CPT code 67145: Laser retinopexy, prophylaxis by photocoagulation2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $232.61 for 67145 in the office and $179.63 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 67145 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 67145 covers

An ophthalmologist, often a retina specialist, uses focused laser photocoagulation to create an adhesion around a retinal break or selected peripheral retinal lesion judged to put the eye at risk for detachment. The intent is preventive: the service treats the vulnerable area before a retinal detachment requires repair. It is commonly performed in an office with retinal visualization, although facility settings are also used.

Report 67145 for the prophylactic laser treatment session, not for repair of an established detached retina. Documentation should identify the treated eye, break or lesion, why it warrants prophylaxis, and the laser treatment performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 North Carolina compares for 67145

Across 109 of 109 payment localities, the office rate for 67145 runs from $220.22 in Arkansas to $320.56 in San Benito County, CA. North Carolina pays $232.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67145 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 67145 in every payment locality

How the 67145 rate is calculated

Each of 67145’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.

Payment rules and modifiers for 67145

67145 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 67145

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

How 67145 has changed in North Carolina

Price 67145 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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

Open CMS sourceHow we calculate rates