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

In Washington, DC area, Medicare pays $128.53 for 67028 in the office and $82.89 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 67028 nationwide

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.

How Washington, DC area compares for 67028

Across 109 of 109 payment localities, the office rate for 67028 runs from $103.45 in Arkansas to $145.87 in San Benito County, CA. Washington, DC area pays $128.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67028 rates by state

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

See 67028 in every payment locality

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

Codes related to 67028

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

How 67028 has changed in Washington, DC area

Price 67028 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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