CPT code 67028: Intravitreal injection, medication delivered into vitreous cavity2026 Medicare rate & RVUs in Galveston, TX
Intravitreal medication injection through the pars plana is reported for a treated eye, commonly for neovascular macular degeneration, diabetic macular edema, or retinal vein occlusion.
In Galveston, TX, Medicare pays $113.53 for 67028 in the office and $75.05 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.
On this page 11 sections
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 Galveston, TX 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. Galveston, TX pays $113.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Galveston, TX · this page$113.53
- Austin, TX · Texas$117.61+$4.08
- Beaumont, TX · Texas$108.23−$5.30
- Brazoria, TX · Texas$113.22−$0.31
- Dallas, TX · Texas$113.88+$0.35
- Fort Worth, TX · Texas$113.28−$0.25
- Houston, TX · Texas$115.54+$2.01
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $110.62 | $73.85 |
| Los Angeles, CACalifornia | $126.59 | $80.75 |
| Washington, DC areaDistrict of Columbia | $128.53 | $82.89 |
| Miami, FLFlorida | $122.46 | $82.13 |
| Chicago, ILIllinois | $119.64 | $80.70 |
| Manhattan, NYNew York | $129.71 | $84.69 |
| AlaskaAlaska | $140.11 | $98.85 |
| AlabamaAlabama | $104.66 | $70.76 |
| ArkansasArkansas | $103.45 | $70.17 |
| ArizonaArizona | $111.72 | $74.18 |
| Bakersfield, CACalifornia | $119.81 | $77.34 |
| Chico, CACalifornia | $119.45 | $76.98 |
| El Centro, CACalifornia | $119.46 | $77.00 |
| Fresno, CACalifornia | $119.45 | $76.98 |
| Hanford, CACalifornia | $119.45 | $76.98 |
| Madera, CACalifornia | $119.45 | $76.98 |
| Merced, CACalifornia | $119.45 | $76.98 |
| Modesto, CACalifornia | $119.45 | $76.98 |
| Napa, CACalifornia | $135.66 | $84.59 |
| Oxnard, CACalifornia | $125.77 | $79.97 |
| Redding, CACalifornia | $119.45 | $76.98 |
| Rest of CaliforniaCalifornia | $119.45 | $76.98 |
| Riverside, CACalifornia | $120.66 | $78.19 |
| Sacramento, CACalifornia | $124.61 | $79.55 |
| Salinas, CACalifornia | $124.12 | $79.21 |
| San Diego, CACalifornia | $126.46 | $80.12 |
| Marin County, CACalifornia | $142.84 | $88.21 |
| San Francisco, CACalifornia | $142.72 | $88.09 |
| San Benito County, CACalifornia | $145.87 | $90.00 |
| Santa Clara County, CACalifornia | $145.36 | $89.49 |
| San Luis Obispo, CACalifornia | $122.19 | $78.06 |
| Santa Cruz, CACalifornia | $127.22 | $80.15 |
| Santa Maria, CACalifornia | $124.43 | $79.25 |
| Santa Rosa, CACalifornia | $128.47 | $80.90 |
| Stockton, CACalifornia | $119.45 | $76.98 |
| Vallejo, CACalifornia | $135.48 | $84.41 |
| Visalia, CACalifornia | $119.45 | $76.98 |
| Yuba City, CACalifornia | $119.45 | $76.98 |
| ColoradoColorado | $118.07 | $76.85 |
| ConnecticutConnecticut | $120.85 | $79.12 |
| DelawareDelaware | $113.33 | $75.05 |
| Fort Lauderdale, FLFlorida | $118.03 | $78.78 |
| Rest of FloridaFlorida | $113.27 | $76.23 |
| Atlanta, GAGeorgia | $116.13 | $76.77 |
| Rest of GeorgiaGeorgia | $108.05 | $73.49 |
| Hawaii, Guam, HIHawaii | $121.42 | $77.37 |
| IowaIowa | $106.59 | $71.14 |
| IdahoIdaho | $107.19 | $71.55 |
| East St. Louis, ILIllinois | $112.85 | $77.21 |
| Rest of IllinoisIllinois | $110.75 | $75.38 |
| Suburban Chicago, ILIllinois | $119.12 | $79.33 |
| IndianaIndiana | $107.69 | $71.77 |
| KansasKansas | $106.28 | $71.26 |
| KentuckyKentucky | $106.84 | $72.39 |
| New Orleans, LALouisiana | $110.97 | $74.51 |
| Rest of LouisianaLouisiana | $106.74 | $72.45 |
| Metropolitan Boston, MAMassachusetts | $128.12 | $81.86 |
| Rest of MassachusettsMassachusetts | $117.61 | $76.82 |
| Baltimore area, MDMaryland | $120.51 | $78.93 |
| Rest of MarylandMaryland | $115.16 | $75.95 |
| Rest of MaineMaine | $107.74 | $72.09 |
| Southern Maine, MEMaine | $112.30 | $73.90 |
| Detroit, MIMichigan | $114.52 | $77.13 |
| Rest of MichiganMichigan | $109.15 | $73.78 |
| MinnesotaMinnesota | $113.49 | $73.63 |
| Metropolitan Kansas City, MOMissouri | $110.26 | $73.87 |
| Metropolitan St. Louis, MOMissouri | $111.18 | $74.29 |
| Rest of MissouriMissouri | $105.33 | $71.93 |
| MississippiMississippi | $104.40 | $71.05 |
| MontanaMontana | $114.22 | $75.48 |
| North CarolinaNorth Carolina | $108.63 | $72.48 |
| North DakotaNorth Dakota | $112.05 | $73.30 |
| NebraskaNebraska | $107.03 | $71.27 |
| New HampshireNew Hampshire | $116.39 | $76.05 |
| Northern New JerseyNew Jersey | $127.63 | $82.69 |
| Rest of New JerseyNew Jersey | $122.33 | $80.02 |
| New MexicoNew Mexico | $109.67 | $74.15 |
| NevadaNevada | $113.68 | $74.90 |
| NYC suburbs and Long Island, NYNew York | $132.43 | $86.36 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $123.17 | $80.74 |
| Queens, NYNew York | $130.46 | $84.66 |
| Rest of New YorkNew York | $109.95 | $73.14 |
| OhioOhio | $108.71 | $73.34 |
| OklahomaOklahoma | $106.59 | $71.99 |
| Portland, OROregon | $121.12 | $78.07 |
| Rest of OregonOregon | $112.88 | $74.29 |
| Metropolitan Philadelphia, PAPennsylvania | $118.40 | $78.06 |
| Rest of PennsylvaniaPennsylvania | $108.80 | $73.23 |
| Puerto RicoPuerto Rico | $114.88 | $75.71 |
| Rhode IslandRhode Island | $116.83 | $76.80 |
| South CarolinaSouth Carolina | $108.83 | $73.03 |
| South DakotaSouth Dakota | $111.79 | $73.05 |
| TennesseeTennessee | $106.72 | $71.51 |
| UtahUtah | $110.03 | $73.61 |
| VirginiaVirginia | $112.07 | $73.98 |
| Virgin Islands, VIUnited States Virgin Islands | $114.88 | $75.71 |
| VermontVermont | $111.78 | $73.42 |
| Rest of WashingtonWashington | $117.34 | $76.54 |
| King County, WAWashington | $130.38 | $82.84 |
| WisconsinWisconsin | $109.01 | $71.89 |
| West VirginiaWest Virginia | $107.46 | $73.79 |
| WyomingWyoming | $113.28 | $74.53 |
67028 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.
$103.45
$140.11
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $140.11 | 1 |
| AL | $104.66 | 1 |
| AR | $103.45 | 1 |
| AZ | $111.72 | 1 |
| CA | $119.45–$145.87 | 29 |
| CO | $118.07 | 1 |
| CT | $120.85 | 1 |
| DC | $128.53 | 1 |
| DE | $113.33 | 1 |
| FL | $113.27–$122.46 | 3 |
| GA | $108.05–$116.13 | 2 |
| GU | $121.42 | 1 |
| HI | $121.42 | 1 |
| IA | $106.59 | 1 |
| ID | $107.19 | 1 |
| IL | $110.75–$119.64 | 4 |
| IN | $107.69 | 1 |
| KS | $106.28 | 1 |
| KY | $106.84 | 1 |
| LA | $106.74–$110.97 | 2 |
| MA | $117.61–$128.12 | 2 |
| MD | $115.16–$128.53 | 3 |
| ME | $107.74–$112.30 | 2 |
| MI | $109.15–$114.52 | 2 |
| MN | $113.49 | 1 |
| MO | $105.33–$111.18 | 3 |
| MS | $104.40 | 1 |
| MT | $114.22 | 1 |
| NC | $108.63 | 1 |
| ND | $112.05 | 1 |
| NE | $107.03 | 1 |
| NH | $116.39 | 1 |
| NJ | $122.33–$127.63 | 2 |
| NM | $109.67 | 1 |
| NV | $113.68 | 1 |
| NY | $109.95–$132.43 | 5 |
| OH | $108.71 | 1 |
| OK | $106.59 | 1 |
| OR | $112.88–$121.12 | 2 |
| PA | $108.80–$118.40 | 2 |
| PR | $114.88 | 1 |
| RI | $116.83 | 1 |
| SC | $108.83 | 1 |
| SD | $111.79 | 1 |
| TN | $106.72 | 1 |
| TX | $108.23–$117.61 | 8 |
| UT | $110.03 | 1 |
| VA | $112.07–$128.53 | 2 |
| VI | $114.88 | 1 |
| VT | $111.78 | 1 |
| WA | $117.34–$130.38 | 2 |
| WI | $109.01 | 1 |
| WV | $107.46 | 1 |
| WY | $113.28 | 1 |
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.
How the rate is built · 67028
RVUs × geographic indexes × conversion factor
Work1.40
1.40 RVUs× 1.000 GPCI
Practice expense1.91
1.91 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
3.4200
Conversion factor
$33.4009
Medicare rate
$114.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Galveston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,421
- Code
- 67028
- Physician work
- 1.40
- Practice expense
- 1.91
- Malpractice
- 0.11
GPCI2026.csv
101
- Locality
- Galveston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 0.828
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.40 | × 1.008 | 1.4112 |
| Practice expense | 1.91 | × 0.993 | 1.8966 |
| Malpractice | 0.11 | × 0.828 | 0.0911 |
| Total RVUs | 3.3989 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Galveston, TX$113.53
Office: (1.4 × 1.008 + 1.91 × 0.993 + 0.11 × 0.828) × $33.4009 = $113.53
Facility: (1.4 × 1.008 + 0.75 × 0.993 + 0.11 × 0.828) × $33.4009 = $75.05
Payment rules and modifiers for 67028
The CMS indicators that decide how 67028 is paid alongside other services.
CMS payment indicators · 67028
Intravitreal injection, medication delivered into vitreous cavity
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67028 without 50 · national office
$114.23
Intravitreal injection, medication delivered into vitreous cavity
67028-50 · Bilateral: 150%
$171.35
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 67028 has changed in Galveston, TX
67028 · Office / nonfacility
$113.53
Effective 2026-10-01
The base rate is $4.43 higher than on 2025-10-01, moving from $109.10 to $113.53 (4.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$109.10changed to$113.53
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.44 changed to 1.40
- Practice expense RVU 1.81 changed to 1.91
- Malpractice RVU 0.12 changed to 0.11
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.000 changed to 0.993
- Malpractice GPCI 0.855 changed to 0.828
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$112.32changed to$109.10
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.82 changed to 1.81
- Malpractice RVU 0.11 changed to 0.12
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$110.49changed to$112.32
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$114.33changed to$110.49
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.80 changed to 1.82
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.013 changed to 1.000
- Malpractice GPCI 0.703 changed to 0.855
January 1, 2023
RVU23A
$115.66changed to$114.33
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.75 changed to 1.80
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.026 changed to 1.013
- Malpractice GPCI 0.550 changed to 0.703
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$116.62changed to$115.66
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$104.25changed to$116.62
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.31 changed to 1.75
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.019 changed to 1.026
- Malpractice GPCI 0.695 changed to 0.550
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$105.08changed to$104.25
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.34 changed to 1.31
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.011 changed to 1.019
- Malpractice GPCI 0.839 changed to 0.695
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$105.33changed to$105.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.35 changed to 1.34
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$104.92changed to$105.33
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.34 changed to 1.35
- Practice expense GPCI 1.012 changed to 1.011
- Malpractice GPCI 0.897 changed to 0.839
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$104.90changed to$104.92
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.013 changed to 1.012
- Malpractice GPCI 0.955 changed to 0.897
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$104.94changed to$104.90
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.10 changed to 0.11
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$104.41changed to$104.94
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$107.15changed to$104.41
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.19 changed to 0.10
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.005 changed to 1.013
- Malpractice GPCI 0.970 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$105.27changed to$107.15
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.45 changed to 1.34
- Malpractice RVU 0.20 changed to 0.19
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 0.996 changed to 1.005
- Malpractice GPCI 0.985 changed to 0.970
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $105.27
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $113.53 | $75.05 | RVU26D |
| 2026-07-01 | $113.53 | $75.05 | RVU26C |
| 2026-04-01 | $113.53 | $75.05 | RVU26B |
| 2026-01-01 | $113.53 | $75.05 | RVU26A |
| 2025-10-01 | $109.10 | $88.72 | RVU25D |
| 2025-07-01 | $109.10 | $88.72 | RVU25C |
| 2025-04-01 | $109.10 | $88.72 | RVU25B |
| 2025-01-01 | $109.10 | $88.72 | RVU25A |
| 2024-10-01 | $112.32 | $90.35 | RVU24D |
| 2024-07-01 | $112.32 | $90.35 | RVU24C |
| 2024-04-01 | $112.32 | $90.35 | RVU24B |
| 2024-03-09 | $112.32 | $90.35 | RVU24AR |
| 2024-01-01 | $110.49 | $88.87 | RVU24A |
| 2023-10-01 | $114.33 | $91.67 | RVU23D |
| 2023-07-01 | $114.33 | $91.67 | RVU23C |
| 2023-04-01 | $114.33 | $91.67 | RVU23B |
| 2023-01-01 | $114.33 | $91.67 | RVU23A |
| 2022-10-01 | $115.66 | $92.58 | RVU22D |
| 2022-07-01 | $115.66 | $92.58 | RVU22C |
| 2022-04-01 | $115.66 | $92.58 | RVU22B |
| 2022-01-01 | $115.66 | $92.58 | RVU22A |
| 2021-10-01 | $116.62 | $93.70 | RVU21D |
| 2021-07-01 | $116.62 | $93.70 | RVU21C |
| 2021-04-01 | $116.62 | $93.70 | RVU21B |
| 2021-01-01 | $116.62 | $93.70 | RVU21A |
| 2020-10-01 | $104.25 | $101.68 | RVU20D |
| 2020-07-01 | $104.25 | $101.68 | RVU20C |
| 2020-04-01 | $104.25 | $101.68 | RVU20B |
| 2020-01-01 | $104.25 | $101.68 | RVU20A |
| 2019-10-01 | $105.08 | $102.90 | RVU19D |
| 2019-07-01 | $105.08 | $102.90 | RVU19C |
| 2019-04-01 | $105.08 | $102.90 | RVU19B |
| 2019-01-01 | $105.08 | $102.90 | RVU19A |
| 2018-10-01 | $105.33 | $103.88 | RVU18D |
| 2018-07-01 | $105.33 | $103.88 | RVU18C |
| 2018-04-01 | $105.33 | $103.88 | RVU18B |
| 2018-01-01 | $105.33 | $103.88 | RVU18AR1 |
| 2017-10-01 | $104.92 | $103.47 | RVU17D |
| 2017-07-01 | $104.92 | $103.47 | RVU17C |
| 2017-04-01 | $104.92 | $103.47 | RVU17B |
| 2017-01-01 | $104.92 | $103.47 | RVU17A |
| 2016-10-01 | $104.90 | $103.09 | RVU16D |
| 2016-07-01 | $104.90 | $103.09 | RVU16C |
| 2016-04-01 | $104.90 | $103.09 | RVU16B |
| 2016-01-01 | $104.90 | $103.09 | RVU16A |
| 2015-10-01 | $104.94 | $103.12 | RVU15D |
| 2015-07-01 | $104.94 | $103.12 | RVU15C |
| 2015-04-01 | $104.41 | $102.60 | RVU15B |
| 2015-01-01 | $104.41 | $102.60 | RVU15A |
| 2014-10-01 | $107.15 | $105.71 | RVU14D |
| 2014-07-01 | $107.15 | $105.71 | RVU14C |
| 2014-04-01 | $107.15 | $105.71 | RVU14B |
| 2014-01-01 | $107.15 | $105.71 | RVU14A |
| 2013-10-01 | $105.27 | $103.58 | RVU13D |
| 2013-07-01 | $105.27 | $103.58 | RVU13C |
| 2013-04-01 | $105.27 | $103.58 | RVU13B |
| 2013-01-01 | $105.27 | $103.58 | RVU13AR |
Where the Galveston, TX rate applies
Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- Galveston
- Bacliff
- Bayou Vista
- Bolivar Peninsula
- Clear Lake Shores
- Dickinson
- 67028 in Friendswood · multiple payment areas
- Hitchcock
67028 billing questions
Is the drug included in this code?
No. The code covers the injection procedure. Bill the medication separately using its applicable HCPCS code, such as J0178 for aflibercept or J2778 for ranibizumab, with units based on the dose supplied.
How are injections in both eyes in the same session billed to Medicare?
Report one procedure unit with modifier 50, which CMS pays at 150% of the unilateral amount. Report drug units based on the dose supplied for both eyes.
Can an office visit be billed on the injection day?
Yes, if the documentation supports a significant, separately identifiable E/M service beyond routine injection-related assessment and care; append modifier 25 to the E/M code. A planned injection visit with only brief pre-injection assessment is included in the 0-day global period.
Can retinal OCT be billed on an injection day?
Retinal OCT (92134) may be reported on the same date when it is medically necessary to assess the retina and its interpretation is documented.
Should this code be reported for a drug injected during vitrectomy?
An injection integral to a vitrectomy in the same eye is not reported separately as 67028. Use 67028 for a distinct intravitreal injection service.
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 · Coming soon
Put 67028 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist