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CPT code 67027: Drug implant, surgically implanted system2026 Medicare rate & RVUs

Reports surgical placement of an intravitreal drug-delivery implant, such as a ganciclovir implant, rather than a medication injection.

CMS RVU26DEffective Oct 1, 2026109 payment localities263 Medicare services in 2024

Medicare pays $715.11 for 67027 nationally in a facility.

Medicare rate · 67027

Drug implant, surgically implanted system

Office or facility?

Work RVUs
11.33
Total RVUs
21.41
Global days
090

National rate · 2026

$715.11

Facility setting, before claim adjustments.

See every locality for 67027 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 67027 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67027 covers

An ophthalmic surgeon places a drug-delivery implant inside the eye so medication can be released over time. A recognized example is a ganciclovir implant used to treat cytomegalovirus retinitis. The work involves surgical access to the eye and placement of the implant; it is not the office-style needle injection used to administer an intravitreal medication. The procedure may be performed in a hospital or ambulatory surgery setting, and is also reported for qualifying services in an office setting.

Select this code when the operative record supports surgical implantation of an intravitreal drug-delivery system. Document the eye, indication, implant placed, and operative steps. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; 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.

Where 67027 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67027 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$663.64
AlaskaUnavailable$910.59
ArizonaUnavailable$701.24
ArkansasUnavailable$657.19
Atlanta, GAUnavailable$727.26
Austin, TXUnavailable$730.17
Bakersfield, CAUnavailable$739.82
Baltimore area, MDUnavailable$750.73
Beaumont, TXUnavailable$685.39
Brazoria, TXUnavailable$708.70

67027 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
67027 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67027 rate is calculated

Each of 67027’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 · 67027

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.33

11.33 RVUs× 1.000 GPCI

Practice expense9.17

9.17 RVUs× 1.000 GPCI

Malpractice0.91

0.91 RVUs× 1.000 GPCI

Adjusted RVUs

21.4100

Conversion factor

$33.4009

Medicare rate

$715.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 67027

67027 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67027

Drug implant, surgically implanted system

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67027

Drug implant, surgically implanted system

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67027 without 50 · national facility

$715.11

Drug implant, surgically implanted system

67027-50 · Bilateral: 150%

$1,072.67

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).

When to use modifier 50

67027 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 67027

    Drug implant, surgically implanted system11.33 wRVU

    Not priced

  • 67028

    Intravitreal injection, medication delivered into vitreous cavity1.4 wRVU

    $114.23

  • 67036

    Vitrectomy, pars plana approach11.83 wRVU

    Not priced

  • 67025

    Vitreous exchange, pars plana or limbal approach7.91 wRVU

    $742.50

How to choose

67028Intravitreal injectionMedication delivered into vitreous cavity
Choose 67027 for surgical placement of a drug-delivery system; choose 67028 when the service is injection of a pharmacologic agent into the vitreous.
67036VitrectomyPars plana approach
67036 reports removal of vitreous by vitrectomy. It does not represent placement of an intravitreal drug-delivery implant.
67025Vitreous exchangePars plana or limbal approach
67025 concerns injection of a vitreous substitute, not implantation of a system designed to deliver medication.

Codes related to 67027

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 67027
CodeHow it relatesNational office range
Used instead
67028Intravitreal injection, medication delivered into vitreous cavityUsed for intravitreal drug administration by injection rather than surgical placement of a delivery implant.$103.45–$145.87
Often billed with
J7311Retisert implant, per 0.01 mgDrug-supply code for a fluocinolone acetonide intravitreal implant; may accompany eligible implant placement.No office rate

67027 billing questions

How is this different from 67028?

67027 is for surgically placing an intravitreal drug-delivery implant. 67028 describes injecting a pharmacologic agent into the vitreous rather than implanting a delivery system.

Does the 90-day global include postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How is bilateral implantation reported?

Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

What documentation supports 67027?

Record the treated eye, clinical indication, implant used, and surgical placement details. The note should make clear that a delivery implant was placed, not merely an intravitreal medication injected.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided; 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
RVUs for 67027PPRRVU2026_Oct_nonQPP.csv, line 7,420 (RVU26D)

Open CMS sourceHow we calculate rates

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