CPT code 67028: Intravitreal injection, medication delivered into vitreous cavity2026 Medicare rate & RVUs

Medicare pays $114.23 for 67028 nationally in the office and $75.49 in a hospital or facility. Local office rates run $103.45–$145.87.

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

What 67028 covers

A retina specialist or ophthalmologist injects medication through the pars plana into the vitreous cavity after ocular anesthesia and antiseptic preparation, often using a lid speculum. Intravitreal anti-VEGF treatment is common for neovascular age-related macular degeneration, diabetic macular edema, and macular edema from retinal vein occlusion; steroids and antibiotics are other possible agents. Injections occur primarily in the office but may also take place in an outpatient facility. The procedure code captures the injection; the medication supplied is reported separately under its applicable HCPCS drug code.

Document laterality, medication and dose, indication, and injection technique. For one treated eye, report one unit with RT or LT; for both eyes in the same session, report one unit with modifier 50, paid at 150% of the unilateral amount. CMS assigns a 0-day global period, including same-day preoperative and postoperative care; a separately identifiable E/M requires modifier 25. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are 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 67028 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

67028 rates by state

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

How the 67028 rate is calculated

Each of 67028’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.

Payment rules and modifiers for 67028

The CMS indicators that decide how 67028 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

67028 compared with similar codes

How to choose

67027Drug implantSurgically implanted system

67027 is surgical implantation of a drug delivery system that releases medication over time; 67028 is a needle injection of medication into the vitreous cavity.

67025Vitreous exchangePars plana or limbal approach

67025 addresses injection of a vitreous substitute, such as gas or fluid, to replace vitreous; 67028 applies to medication injected into the vitreous cavity.

66030Eye injectionAnterior chamber medication

66030 delivers medication into the anterior chamber; 67028 delivers it into the vitreous cavity.

67515Eye injectionTenon's capsule

67515 injects medication into Tenon's capsule outside the globe, such as a sub-Tenon steroid; 67028 delivers medication into the vitreous cavity.

Codes related to 67028

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

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

Open CMS sourceHow we calculate rates