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

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 West Virginia, Medicare pays $278.66 for 67105 in the office and $225.26 when it’s performed in a hospital or facility.

$278.66Office (non-facility)
$225.26Hospital or facility
−6.7%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 West Virginia
  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 West Virginia 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. West Virginia pays $278.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

67105 in West Virginia vs other payment areas
  1. West Virginia · this page$278.66
  2. Los Angeles, CA · California$333.22+$54.56
  3. Washington, DC area · District of Columbia$337.50+$58.84
  4. Miami, FL · Florida$318.74+$40.08
  5. Chicago, IL · Illinois$311.09+$32.43
  6. Manhattan, NY · New York$339.68+$61.02
  7. Alaska · Alaska$361.81+$83.15

Other areas in West Virginia 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 West Virginia 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 67105 in West Virginia
ComponentRVULocality factorAdjusted
Physician work3.31× 1.0003.3100
Practice expense5.38× 0.8694.6752
Malpractice0.25× 1.4310.3578
Total RVUs8.3430
Conversion factor× 33.4009

Office rate, West Virginia$278.66

Office: (3.31 × 1 + 5.38 × 0.869 + 0.25 × 1.431) × $33.4009 = $278.66

Facility: (3.31 × 1 + 3.54 × 0.869 + 0.25 × 1.431) × $33.4009 = $225.26

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, West Virginia
Used instead
67101Retinal repair, cryotherapyRepairs retinal detachment using cryotherapy rather than photocoagulation.$311.22
67110Retinal detachment repair, gas injection techniqueUses pneumatic retinopexy to repair retinal detachment.$833.42
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.$227.90

How 67105 has changed in West Virginia

67105 · Office / nonfacility

$278.66

Effective 2026-10-01

The base rate is $14.05 higher than on 2025-10-01, moving from $264.61 to $278.66 (5.3%).

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

    $264.61changed to$278.66

    • 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 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $273.30changed to$264.61

    • 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

    $268.84changed to$273.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $274.66changed to$268.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.10 changed to 5.19
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $275.25changed to$274.66

    • 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 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $277.83changed to$275.25

    • 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

    $280.96changed to$277.83

    • 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 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $282.41changed to$280.96

    • 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
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $282.41changed to$282.41

    • 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

    $277.92changed to$282.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.76 changed to 4.82
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $668.81changed to$277.92

    • 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 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $670.63changed to$668.81

    • 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

    $667.29changed to$670.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $689.47changed to$667.29

    • 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 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $683.11changed to$689.47

    • 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 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $683.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$278.66$225.26RVU26D
2026-07-01$278.66$225.26RVU26C
2026-04-01$278.66$225.26RVU26B
2026-01-01$278.66$225.26RVU26A
2025-10-01$264.61$246.77RVU25D
2025-07-01$264.61$246.77RVU25C
2025-04-01$264.61$246.77RVU25B
2025-01-01$264.61$246.77RVU25A
2024-10-01$273.30$254.08RVU24D
2024-07-01$273.30$254.08RVU24C
2024-04-01$273.30$254.08RVU24B
2024-03-09$273.30$254.08RVU24AR
2024-01-01$268.84$249.93RVU24A
2023-10-01$274.66$255.43RVU23D
2023-07-01$274.66$255.43RVU23C
2023-04-01$274.66$255.43RVU23B
2023-01-01$274.66$255.43RVU23A
2022-10-01$275.25$255.36RVU22D
2022-07-01$275.25$255.36RVU22C
2022-04-01$275.25$255.36RVU22B
2022-01-01$275.25$255.36RVU22A
2021-10-01$277.83$257.17RVU21D
2021-07-01$277.83$257.17RVU21C
2021-04-01$277.83$257.17RVU21B
2021-01-01$277.83$257.17RVU21A
2020-10-01$280.96$261.47RVU20D
2020-07-01$280.96$261.47RVU20C
2020-04-01$280.96$261.47RVU20B
2020-01-01$280.96$261.47RVU20A
2019-10-01$282.41$262.95RVU19D
2019-07-01$282.41$262.95RVU19C
2019-04-01$282.41$262.95RVU19B
2019-01-01$282.41$262.95RVU19A
2018-10-01$282.41$263.59RVU18D
2018-07-01$282.41$263.59RVU18C
2018-04-01$282.41$263.59RVU18B
2018-01-01$282.41$263.59RVU18AR1
2017-10-01$277.92$259.68RVU17D
2017-07-01$277.92$259.68RVU17C
2017-04-01$277.92$259.68RVU17B
2017-01-01$277.92$259.68RVU17A
2016-10-01$668.81$605.95RVU16D
2016-07-01$668.81$605.95RVU16C
2016-04-01$668.81$605.95RVU16B
2016-01-01$668.81$605.95RVU16A
2015-10-01$670.63$607.84RVU15D
2015-07-01$670.63$607.84RVU15C
2015-04-01$667.29$604.82RVU15B
2015-01-01$667.29$604.82RVU15A
2014-10-01$689.47$627.48RVU14D
2014-07-01$689.47$627.48RVU14C
2014-04-01$689.47$627.48RVU14B
2014-01-01$689.47$627.48RVU14A
2013-10-01$683.11$617.75RVU13D
2013-07-01$683.11$617.75RVU13C
2013-04-01$683.11$617.75RVU13B
2013-01-01$683.11$617.75RVU13AR

Price 67105 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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 West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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