80 |
| San Luis Obispo, CACalifornia | — | $557.85 |
| Santa Cruz, CACalifornia | — | $579.57 |
| Santa Maria, CACalifornia | — | $567.79 |
| Santa Rosa, CACalifornia | — | $585.21 |
| Stockton, CACalifornia | — | $546.08 |
| Vallejo, CACalifornia | — | $616.09 |
| Visalia, CACalifornia | — | $546.08 |
| Yuba City, CACalifornia | — | $546.08 |
| ColoradoColorado | — | $540.67 |
| ConnecticutConnecticut | — | $553.96 |
| DelawareDelaware | — | $520.42 |
| Fort Lauderdale, FLFlorida | — | $542.79 |
| Rest of FloridaFlorida | — | $521.60 |
| Atlanta, GAGeorgia | — | $533.16 |
| Rest of GeorgiaGeorgia | — | $498.38 |
| Hawaii, Guam, HIHawaii | — | $554.14 |
| IowaIowa | — | $490.06 |
| IdahoIdaho | — | $492.83 |
| East St. Louis, ILIllinois | — | $521.14 |
| Rest of IllinoisIllinois | — | $510.94 |
| Suburban Chicago, ILIllinois | — | $547.59 |
| IndianaIndiana | — | $494.98 |
| KansasKansas | — | $489.02 |
| KentuckyKentucky | — | $492.47 |
| New Orleans, LALouisiana | — | $510.75 |
| Rest of LouisianaLouisiana | — | $492.16 |
| Metropolitan Boston, MAMassachusetts | — | $584.97 |
| Rest of MassachusettsMassachusetts | — | $538.88 |
| Baltimore area, MDMaryland | — | $552.44 |
| Rest of MarylandMaryland | — | $528.50 |
| Rest of MaineMaine | — | $495.57 |
| Southern Maine, MEMaine | — | $515.15 |
| Detroit, MIMichigan | — | $527.42 |
| Rest of MichiganMichigan | — | $502.96 |
| MinnesotaMinnesota | — | $519.39 |
| Metropolitan Kansas City, MOMissouri | — | $507.28 |
| Metropolitan St. Louis, MOMissouri | — | $511.30 |
| Rest of MissouriMissouri | — | $486.17 |
| MississippiMississippi | — | $481.58 |
| MontanaMontana | — | $524.36 |
| North CarolinaNorth Carolina | — | $499.43 |
| North DakotaNorth Dakota | — | $513.48 |
| NebraskaNebraska | — | $491.90 |
| New HampshireNew Hampshire | — | $533.31 |
| Northern New JerseyNew Jersey | — | $584.06 |
| Rest of New JerseyNew Jersey | — | $560.64 |
| New MexicoNew Mexico | — | $505.38 |
| NevadaNevada | — | $521.60 |
| NYC suburbs and Long Island, NYNew York | — | $606.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $564.70 |
| Queens, NYNew York | — | $597.18 |
| Rest of New YorkNew York | — | $505.26 |
| OhioOhio | — | $500.74 |
| OklahomaOklahoma | — | $491.03 |
| Portland, OROregon | — | $553.78 |
| Rest of OregonOregon | — | $517.84 |
| Metropolitan Philadelphia, PAPennsylvania | — | $543.34 |
| Rest of PennsylvaniaPennsylvania | — | $500.95 |
| Puerto RicoPuerto Rico | — | $527.13 |
| Rhode IslandRhode Island | — | $535.85 |
| South CarolinaSouth Carolina | — | $500.85 |
| South DakotaSouth Dakota | — | $512.20 |
| TennesseeTennessee | — | $491.00 |
| Austin, TXTexas | — | $538.63 |
| Beaumont, TXTexas | — | $498.47 |
| Brazoria, TXTexas | — | $519.75 |
| Dallas, TXTexas | — | $522.78 |
| Fort Worth, TXTexas | — | $520.29 |
| Galveston, TXTexas | — | $521.18 |
| Houston, TXTexas | — | $531.25 |
| Rest of TexasTexas | — | $508.66 |
| UtahUtah | — | $506.11 |
| VirginiaVirginia | — | $514.34 |
| Virgin Islands, VIUnited States Virgin Islands | — | $527.13 |
| Rest of WashingtonWashington | — | $537.52 |
| King County, WAWashington | — | $594.75 |
| WisconsinWisconsin | — | $500.19 |
| West VirginiaWest Virginia | — | $496.48 |
| WyomingWyoming | — | $519.62 |
67015 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 67015 rate is calculated
Each of 67015’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67015
RVUs × geographic indexes × conversion factor
Work6.96
6.96 RVUs× 1.000 GPCI
Practice expense8.19
8.19 RVUs× 1.000 GPCI
Malpractice0.55
0.55 RVUs× 1.000 GPCI
Adjusted RVUs
15.7000
Conversion factor
$33.4009
Medicare rate
$524.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,418
- Code
- 67015
- Physician work
- 6.96
- Practice expense
- 8.19
- Malpractice
- 0.55
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.96 | × 1.000 | 6.9600 |
| Practice expense | 8.19 | × 0.990 | 8.1081 |
| Malpractice | 0.55 | × 0.506 | 0.2783 |
| Total RVUs | 15.3464 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$512.58
Facility: (6.96 × 1 + 8.19 × 0.99 + 0.55 × 0.506) × $33.4009 = $512.58
Payment rules and modifiers for 67015
67015 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67015
Choroidal drainage, posterior sclerotomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67015
Choroidal drainage, posterior sclerotomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67015 without 50 · national facility
$524.39
Choroidal drainage, posterior sclerotomy
67015-50 · Bilateral: 150%
$786.59
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 67015 has changed in Vermont
67015 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $512.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $512.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $512.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $512.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $567.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $567.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $567.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $567.32 | RVU25A |
| 2024-10-01 | Not available in this setting | $587.95 | RVU24D |
| 2024-07-01 | Not available in this setting | $587.95 | RVU24C |
| 2024-04-01 | Not available in this setting | $587.95 | RVU24B |
| 2024-03-09 | Not available in this setting | $587.95 | RVU24AR |
| 2024-01-01 | Not available in this setting | $578.35 | RVU24A |
| 2023-10-01 | Not available in this setting | $596.01 | RVU23D |
| 2023-07-01 | Not available in this setting | $596.01 | RVU23C |
| 2023-04-01 | Not available in this setting | $596.01 | RVU23B |
| 2023-01-01 | Not available in this setting | $596.01 | RVU23A |
| 2022-10-01 | Not available in this setting | $602.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $602.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $602.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $602.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $599.86 | RVU21D |
| 2021-07-01 | Not available in this setting | $599.86 | RVU21C |
| 2021-04-01 | Not available in this setting | $599.86 | RVU21B |
| 2021-01-01 | Not available in this setting | $599.86 | RVU21A |
| 2020-10-01 | Not available in this setting | $599.13 | RVU20D |
| 2020-07-01 | Not available in this setting | $599.13 | RVU20C |
| 2020-04-01 | Not available in this setting | $599.13 | RVU20B |
| 2020-01-01 | Not available in this setting | $599.13 | RVU20A |
| 2019-10-01 | Not available in this setting | $594.76 | RVU19D |
| 2019-07-01 | Not available in this setting | $594.76 | RVU19C |
| 2019-04-01 | Not available in this setting | $594.76 | RVU19B |
| 2019-01-01 | Not available in this setting | $594.76 | RVU19A |
| 2018-10-01 | Not available in this setting | $592.80 | RVU18D |
| 2018-07-01 | Not available in this setting | $592.80 | RVU18C |
| 2018-04-01 | Not available in this setting | $592.80 | RVU18B |
| 2018-01-01 | Not available in this setting | $592.80 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $586.42 | RVU17D |
| 2017-07-01 | Not available in this setting | $586.42 | RVU17C |
| 2017-04-01 | Not available in this setting | $586.42 | RVU17B |
| 2017-01-01 | Not available in this setting | $586.42 | RVU17A |
| 2016-10-01 | Not available in this setting | $583.24 | RVU16D |
| 2016-07-01 | Not available in this setting | $583.24 | RVU16C |
| 2016-04-01 | Not available in this setting | $583.24 | RVU16B |
| 2016-01-01 | Not available in this setting | $583.24 | RVU16A |
| 2015-10-01 | Not available in this setting | $584.98 | RVU15D |
| 2015-07-01 | Not available in this setting | $584.98 | RVU15C |
| 2015-04-01 | Not available in this setting | $582.07 | RVU15B |
| 2015-01-01 | Not available in this setting | $582.07 | RVU15A |
| 2014-10-01 | Not available in this setting | $592.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $592.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $592.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $592.50 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
67015 billing questions
How does this differ from vitreous removal?
This procedure drains fluid or blood from the choroidal space through a posterior sclerotomy. Codes 67005, 67010, and 67036 describe removal of vitreous, not choroidal drainage.
Does this code include retinal detachment repair?
It represents choroidal drainage, not the retinal repair itself. If a separate retinal repair is performed, document its distinct work and consider applicable coding edits.
What documentation supports reporting it?
Record the indication, treated eye, choroidal fluid or blood being drained, and the posterior sclerotomy. Identify any separate retinal or vitreous procedures performed.
How is bilateral treatment reported?
CMS pays bilateral reporting with modifier 50 at 150%. Document the procedure on each eye.
How does the multiple-procedure reduction affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only when supporting documentation is submitted; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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