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

Reports repair of an established retinal detachment using photocoagulation, with subretinal fluid drainage included when performed as part of the service.

CMS RVU26DEffective Oct 1, 2026One payment locality4K Medicare services in 2024

In Utah, Medicare pays $286.97 for 67105 in the office and $229.20 when it’s performed in a hospital or facility.

$286.97Office (non-facility)
$229.20Hospital or facility
−3.9%vs the national office rate ($298.60)

Check a contract rate as a % of Medicare · 67105 nationwide

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

We’ll open 67105 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 67105 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Utah compares for 67105

Across 109 of 109 payment localities, the office rate for 67105 runs from $269.22 in Arkansas to $386.32 in San Benito County, CA. Utah pays $286.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

67105 in Utah vs other payment areas
  1. Utah · this page$286.97
  2. Los Angeles, CA · California$333.22+$46.25
  3. Washington, DC area · District of Columbia$337.50+$50.53
  4. Miami, FL · Florida$318.74+$31.77
  5. Chicago, IL · Illinois$311.09+$24.12
  6. Manhattan, NY · New York$339.68+$52.71
  7. Alaska · Alaska$361.81+$74.84

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

67105 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$272.52$218.74
ArkansasArkansas$269.22$216.42
ArizonaArizona$291.83$232.28
Bakersfield, CACalifornia$314.69$247.33
Chico, CACalifornia$313.86$246.50
El Centro, CACalifornia$313.90$246.54
Fresno, CACalifornia$313.86$246.50
Hanford, CACalifornia$313.86$246.50

67105 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$269.22

$361.81

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
67105 office rate range by state
State / territoryOffice rate rangeLocalities
AK$361.811
AL$272.521
AR$269.221
AZ$291.831
CA$313.86–$386.3229
CO$309.601
CT$316.411
DC$337.501
DE$296.161
FL$294.90–$318.743
GA$280.80–$303.492
GU$319.711
HI$319.711
IA$278.291
ID$279.831
IL$287.67–$311.094
IN$281.191
KS$277.211
KY$277.951
LA$277.59–$289.142
MA$308.20–$337.082
MD$301.18–$337.503
ME$281.07–$293.912
MI$284.05–$298.042
MN$297.941
MO$273.59–$290.003
MS$271.451
MT$298.591
NC$283.551
ND$293.641
NE$279.571
NH$304.931
NJ$320.37–$334.892
NM$285.371
NV$297.391
NY$287.14–$346.805
OH$283.041
OK$277.511
OR$295.41–$318.182
PA$283.41–$309.572
PR$300.461
RI$305.731
SC$283.691
SD$293.061
TN$278.391
TX$281.84–$308.308
UT$286.971
VA$293.09–$337.502
VI$300.461
VT$292.681
WA$307.57–$343.392
WI$285.281
WV$278.661
WY$296.431

See 67105 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,431

Code
67105
Physician work
3.31
Practice expense
5.38
Malpractice
0.25

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 67105 in Utah
ComponentRVULocality factorAdjusted
Physician work3.31× 1.0003.3100
Practice expense5.38× 0.9405.0572
Malpractice0.25× 0.8980.2245
Total RVUs8.5917
Conversion factor× 33.4009

Office rate, Utah$286.97

Office: (3.31 × 1 + 5.38 × 0.94 + 0.25 × 0.898) × $33.4009 = $286.97

Facility: (3.31 × 1 + 3.54 × 0.94 + 0.25 × 0.898) × $33.4009 = $229.20

Open 67105 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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).

When to use modifier 50

Codes related to 67105

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

Codes related to 67105
CodeHow it relatesOffice range, Utah
Used instead
67101Retinal repair, cryotherapyRepairs retinal detachment using cryotherapy rather than photocoagulation.$321.69
67110Retinal detachment repair, gas injection techniqueUses pneumatic retinopexy to repair retinal detachment.$856.88
67107Retinal detachment repair, scleral buckle without vitrectomyRepairs retinal detachment using a scleral buckling approach.No office rate
67108Retinal detachment repair, vitrectomy-based repairRepairs retinal detachment using a vitrectomy approach.No office rate
67145Laser retinopexy, prophylaxis by photocoagulationPhotocoagulation is used prophylactically before retinal detachment occurs.$235.44

How 67105 has changed in Utah

67105 · Office / nonfacility

$286.97

Effective 2026-10-01

The base rate is $14.07 higher than on 2025-10-01, moving from $272.90 to $286.97 (5.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $272.90changed to$286.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.39 changed to 3.31
    • Practice expense RVU 5.14 changed to 5.38
    • Malpractice RVU 0.27 changed to 0.25
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $282.08changed to$272.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.19 changed to 5.14
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $277.48changed to$282.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $282.53changed to$277.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.10 changed to 5.19
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $282.29changed to$282.53

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.97 changed to 5.10
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $284.95changed to$282.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.98 changed to 4.97

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $289.78changed to$284.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.75 changed to 4.98
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $293.36changed to$289.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.81 changed to 4.75
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $293.37changed to$293.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.82 changed to 4.81

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $290.15changed to$293.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.76 changed to 4.82
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $700.76changed to$290.15

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 8.53 changed to 3.39
    • Practice expense RVU 11.19 changed to 4.76
    • Malpractice RVU 0.62 changed to 0.25
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $702.63changed to$700.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.17 changed to 11.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $699.13changed to$702.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $719.53changed to$699.13

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.19 changed to 11.17
    • Malpractice RVU 1.12 changed to 0.62
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $714.61changed to$719.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.21 changed to 11.19
    • Malpractice RVU 1.17 changed to 1.12
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $714.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$286.97$229.20RVU26D
2026-07-01$286.97$229.20RVU26C
2026-04-01$286.97$229.20RVU26B
2026-01-01$286.97$229.20RVU26A
2025-10-01$272.90$253.58RVU25D
2025-07-01$272.90$253.58RVU25C
2025-04-01$272.90$253.58RVU25B
2025-01-01$272.90$253.58RVU25A
2024-10-01$282.08$261.27RVU24D
2024-07-01$282.08$261.27RVU24C
2024-04-01$282.08$261.27RVU24B
2024-03-09$282.08$261.27RVU24AR
2024-01-01$277.48$257.01RVU24A
2023-10-01$282.53$261.82RVU23D
2023-07-01$282.53$261.82RVU23C
2023-04-01$282.53$261.82RVU23B
2023-01-01$282.53$261.82RVU23A
2022-10-01$282.29$260.98RVU22D
2022-07-01$282.29$260.98RVU22C
2022-04-01$282.29$260.98RVU22B
2022-01-01$282.29$260.98RVU22A
2021-10-01$284.95$262.82RVU21D
2021-07-01$284.95$262.82RVU21C
2021-04-01$284.95$262.82RVU21B
2021-01-01$284.95$262.82RVU21A
2020-10-01$289.78$268.80RVU20D
2020-07-01$289.78$268.80RVU20C
2020-04-01$289.78$268.80RVU20B
2020-01-01$289.78$268.80RVU20A
2019-10-01$293.36$272.32RVU19D
2019-07-01$293.36$272.32RVU19C
2019-04-01$293.36$272.32RVU19B
2019-01-01$293.36$272.32RVU19A
2018-10-01$293.37$273.02RVU18D
2018-07-01$293.37$273.02RVU18C
2018-04-01$293.37$273.02RVU18B
2018-01-01$293.37$273.02RVU18AR1
2017-10-01$290.15$270.23RVU17D
2017-07-01$290.15$270.23RVU17C
2017-04-01$290.15$270.23RVU17B
2017-01-01$290.15$270.23RVU17A
2016-10-01$700.76$631.44RVU16D
2016-07-01$700.76$631.44RVU16C
2016-04-01$700.76$631.44RVU16B
2016-01-01$700.76$631.44RVU16A
2015-10-01$702.63$633.38RVU15D
2015-07-01$702.63$633.38RVU15C
2015-04-01$699.13$630.23RVU15B
2015-01-01$699.13$630.23RVU15A
2014-10-01$719.53$651.06RVU14D
2014-07-01$719.53$651.06RVU14C
2014-04-01$719.53$651.06RVU14B
2014-01-01$719.53$651.06RVU14A
2013-10-01$714.61$642.31RVU13D
2013-07-01$714.61$642.31RVU13C
2013-04-01$714.61$642.31RVU13B
2013-01-01$714.61$642.31RVU13AR

Price 67105 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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
RVUs for 67105PPRRVU2026_Oct_nonQPP.csv, line 7,431 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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