CPT code 67113: Retinal repair, complex detachment2026 Medicare rate & RVUs in Mississippi
Reports vitrectomy-based repair of a complex retinal detachment, such as one involving proliferative vitreoretinopathy or diabetic traction.
In Mississippi, Medicare pays $1,035.96 for 67113 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 67113 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 67113 covers
A vitreoretinal surgeon uses this code for complex retinal detachment repair involving vitrectomy and membrane peeling. Cases may involve proliferative vitreoretinopathy or traction from diabetic retinopathy. Depending on the operative findings, repair may also include draining subretinal fluid, laser or cryotherapy, a scleral buckle, and gas or oil tamponade. These procedures are typically performed in an operating room, most often in a facility setting.
Choose this code when the documented detachment and operative work support a complex repair, rather than a less complex detachment procedure. The operative report should establish the retinal pathology and describe the vitrectomy, membrane work, and other repair steps performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require 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.
How Mississippi compares for 67113
Across 109 of 109 payment localities, the facility rate for 67113 runs from $1,024.08 in Arkansas to $1,426.40 in Alaska. Mississippi pays $1,035.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,035.96
- Los Angeles, CA · California$1,200.05+$164.09
- Washington, DC area · District of Columbia$1,227.93+$191.97
- Miami, FL · Florida$1,203.45+$167.49
- Chicago, IL · Illinois$1,180.37+$144.41
- Manhattan, NY · New York$1,250.27+$214.31
- Alaska · Alaska$1,426.40+$390.44
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,033.66 |
| ArkansasArkansas | — | $1,024.08 |
| ArizonaArizona | — | $1,089.47 |
| Bakersfield, CACalifornia | — | $1,145.26 |
| Chico, CACalifornia | — | $1,140.44 |
| El Centro, CACalifornia | — | $1,140.68 |
| Fresno, CACalifornia | — | $1,140.44 |
| Hanford, CACalifornia | — | $1,140.44 |
| Madera, CACalifornia | — | $1,140.44 |
| Merced, CACalifornia | — | $1,140.44 |
| Modesto, CACalifornia | — | $1,140.44 |
| Napa, CACalifornia | — | $1,265.71 |
| Oxnard, CACalifornia | — | $1,189.55 |
| Redding, CACalifornia | — | $1,140.44 |
| Rest of CaliforniaCalifornia | — | $1,140.44 |
| Riverside, CACalifornia | — | $1,156.62 |
| Sacramento, CACalifornia | — | $1,181.83 |
| Salinas, CACalifornia | — | $1,176.96 |
| San Diego, CACalifornia | — | $1,193.00 |
| Marin County, CACalifornia | — | $1,323.79 |
| San Francisco, CACalifornia | — | $1,322.12 |
| San Benito County, CACalifornia | — | $1,351.01 |
| Santa Clara County, CACalifornia | — | $1,344.18 |
| San Luis Obispo, CACalifornia | — | $1,159.46 |
| Santa Cruz, CACalifornia | — | $1,195.54 |
| Santa Maria, CACalifornia | — | $1,178.20 |
| Santa Rosa, CACalifornia | — | $1,206.86 |
| Stockton, CACalifornia | — | $1,140.44 |
| Vallejo, CACalifornia | — | $1,263.30 |
| Visalia, CACalifornia | — | $1,140.44 |
| Yuba City, CACalifornia | — | $1,140.44 |
| ColoradoColorado | — | $1,135.22 |
| ConnecticutConnecticut | — | $1,166.99 |
| DelawareDelaware | — | $1,103.07 |
| Fort Lauderdale, FLFlorida | — | $1,155.67 |
| Rest of FloridaFlorida | — | $1,115.48 |
| Atlanta, GAGeorgia | — | $1,129.05 |
| Rest of GeorgiaGeorgia | — | $1,071.91 |
| Hawaii, Guam, HIHawaii | — | $1,150.16 |
| IowaIowa | — | $1,043.05 |
| IdahoIdaho | — | $1,048.99 |
| East St. Louis, ILIllinois | — | $1,124.65 |
| Rest of IllinoisIllinois | — | $1,099.42 |
| Suburban Chicago, ILIllinois | — | $1,164.42 |
| IndianaIndiana | — | $1,052.73 |
| KansasKansas | — | $1,043.44 |
| KentuckyKentucky | — | $1,056.99 |
| New Orleans, LALouisiana | — | $1,090.83 |
| Rest of LouisianaLouisiana | — | $1,057.33 |
| Metropolitan Boston, MAMassachusetts | — | $1,216.01 |
| Rest of MassachusettsMassachusetts | — | $1,133.62 |
| Baltimore area, MDMaryland | — | $1,164.07 |
| Rest of MarylandMaryland | — | $1,117.72 |
| Rest of MaineMaine | — | $1,056.31 |
| Southern Maine, MEMaine | — | $1,088.15 |
| Detroit, MIMichigan | — | $1,128.45 |
| Rest of MichiganMichigan | — | $1,078.11 |
| MinnesotaMinnesota | — | $1,088.50 |
| Metropolitan Kansas City, MOMissouri | — | $1,082.14 |
| Metropolitan St. Louis, MOMissouri | — | $1,089.12 |
| Rest of MissouriMissouri | — | $1,047.94 |
| MontanaMontana | — | $1,110.15 |
| North CarolinaNorth Carolina | — | $1,062.89 |
| North DakotaNorth Dakota | — | $1,081.08 |
| NebraskaNebraska | — | $1,045.65 |
| New HampshireNew Hampshire | — | $1,122.24 |
| Northern New JerseyNew Jersey | — | $1,223.33 |
| Rest of New JerseyNew Jersey | — | $1,180.45 |
| New MexicoNew Mexico | — | $1,083.41 |
| NevadaNevada | — | $1,102.49 |
| NYC suburbs and Long Island, NYNew York | — | $1,275.52 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,190.42 |
| Queens, NYNew York | — | $1,252.04 |
| Rest of New YorkNew York | — | $1,073.55 |
| OhioOhio | — | $1,072.16 |
| OklahomaOklahoma | — | $1,051.98 |
| Portland, OROregon | — | $1,156.67 |
| Rest of OregonOregon | — | $1,093.89 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,148.99 |
| Rest of PennsylvaniaPennsylvania | — | $1,071.28 |
| Puerto RicoPuerto Rico | — | $1,114.37 |
| Rhode IslandRhode Island | — | $1,131.30 |
| South CarolinaSouth Carolina | — | $1,069.27 |
| South DakotaSouth Dakota | — | $1,077.64 |
| TennesseeTennessee | — | $1,047.27 |
| Austin, TXTexas | — | $1,131.54 |
| Beaumont, TXTexas | — | $1,066.96 |
| Brazoria, TXTexas | — | $1,100.42 |
| Dallas, TXTexas | — | $1,107.08 |
| Fort Worth, TXTexas | — | $1,103.29 |
| Galveston, TXTexas | — | $1,103.66 |
| Houston, TXTexas | — | $1,130.56 |
| Rest of TexasTexas | — | $1,082.93 |
| UtahUtah | — | $1,078.70 |
| VirginiaVirginia | — | $1,088.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,114.37 |
| VermontVermont | — | $1,081.57 |
| Rest of WashingtonWashington | — | $1,130.00 |
| King County, WAWashington | — | $1,232.59 |
| WisconsinWisconsin | — | $1,057.70 |
| West VirginiaWest Virginia | — | $1,073.48 |
| WyomingWyoming | — | $1,097.48 |
67113 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 67113 rate is calculated
Each of 67113’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 · 67113
RVUs × geographic indexes × conversion factor
Work18.53
18.53 RVUs× 1.000 GPCI
Practice expense13.24
13.24 RVUs× 1.000 GPCI
Malpractice1.47
1.47 RVUs× 1.000 GPCI
Adjusted RVUs
33.2400
Conversion factor
$33.4009
Medicare rate
$1,110.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,435
- Code
- 67113
- Physician work
- 18.53
- Practice expense
- 13.24
- Malpractice
- 1.47
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.53 | × 1.000 | 18.5300 |
| Practice expense | 13.24 | × 0.861 | 11.3996 |
| Malpractice | 1.47 | × 0.739 | 1.0863 |
| Total RVUs | 31.0160 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1035.96
Facility: (18.53 × 1 + 13.24 × 0.861 + 1.47 × 0.739) × $33.4009 = $1035.96
Payment rules and modifiers for 67113
67113 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67113
Retinal repair, complex detachment
| 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 · 67113
Retinal repair, complex detachment
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
67113 without 50 · national facility
$1,110.25
Retinal repair, complex detachment
67113-50 · Bilateral: 150%
$1,665.38
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).
How 67113 has changed in Mississippi
67113 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,035.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,035.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,035.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,035.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,169.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,169.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,169.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,169.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,204.85 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,204.85 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,204.85 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,204.85 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,185.18 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,211.54 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,211.54 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,211.54 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,211.54 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,214.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,214.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,214.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,214.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,224.35 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,224.35 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,224.35 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,224.35 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,250.86 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,250.86 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,250.86 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,250.86 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,257.84 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,257.84 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,257.84 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,257.84 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,260.36 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,260.36 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,260.36 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,260.36 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,254.82 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,254.82 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,254.82 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,254.82 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,315.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,315.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,315.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,315.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,639.04 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,639.04 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,630.88 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,630.88 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,681.37 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,681.37 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,681.37 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,681.37 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,661.78 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,661.78 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,661.78 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,661.78 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
67113 billing questions
When should 67113 be chosen over 67108?
Use 67113 when the detachment is complex and the operative work supports vitrectomy with membrane peeling. Use 67108 for a detachment repair with vitrectomy when the case does not meet the complex-repair criteria.
What operative details support 67113?
Document the pathology establishing complexity, such as proliferative vitreoretinopathy or diabetic traction, and the vitrectomy and membrane work performed. Include other repair steps, such as drainage, laser, buckle, or tamponade, when performed.
Are gas or oil tamponade and laser separately reported as part of the repair?
These may be steps in the retinal repair represented by 67113. The operative report should describe the steps performed as part of the complex repair.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period for 67113.
How are bilateral repairs and multiple same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
Can an assistant or co-surgeon be reported for 67113?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
Fee sheets
Put 67113 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet