CPT code 67208: Retinal treatment, cryotherapy2026 Medicare rate & RVUs in Missouri
An ophthalmologist uses cryotherapy to treat a localized retinal lesion, such as a retinal tear, when freezing is the selected treatment method.
Medicare pays $558.01–$588.80 for 67208 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 67208 covers
An ophthalmologist, often a retina specialist, applies a cryoprobe to a focal retinal site to create a chorioretinal adhesion around a break or other localized lesion. Common situations include sealing a retinal tear or treating a discrete retinal tumor. The procedure may be performed in an office procedure room or operating room. The target is a localized retinal lesion, not diffuse retinopathy or an established retinal detachment requiring repair.
Report 67208 when cryotherapy is used for the localized retinal lesion; the code covers one or more treatment sessions. Documentation should identify the lesion, its retinal location and laterality, the clinical indication, and the cryotherapy performed. CMS classifies the service as major surgery with a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.
Where 67208 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$558.01 to $588.80
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $583.94 | $477.62 |
| Metropolitan St. Louis, MO | $588.80 | $481.01 |
| Rest of Missouri | $558.01 | $460.40 |
How the 67208 rate is calculated
Each of 67208’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 · 67208
RVUs × geographic indexes × conversion factor
Work7.46
7.46 RVUs× 1.000 GPCI
Practice expense10.06
10.06 RVUs× 1.000 GPCI
Malpractice0.59
0.59 RVUs× 1.000 GPCI
Adjusted RVUs
18.1100
Conversion factor
$33.4009
Medicare rate
$604.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67208
67208 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67208
Retinal treatment, cryotherapy
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 67208
Retinal treatment, cryotherapy
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
67208 without 50 · national office
$604.89
Retinal treatment, cryotherapy
67208-50 · Bilateral: 150%
$907.34
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).
67208 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67210Retinal laserLocalized lesion photocoagulation
- Choose 67208 for cryotherapy of a localized retinal lesion and 67210 when photocoagulation is used.
- 67218Retinal treatmentRadiation method
- 67218 is the diathermy approach to a localized retinal lesion; 67208 is the cryotherapy approach.
- 67101Retinal repairCryotherapy
- 67208 treats a localized retinal lesion, such as a tear. 67101 is for repair of a retinal detachment using cryotherapy or diathermy.
- 67220Choroidal lesion treatmentLaser photocoagulation
- 67208 addresses a retinal lesion; 67220 addresses a lesion in the choroid.
67208 billing questions
How does 67208 differ from 67210?
67208 is for cryotherapy of a localized retinal lesion. Use 67210 when photocoagulation is the treatment method.
When is 67218 more appropriate?
67218 describes treatment of a localized retinal lesion by diathermy. Distinguish it from 67208 by the method documented: diathermy versus cryotherapy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
How is bilateral treatment reported?
For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. 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
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