CPT code 67107: Retinal detachment repair, scleral buckle without vitrectomy2026 Medicare rate & RVUs in California
Reports retinal detachment repair using a scleral buckle, with retinal treatment and subretinal fluid drainage when performed, without vitrectomy.
CMS doesn’t publish an office rate for 67107 in California.
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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What 67107 covers
A retinal surgeon uses a scleral buckle to indent the eye wall and support the detached retina, often treating retinal breaks with cryotherapy or photocoagulation. The operation may include drainage of subretinal fluid. It is typically performed in a facility for rhegmatogenous retinal detachment when the repair uses a buckle rather than vitrectomy.
Report 67107 when the operative technique includes scleral buckling; document the detachment, buckle approach, and adjunctive treatments performed. The buckle, retinal treatment, and drainage when performed are part of this repair, not separate services under this code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 may be allowed; co-surgeons are paid only with supporting documentation, and team surgery is 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 67107 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $969.31 |
| Chico, CA | Unavailable | $965.22 |
| El Centro, CA | Unavailable | $965.43 |
| Fresno, CA | Unavailable | $965.22 |
| Hanford, CA | Unavailable | $965.22 |
| Los Angeles, CA | Unavailable | $1,015.85 |
| Madera, CA | Unavailable | $965.22 |
| Marin County, CA | Unavailable | $1,120.95 |
| Merced, CA | Unavailable | $965.22 |
| Modesto, CA | Unavailable | $965.22 |
| Napa, CA | Unavailable | $1,071.66 |
| Oxnard, CA | Unavailable | $1,006.99 |
| Redding, CA | Unavailable | $965.22 |
| Rest of California | Unavailable | $965.22 |
| Riverside, CA | Unavailable | $978.98 |
| Sacramento, CA | Unavailable | $1,000.36 |
| Salinas, CA | Unavailable | $996.25 |
| San Benito County, CA | Unavailable | $1,144.04 |
| San Diego, CA | Unavailable | $1,009.92 |
| San Francisco, CA | Unavailable | $1,119.53 |
| San Luis Obispo, CA | Unavailable | $981.42 |
| Santa Clara County, CA | Unavailable | $1,138.24 |
| Santa Cruz, CA | Unavailable | $1,012.14 |
| Santa Maria, CA | Unavailable | $997.33 |
| Santa Rosa, CA | Unavailable | $1,021.73 |
| Stockton, CA | Unavailable | $965.22 |
| Vallejo, CA | Unavailable | $1,069.62 |
| Visalia, CA | Unavailable | $965.22 |
| Yuba City, CA | Unavailable | $965.22 |
How the 67107 rate is calculated
Each of 67107’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 · 67107
RVUs × geographic indexes × conversion factor
Work15.60
15.60 RVUs× 1.000 GPCI
Practice expense11.28
11.28 RVUs× 1.000 GPCI
Malpractice1.25
1.25 RVUs× 1.000 GPCI
Adjusted RVUs
28.1300
Conversion factor
$33.4009
Medicare rate
$939.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67107
67107 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67107
Retinal detachment repair, scleral buckle without vitrectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67107
Retinal detachment repair, scleral buckle without vitrectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67107 without 50 · national facility
$939.57
Retinal detachment repair, scleral buckle without vitrectomy
67107-50 · Bilateral: 150%
$1,409.36
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).
67107 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67108Retinal detachment repairVitrectomy-based repair
- Choose 67107 for buckle-based repair without vitrectomy. Choose 67108 when vitrectomy is part of the retinal detachment repair.
- 67101Retinal repairCryotherapy
- 67101 represents repair using cryotherapy or diathermy; 67107 is the buckle-based repair that may also include retinal treatment and drainage.
- 67105Retinal detachment repairPhotocoagulation method
- 67105 represents repair using photocoagulation; 67107 describes repair using a scleral buckle, with photocoagulation possible as an adjunct.
- 67110Retinal detachment repairGas injection technique
- 67110 is pneumatic retinopexy, using an intraocular gas bubble and retinopexy. 67107 is selected when the surgeon performs scleral buckling.
67107 billing questions
How does 67107 differ from 67108?
67107 describes buckle-based repair without vitrectomy. Use 67108 when the repair includes vitrectomy.
Are cryotherapy, photocoagulation, or fluid drainage separately reported?
These may be part of the 67107 repair when performed. The operative note should identify which techniques and adjuncts were used.
What is the global period for 67107?
It has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 67107 reported?
When both eyes are repaired, report the bilateral procedure with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery.
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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