CPT code 67105: Retinal detachment repair, photocoagulation method2026 Medicare rate & RVUs in Texas
Reports repair of an established retinal detachment using photocoagulation, with subretinal fluid drainage included when performed as part of the service.
Medicare pays $281.84–$308.30 for 67105 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$281.84 to $308.30
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $308.30 | $243.27 |
| Beaumont, TX | $281.84 | $225.91 |
| Brazoria, TX | $296.03 | $235.13 |
| Dallas, TX | $297.69 | $236.48 |
| Fort Worth, TX | $296.01 | $235.41 |
| Galveston, TX | $296.79 | $235.77 |
| Houston, TX | $301.37 | $240.34 |
| Rest of Texas | $288.63 | $230.31 |
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.
How the rate is built · 67105
RVUs × geographic indexes × conversion factor
Work3.31
3.31 RVUs× 1.000 GPCI
Practice expense5.38
5.38 RVUs× 1.000 GPCI
Malpractice0.25
0.25 RVUs× 1.000 GPCI
Adjusted RVUs
8.9400
Conversion factor
$33.4009
Medicare rate
$298.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67105
67105 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67105
Retinal detachment repair, photocoagulation method
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67105
Retinal detachment repair, photocoagulation method
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67105 without 50 · national office
$298.60
Retinal detachment repair, photocoagulation method
67105-50 · Bilateral: 150%
$447.90
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).
67105 compared with similar codes
Compare codes · National
5 codes, side by side
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.
67105 billing questions
How does 67105 differ from 67145?
67105 is for repairing an established retinal detachment with photocoagulation. 67145 is for prophylactic photocoagulation of a retinal break or other retinal lesion when detachment has not occurred.
When should 67101 be used instead?
67101 describes retinal detachment repair using cryotherapy. Choose 67105 when the documented repair method is photocoagulation.
Is subretinal fluid drainage separately reported?
Drainage of subretinal fluid is included when performed as part of the 67105 repair. The operative note should identify the detachment and photocoagulation treatment.
How are bilateral procedures reported?
Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeons or team surgery.
Are postoperative visits included?
Related postoperative visits for 10 days are included in the global period.
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
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