CPT code 67105: Retinal detachment repair, photocoagulation method2026 Medicare rate & RVUs

Medicare pays $298.60 for 67105 nationally in the office and $237.15 in a hospital or facility. Local office rates run $269.22–$386.32.

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

What 67105 covers

An ophthalmologist uses photocoagulation to treat an established retinal detachment, creating a chorioretinal adhesion to secure the retina. Subretinal fluid drainage may be performed as part of the repair. The service is distinct from preventive treatment of a retinal break before detachment has occurred, and from repairs performed using other techniques such as cryotherapy, pneumatic retinopexy, or scleral buckling.

Report 67105 when the operative documentation supports repair of a retinal detachment by photocoagulation; document the detachment, treatment method, and any drainage performed. The code has a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 67105 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

67105 rates by state

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

How the 67105 rate is calculated

Each of 67105’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 67105

67105 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

67105 compared with similar codes

How to choose

67101Retinal repairCryotherapy

Both address an established retinal detachment, but 67101 uses cryotherapy; 67105 uses photocoagulation.

67110Retinal detachment repairGas injection technique

67110 describes pneumatic retinopexy, while 67105 describes repair by photocoagulation.

67145Laser retinopexyProphylaxis by photocoagulation

67145 is prophylactic photocoagulation for a retinal break or lesion. Use 67105 for photocoagulation repair of an established detachment.

67107Retinal detachment repairScleral buckle without vitrectomy

67107 is a scleral buckling repair. 67105 is selected when the documented retinal detachment repair is performed by photocoagulation.

Codes related to 67105

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