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

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 Virginia, Medicare pays $265.17 for 67141 in the office and $185.06 when it’s performed in a hospital or facility.

$265.17Office (non-facility)
$185.06Hospital or facility
−1.9%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 Virginia
  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 Virginia 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. Virginia pays $265.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

67141 in Virginia vs other payment areas
  1. Virginia · this page$265.17
  2. Los Angeles, CA · California$304.48+$39.31
  3. Washington, DC area · District of Columbia$307.65+$42.48
  4. Miami, FL · Florida$287.85+$22.68
  5. Chicago, IL · Illinois$280.35+$15.18
  6. Manhattan, NY · New York$308.74+$43.57
  7. Alaska · Alaska$320.23+$55.06

Other areas in Virginia 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.

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.

$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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67141 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.47× 1.0002.4700
Practice expense5.42× 0.9835.3279
Malpractice0.20× 0.7060.1412
Total RVUs7.9391
Conversion factor× 33.4009

Office rate, Virginia$265.17

Office: (2.47 × 1 + 5.42 × 0.983 + 0.2 × 0.706) × $33.4009 = $265.17

Facility: (2.47 × 1 + 2.98 × 0.983 + 0.2 × 0.706) × $33.4009 = $185.06

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

Codes related to 67141

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

Codes related to 67141
CodeHow it relatesOffice range, Virginia
Same family
67145Laser retinopexy, prophylaxis by photocoagulationProphylactic retinal treatment by photocoagulation rather than cryotherapy or diathermy.$240.88
67101Retinal repair, cryotherapyRetinal detachment repair using cryotherapy or diathermy, rather than preventive treatment.$329.17
67105Retinal detachment repair, photocoagulation methodRetinal detachment repair using photocoagulation, rather than prophylaxis.$293.09

How 67141 has changed in Virginia

67141 · Office / nonfacility

$265.17

Effective 2026-10-01

The base rate is $10.87 higher than on 2025-10-01, moving from $254.30 to $265.17 (4.3%).

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

    $254.30changed to$265.17

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $264.00changed to$254.30

    • 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

    $259.69changed to$264.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $267.52changed to$259.69

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $271.09changed to$267.52

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $528.30changed to$271.09

    • 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

    $531.64changed to$528.30

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $532.04changed to$531.64

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $532.85changed to$532.04

    • 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

    $525.28changed to$532.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.22 changed to 8.36
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $522.78changed to$525.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $524.31changed to$522.78

    • 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

    $521.71changed to$524.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $537.52changed to$521.71

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.04 changed to 0.45
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $534.19changed to$537.52

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $534.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$265.17$185.06RVU26D
2026-07-01$265.17$185.06RVU26C
2026-04-01$265.17$185.06RVU26B
2026-01-01$265.17$185.06RVU26A
2025-10-01$254.30$204.33RVU25D
2025-07-01$254.30$204.33RVU25C
2025-04-01$254.30$204.33RVU25B
2025-01-01$254.30$204.33RVU25A
2024-10-01$264.00$211.26RVU24D
2024-07-01$264.00$211.26RVU24C
2024-04-01$264.00$211.26RVU24B
2024-03-09$264.00$211.26RVU24AR
2024-01-01$259.69$207.81RVU24A
2023-10-01$267.52$213.50RVU23D
2023-07-01$267.52$213.50RVU23C
2023-04-01$267.52$213.50RVU23B
2023-01-01$267.52$213.50RVU23A
2022-10-01$271.09$215.66RVU22D
2022-07-01$271.09$215.66RVU22C
2022-04-01$271.09$215.66RVU22B
2022-01-01$271.09$215.66RVU22A
2021-10-01$528.30$485.94RVU21D
2021-07-01$528.30$485.94RVU21C
2021-04-01$528.30$485.94RVU21B
2021-01-01$528.30$485.94RVU21A
2020-10-01$531.64$492.30RVU20D
2020-07-01$531.64$492.30RVU20C
2020-04-01$531.64$492.30RVU20B
2020-01-01$531.64$492.30RVU20A
2019-10-01$532.04$493.66RVU19D
2019-07-01$532.04$493.66RVU19C
2019-04-01$532.04$493.66RVU19B
2019-01-01$532.04$493.66RVU19A
2018-10-01$532.85$495.93RVU18D
2018-07-01$532.85$495.93RVU18C
2018-04-01$532.85$495.93RVU18B
2018-01-01$532.85$495.93RVU18AR1
2017-10-01$525.28$490.28RVU17D
2017-07-01$525.28$490.28RVU17C
2017-04-01$525.28$490.28RVU17B
2017-01-01$525.28$490.28RVU17A
2016-10-01$522.78$487.59RVU16D
2016-07-01$522.78$487.59RVU16C
2016-04-01$522.78$487.59RVU16B
2016-01-01$522.78$487.59RVU16A
2015-10-01$524.31$488.64RVU15D
2015-07-01$524.31$488.64RVU15C
2015-04-01$521.71$486.21RVU15B
2015-01-01$521.71$486.21RVU15A
2014-10-01$537.52$502.76RVU14D
2014-07-01$537.52$502.76RVU14C
2014-04-01$537.52$502.76RVU14B
2014-01-01$537.52$502.76RVU14A
2013-10-01$534.19$497.29RVU13D
2013-07-01$534.19$497.29RVU13C
2013-04-01$534.19$497.29RVU13B
2013-01-01$534.19$497.29RVU13AR

Price 67141 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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