CPT code 67027: Drug implant, surgically implanted system2026 Medicare rate & RVUs in Texas
Reports surgical placement of an intravitreal drug-delivery implant, such as a ganciclovir implant, rather than a medication injection.
CMS doesn’t publish an office rate for 67027 in Texas.
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
On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $730.17 |
| Beaumont, TX | Unavailable | $685.39 |
| Brazoria, TX | Unavailable | $708.70 |
| Dallas, TX | Unavailable | $712.98 |
| Fort Worth, TX | Unavailable | $710.31 |
| Galveston, TX | Unavailable | $710.77 |
| Houston, TX | Unavailable | $727.43 |
| Rest of Texas | Unavailable | $696.54 |
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
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
| 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) | 2 | Paid. |
| 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 · 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.
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).
67027 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
Fee sheets
Put 67027 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet