CPT code 67101: Retinal repair, cryotherapy2026 Medicare rate & RVUs

Medicare pays $335.35 for 67101 nationally in the office and $245.83 in a hospital or facility. Local office rates run $301.13–$437.89.

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

What 67101 covers

An ophthalmologist, often a retina specialist, applies transscleral cryotherapy to retinal breaks associated with an established detachment, creating an adhesion intended to seal the break. Drainage of subretinal fluid is included when performed. This approach differs from treating an isolated retinal tear before detachment and from repairs using a scleral buckle, vitrectomy, or injected gas. It may be performed in an office or surgical facility, depending on the case and setting.

Report 67101 when the documented repair uses cryotherapy. The operative note should establish the detachment, identify the treated break or breaks, and describe the cryotherapy and any fluid drainage. Related postoperative visits during the 10-day global period are included. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and the others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and 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 67101 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

67101 rates by state

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

How the 67101 rate is calculated

Each of 67101’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 67101

67101 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

67101 compared with similar codes

How to choose

67105Retinal detachment repairPhotocoagulation method

Choose 67101 when cryotherapy is the repair method; choose 67105 when the detachment repair uses photocoagulation.

67107Retinal detachment repairScleral buckle without vitrectomy

67107 describes repair using a scleral buckle. 67101 is the cryotherapy-based repair approach.

67110Retinal detachment repairGas injection technique

67110 is for pneumatic retinopexy using injected gas. 67101 reports cryotherapy-based repair.

67141Retinal prophylaxisCryotherapy or diathermy

67141 treats a retinal break prophylactically before detachment; 67101 repairs an established detachment.

Codes related to 67101

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