CPT code 67141: Retinal prophylaxis, cryotherapy or diathermy2026 Medicare rate & RVUs in Nevada

Retinal specialists use cryotherapy or diathermy around a retinal break or similar risk area to reduce the chance of retinal detachment.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Nevada, Medicare pays $269.28 for 67141 in the office and $187.70 when it’s performed in a hospital or facility.

$269.28Office (non-facility)
$187.70Hospital or facility
−0.3%vs the national office rate ($270.21)

Check a contract rate as a % of Medicare · 67141 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 67141 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 67141 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 67141 covers

This procedure applies cryotherapy or diathermy to retinal tissue around a break or another area considered at risk for detachment, creating an adhesion intended to help contain the problem. It is typically performed by an ophthalmologist, often a retina specialist, in an office or surgical facility. The clinical purpose is preventive treatment; an established retinal detachment calls for a repair procedure rather than this prophylaxis code.

Report the code when the documented treatment uses cryotherapy or diathermy for retinal detachment prophylaxis. The record should support the preventive indication, treated eye and retinal finding, and method used; photocoagulation prophylaxis is represented by a different code. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and 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 Nevada compares for 67141

Across 109 of 109 payment localities, the office rate for 67141 runs from $241.45 in Arkansas to $356.21 in San Benito County, CA. Nevada pays $269.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

67141 in Nevada vs other payment areas
  1. Nevada · this page$269.28
  2. Los Angeles, CA · California$304.48+$35.20
  3. Washington, DC area · District of Columbia$307.65+$38.37
  4. Miami, FL · Florida$287.85+$18.57
  5. Chicago, IL · Illinois$280.35+$11.07
  6. Manhattan, NY · New York$308.74+$39.46
  7. Alaska · Alaska$320.23+$50.95

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

Every other payment area

67141 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$244.68$173.37
ArkansasArkansas$241.45$171.44
ArizonaArizona$263.64$184.67
Bakersfield, CACalifornia$286.55$197.23
Chico, CACalifornia$285.90$196.57
El Centro, CACalifornia$285.93$196.61
Fresno, CACalifornia$285.90$196.57
Hanford, CACalifornia$285.90$196.57

67141 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.

$241.45

$321.05

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

View every state and territory as a table
67141 office rate range by state
State / territoryOffice rate rangeLocalities
AK$320.231
AL$244.681
AR$241.451
AZ$263.641
CA$285.90–$356.2129
CO$281.331
CT$287.211
DC$307.651
DE$267.781
FL$265.61–$287.853
GA$251.94–$274.702
GU$292.201
HI$292.201
IA$250.801
ID$252.211
IL$258.22–$280.844
IN$253.561
KS$249.521
KY$249.551
LA$249.11–$260.442
MA$279.77–$307.982
MD$272.66–$307.653
ME$253.21–$266.122
MI$255.33–$268.462
MN$270.761
MO$245.06–$261.543
MS$243.311
MT$270.201
NC$255.671
ND$266.251
NE$252.121
NH$276.801
NJ$290.82–$304.832
NM$256.531
NV$269.281
NY$259.18–$315.435
OH$254.521
OK$249.351
OR$267.51–$289.922
PA$255.00–$280.412
PR$272.101
RI$277.031
SC$255.451
SD$265.781
TN$250.651
TX$253.45–$280.128
UT$258.671
VA$265.17–$307.652
VI$272.101
VT$265.101
WA$279.28–$314.212
WI$257.991
WV$249.381
WY$268.481

See 67141 in every payment locality

How the 67141 rate is calculated

Each of 67141’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 · 67141

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.47

2.47 RVUs× 1.000 GPCI

Practice expense5.42

5.42 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

8.0900

Conversion factor

$33.4009

Medicare rate

$270.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,439

Code
67141
Physician work
2.47
Practice expense
5.42
Malpractice
0.20

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 67141 in Nevada
ComponentRVULocality factorAdjusted
Physician work2.47× 1.0002.4700
Practice expense5.42× 1.0015.4254
Malpractice0.20× 0.8330.1666
Total RVUs8.0620
Conversion factor× 33.4009

Office rate, Nevada$269.28

Office: (2.47 × 1 + 5.42 × 1.001 + 0.2 × 0.833) × $33.4009 = $269.28

Facility: (2.47 × 1 + 2.98 × 1.001 + 0.2 × 0.833) × $33.4009 = $187.70

Open 67141 in the RVU calculator

Payment rules and modifiers for 67141

67141 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67141

Retinal prophylaxis, cryotherapy or diathermy

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 · 67141

Retinal prophylaxis, cryotherapy or diathermy

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

67141 without 50 · national office

$270.21

Retinal prophylaxis, cryotherapy or diathermy

67141-50 · Bilateral: 150%

$405.32

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

How 67141 has changed in Nevada

67141 · Office / nonfacility

$269.28

Effective 2026-10-01

The base rate is $11.84 higher than on 2025-10-01, moving from $257.44 to $269.28 (4.6%).

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

    $257.44changed to$269.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.53 changed to 2.47
    • Practice expense RVU 5.26 changed to 5.42
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $267.26changed to$257.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.33 changed to 5.26

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $262.90changed to$267.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $271.05changed to$262.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.26 changed to 5.33
    • Malpractice RVU 0.19 changed to 0.20
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $275.56changed to$271.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.15 changed to 5.26
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $538.01changed to$275.56

    • Conversion factor 34.8931 changed to 34.6062
    • Work RVU 6.15 changed to 2.53
    • Practice expense RVU 8.63 changed to 5.15
    • Malpractice RVU 0.45 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $538.98changed to$538.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.24 changed to 8.63
    • Malpractice RVU 0.46 changed to 0.45
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $541.81changed to$538.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.33 changed to 8.24
    • Malpractice RVU 0.44 changed to 0.46
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $542.64changed to$541.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.36 changed to 8.33
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $541.91changed to$542.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.22 changed to 8.36
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $546.44changed to$541.91

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $548.03changed to$546.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.21 changed to 8.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $545.31changed to$548.03

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $572.05changed to$545.31

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.04 changed to 0.45
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $577.46changed to$572.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.96 changed to 8.21
    • Malpractice RVU 1.09 changed to 1.04
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$577.46

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$269.28$187.70RVU26D
2026-07-01$269.28$187.70RVU26C
2026-04-01$269.28$187.70RVU26B
2026-01-01$269.28$187.70RVU26A
2025-10-01$257.44$206.66RVU25D
2025-07-01$257.44$206.66RVU25C
2025-04-01$257.44$206.66RVU25B
2025-01-01$257.44$206.66RVU25A
2024-10-01$267.26$213.67RVU24D
2024-07-01$267.26$213.67RVU24C
2024-04-01$267.26$213.67RVU24B
2024-03-09$267.26$213.67RVU24AR
2024-01-01$262.90$210.18RVU24A
2023-10-01$271.05$216.49RVU23D
2023-07-01$271.05$216.49RVU23C
2023-04-01$271.05$216.49RVU23B
2023-01-01$271.05$216.49RVU23A
2022-10-01$275.56$219.85RVU22D
2022-07-01$275.56$219.85RVU22C
2022-04-01$275.56$219.85RVU22B
2022-01-01$275.56$219.85RVU22A
2021-10-01$538.01$495.44RVU21D
2021-07-01$538.01$495.44RVU21C
2021-04-01$538.01$495.44RVU21B
2021-01-01$538.01$495.44RVU21A
2020-10-01$538.98$499.28RVU20D
2020-07-01$538.98$499.28RVU20C
2020-04-01$538.98$499.28RVU20B
2020-01-01$538.98$499.28RVU20A
2019-10-01$541.81$502.22RVU19D
2019-07-01$541.81$502.22RVU19C
2019-04-01$541.81$502.22RVU19B
2019-01-01$541.81$502.22RVU19A
2018-10-01$542.64$504.56RVU18D
2018-07-01$542.64$504.56RVU18C
2018-04-01$542.64$504.56RVU18B
2018-01-01$542.64$504.56RVU18AR1
2017-10-01$541.91$505.17RVU17D
2017-07-01$541.91$505.17RVU17C
2017-04-01$541.91$505.17RVU17B
2017-01-01$541.91$505.17RVU17A
2016-10-01$546.44$508.81RVU16D
2016-07-01$546.44$508.81RVU16C
2016-04-01$546.44$508.81RVU16B
2016-01-01$546.44$508.81RVU16A
2015-10-01$548.03$509.89RVU15D
2015-07-01$548.03$509.89RVU15C
2015-04-01$545.31$507.35RVU15B
2015-01-01$545.31$507.35RVU15A
2014-10-01$572.05$534.64RVU14D
2014-07-01$572.05$534.64RVU14C
2014-04-01$572.05$534.64RVU14B
2014-01-01$572.05$534.64RVU14A
2013-10-01$577.46$537.50RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 67141 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

67141 billing questions

When should 67141 be chosen instead of 67145?

Use 67141 for retinal detachment prophylaxis performed with cryotherapy or diathermy. Use 67145 when the preventive treatment is performed with photocoagulation.

Is this code for an established retinal detachment?

No. It represents preventive treatment of a retinal break or other risk area; established detachment repair is reported with a repair code, such as 67101 or 67105, depending on the procedure.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How is bilateral treatment reported?

For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.

How does CMS handle other procedures performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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
RVUs for 67141PPRRVU2026_Oct_nonQPP.csv, line 7,439 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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