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CPT code 67145: Laser retinopexy, prophylaxis by photocoagulation2026 Medicare rate & RVUs in Puerto Rico

Ophthalmologists use this laser session to treat retinal breaks or selected peripheral lesions before they progress to retinal detachment.

CMS RVU26DEffective Oct 1, 2026One payment locality32.4K Medicare services in 2024

In Puerto Rico, Medicare pays $247.12 for 67145 in the office and $189.71 when it’s performed in a hospital or facility.

$247.12Office (non-facility)
$189.71Hospital or facility
+0.7%vs the national office rate ($245.50)

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.

We’ll open 67145 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 67145 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 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 Puerto Rico 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. Puerto Rico pays $247.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

67145 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$247.12
  2. Los Angeles, CA · California$275.24+$28.12
  3. Washington, DC area · District of Columbia$278.53+$31.41
  4. Miami, FL · Florida$262.12+$15.00
  5. Chicago, IL · Illinois$255.51+$8.39
  6. Manhattan, NY · New York$280.01+$32.89
  7. Alaska · Alaska$293.91+$46.79

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

Every other payment area

67145 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$223.06$173.37
ArkansasArkansas$220.22$171.44
ArizonaArizona$239.69$184.67
Bakersfield, CACalifornia$259.46$197.23
Chico, CACalifornia$258.81$196.57
El Centro, CACalifornia$258.84$196.61
Fresno, CACalifornia$258.81$196.57
Hanford, CACalifornia$258.81$196.57

67145 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.

$220.22

$293.91

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

View every state and territory as a table
67145 office rate range by state
State / territoryOffice rate rangeLocalities
AK$293.911
AL$223.061
AR$220.221
AZ$239.691
CA$258.81–$320.5629
CO$255.031
CT$260.591
DC$278.531
DE$243.361
FL$241.98–$262.123
GA$229.90–$249.592
GU$264.101
HI$264.101
IA$228.181
ID$229.471
IL$235.66–$255.514
IN$230.651
KS$227.181
KY$227.581
LA$227.24–$237.182
MA$253.75–$278.472
MD$247.65–$278.533
ME$230.47–$241.622
MI$232.76–$244.612
MN$245.331
MO$223.75–$238.013
MS$222.031
MT$245.481
NC$232.611
ND$241.531
NE$229.311
NH$251.071
NJ$263.83–$276.162
NM$233.871
NV$244.541
NY$235.70–$286.055
OH$231.951
OK$227.281
OR$242.89–$262.462
PA$232.31–$254.682
PR$247.121
RI$251.501
SC$232.611
SD$241.061
TN$228.181
TX$230.95–$253.978
UT$235.441
VA$240.88–$278.532
VI$247.121
VT$240.631
WA$253.26–$283.882
WI$234.311
WV$227.901
WY$243.761

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.

How the rate is built · 67145

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.47

2.47 RVUs× 1.000 GPCI

Practice expense4.68

4.68 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

7.3500

Conversion factor

$33.4009

Medicare rate

$245.50

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,440

Code
67145
Physician work
2.47
Practice expense
4.68
Malpractice
0.20

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 67145 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.47× 1.0002.4700
Practice expense4.68× 1.0114.7315
Malpractice0.20× 0.9850.1970
Total RVUs7.3985
Conversion factor× 33.4009

Office rate, Puerto Rico$247.12

Office: (2.47 × 1 + 4.68 × 1.011 + 0.2 × 0.985) × $33.4009 = $247.12

Facility: (2.47 × 1 + 2.98 × 1.011 + 0.2 × 0.985) × $33.4009 = $189.71

Open 67145 in the RVU calculator

Payment rules and modifiers for 67145

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

CMS payment indicators · 67145

Laser retinopexy, prophylaxis by photocoagulation

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 · 67145

Laser retinopexy, prophylaxis by photocoagulation

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

67145 without 50 · national office

$245.50

Laser retinopexy, prophylaxis by photocoagulation

67145-50 · Bilateral: 150%

$368.25

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 67145

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

Codes related to 67145
CodeHow it relatesOffice range, Puerto Rico
Used instead
67141Retinal prophylaxis, cryotherapy or diathermyProphylactic retinal treatment using cryotherapy rather than laser photocoagulation.$272.10

How 67145 has changed in Puerto Rico

67145 · Office / nonfacility

$247.12

Effective 2026-10-01

The base rate is $12.68 higher than on 2025-10-01, moving from $234.44 to $247.12 (5.4%).

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

    $234.44changed to$247.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.53 changed to 2.47
    • Practice expense RVU 4.49 changed to 4.68
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $242.60changed to$234.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.53 changed to 4.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $238.64changed to$242.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $244.42changed to$238.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.46 changed to 4.53
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $243.31changed to$244.42

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $245.42changed to$243.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.33 changed to 4.46
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $536.01changed to$245.42

    • Conversion factor 34.8931 changed to 34.6062
    • Work RVU 6.32 changed to 2.53
    • Practice expense RVU 8.51 changed to 4.33
    • Malpractice RVU 0.47 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $541.68changed to$536.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.15 changed to 8.51
    • Malpractice RVU 0.48 changed to 0.47
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $543.23changed to$541.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.25 changed to 8.15
    • Malpractice RVU 0.45 changed to 0.48
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $544.07changed to$543.23

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.28 changed to 8.25
    • Malpractice RVU 0.46 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $487.17changed to$544.07

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.13 changed to 8.28
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $436.33changed to$487.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $437.65changed to$436.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.12 changed to 8.13

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $435.47changed to$437.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $435.65changed to$435.47

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.82 changed to 0.46
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $426.46changed to$435.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.85 changed to 8.12
    • Malpractice RVU 0.86 changed to 0.82
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $426.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$247.12$189.71RVU26D
2026-07-01$247.12$189.71RVU26C
2026-04-01$247.12$189.71RVU26B
2026-01-01$247.12$189.71RVU26A
2025-10-01$234.44$208.38RVU25D
2025-07-01$234.44$208.38RVU25C
2025-04-01$234.44$208.38RVU25B
2025-01-01$234.44$208.38RVU25A
2024-10-01$242.60$215.45RVU24D
2024-07-01$242.60$215.45RVU24C
2024-04-01$242.60$215.45RVU24B
2024-03-09$242.60$215.45RVU24AR
2024-01-01$238.64$211.93RVU24A
2023-10-01$244.42$216.75RVU23D
2023-07-01$243.31$215.86RVU23C
2023-04-01$243.31$215.86RVU23B
2023-01-01$243.31$215.86RVU23A
2022-10-01$245.42$217.86RVU22D
2022-07-01$245.42$217.86RVU22C
2022-04-01$245.42$217.86RVU22B
2022-01-01$245.42$217.86RVU22A
2021-10-01$536.01$501.19RVU21D
2021-07-01$536.01$501.19RVU21C
2021-04-01$536.01$501.19RVU21B
2021-01-01$536.01$501.19RVU21A
2020-10-01$541.68$508.94RVU20D
2020-07-01$541.68$508.94RVU20C
2020-04-01$541.68$508.94RVU20B
2020-01-01$541.68$508.94RVU20A
2019-10-01$543.23$511.29RVU19D
2019-07-01$543.23$511.29RVU19C
2019-04-01$543.23$511.29RVU19B
2019-01-01$543.23$511.29RVU19A
2018-10-01$544.07$513.26RVU18D
2018-07-01$544.07$513.26RVU18C
2018-04-01$544.07$513.26RVU18B
2018-01-01$544.07$513.26RVU18AR1
2017-10-01$487.17$462.91RVU17D
2017-07-01$487.17$462.91RVU17C
2017-04-01$487.17$462.91RVU17B
2017-01-01$487.17$462.91RVU17A
2016-10-01$436.33$416.13RVU16D
2016-07-01$436.33$416.13RVU16C
2016-04-01$436.33$416.13RVU16B
2016-01-01$436.33$416.13RVU16A
2015-10-01$437.65$416.87RVU15D
2015-07-01$437.65$416.87RVU15C
2015-04-01$435.47$414.80RVU15B
2015-01-01$435.47$414.80RVU15A
2014-10-01$435.65$416.07RVU14D
2014-07-01$435.65$416.07RVU14C
2014-04-01$435.65$416.07RVU14B
2014-01-01$435.65$416.07RVU14A
2013-10-01$426.46$406.16RVU13D
2013-07-01$426.46$406.16RVU13C
2013-04-01$426.46$406.16RVU13B
2013-01-01$426.46$406.16RVU13AR

Price 67145 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

67145 billing questions

How does 67145 differ from 67141?

Both are prophylactic treatment for retinal detachment risk. 67145 uses laser photocoagulation; 67141 uses cryotherapy.

Can 67145 be reported for an established retinal detachment?

No. It describes preventive treatment of a retinal break or selected lesion. Repair codes apply when a detachment is already present.

Are related postoperative visits separately billable?

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

How is bilateral treatment reported?

CMS identifies 67145 as bilateral and pays modifier 50 at 150%.

What documentation supports reporting 67145?

Document the treated eye, the retinal break or lesion, the clinical reason prophylaxis is warranted, and the laser treatment performed.

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 67145PPRRVU2026_Oct_nonQPP.csv, line 7,440 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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