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CPT code 67208: Retinal treatment, cryotherapy2026 Medicare rate & RVUs in Virginia

An ophthalmologist uses cryotherapy to treat a localized retinal lesion, such as a retinal tear, when freezing is the selected treatment method.

CMS RVU26DEffective Oct 1, 2026One payment locality84 Medicare services in 2024

In Virginia, Medicare pays $593.38 for 67208 in the office and $482.08 when it’s performed in a hospital or facility.

$593.38Office (non-facility)
$482.08Hospital or facility
−1.9%vs the national office rate ($604.89)

Check a contract rate as a % of Medicare · 67208 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 67208 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 67208 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 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.

How Virginia compares for 67208

Across 109 of 109 payment localities, the office rate for 67208 runs from $547.95 in Arkansas to $771.67 in San Benito County, CA. Virginia pays $593.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

67208 in Virginia vs other payment areas
  1. Virginia · this page$593.38
  2. Los Angeles, CA · California$669.98+$76.60
  3. Washington, DC area · District of Columbia$680.38+$87.00
  4. Miami, FL · Florida$648.80+$55.42
  5. Chicago, IL · Illinois$633.83+$40.45
  6. Manhattan, NY · New York$686.82+$93.44
  7. Alaska · Alaska$742.47+$149.09

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

Every other payment area

67208 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$554.34$455.26
ArkansasArkansas$547.95$450.69
ArizonaArizona$591.64$481.92
Bakersfield, CACalifornia$634.18$510.08
Chico, CACalifornia$632.24$508.14
El Centro, CACalifornia$632.34$508.24
Fresno, CACalifornia$632.24$508.14
Hanford, CACalifornia$632.24$508.14

67208 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.

$547.95

$742.47

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

View every state and territory as a table
67208 office rate range by state
State / territoryOffice rate rangeLocalities
AK$742.471
AL$554.341
AR$547.951
AZ$591.641
CA$632.24–$771.6729
CO$625.071
CT$639.891
DC$680.381
DE$600.111
FL$600.02–$648.803
GA$572.38–$614.982
GU$642.631
HI$642.631
IA$564.451
ID$567.621
IL$586.75–$633.834
IN$570.231
KS$562.861
KY$565.921
LA$565.42–$587.752
MA$622.69–$678.132
MD$609.80–$680.383
ME$570.56–$594.592
MI$578.20–$606.652
MN$600.761
MO$558.01–$588.803
MS$553.041
MT$604.851
NC$575.261
ND$593.181
NE$566.761
NH$616.201
NJ$647.68–$675.692
NM$580.961
NV$601.941
NY$582.24–$701.235
OH$575.811
OK$564.541
OR$597.69–$641.132
PA$576.25–$626.962
PR$608.291
RI$618.581
SC$576.401
SD$591.811
TN$565.191
TX$573.25–$622.638
UT$582.721
VA$593.38–$680.382
VI$608.291
VT$591.801
WA$621.23–$690.022
WI$577.141
WV$569.371
WY$599.771

See 67208 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,441

Code
67208
Physician work
7.46
Practice expense
10.06
Malpractice
0.59

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67208 in Virginia
ComponentRVULocality factorAdjusted
Physician work7.46× 1.0007.4600
Practice expense10.06× 0.9839.8890
Malpractice0.59× 0.7060.4165
Total RVUs17.7655
Conversion factor× 33.4009

Office rate, Virginia$593.38

Office: (7.46 × 1 + 10.06 × 0.983 + 0.59 × 0.706) × $33.4009 = $593.38

Facility: (7.46 × 1 + 6.67 × 0.983 + 0.59 × 0.706) × $33.4009 = $482.08

Open 67208 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.70/0.20Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 67208

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

Codes related to 67208
CodeHow it relatesOffice range, Virginia
Same family
67210Retinal laser, localized lesion photocoagulationLocalized retinal lesion treatment using photocoagulation rather than cryotherapy.$507.57
67218Retinal treatment, radiation methodLocalized retinal lesion treatment using diathermy rather than cryotherapy.No office rate
Used instead
67220Choroidal lesion treatment, laser photocoagulationTreats a localized choroidal lesion; the treated tissue is choroid rather than retina.$522.11

How 67208 has changed in Virginia

67208 · Office / nonfacility

$593.38

Effective 2026-10-01

The base rate is $24.59 higher than on 2025-10-01, moving from $568.79 to $593.38 (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

    $568.79changed to$593.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.65 changed to 7.46
    • Practice expense RVU 9.62 changed to 10.06
    • Malpractice RVU 0.60 changed to 0.59
    • 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

    $587.05changed to$568.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.68 changed to 9.62
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $577.47changed to$587.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $594.85changed to$577.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.52 changed to 9.68
    • Malpractice RVU 0.58 changed to 0.59
    • 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

    $601.87changed to$594.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.25 changed to 9.52
    • Malpractice RVU 0.60 changed to 0.58
    • 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

    $604.46changed to$601.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.19 changed to 9.25
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $608.71changed to$604.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.79 changed to 9.19
    • Malpractice RVU 0.56 changed to 0.59
    • 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

    $608.89changed to$608.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.87 changed to 8.79
    • Malpractice RVU 0.55 changed to 0.56
    • 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

    $608.58changed to$608.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.88 changed to 8.87

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $601.98changed to$608.58

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.77 changed to 8.88
    • Malpractice RVU 0.56 changed to 0.55
    • 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

    $598.39changed to$601.98

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.75 changed to 8.77
    • 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

    $599.54changed to$598.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.73 changed to 8.75
    • Malpractice RVU 0.55 changed to 0.56

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $596.56changed to$599.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $595.79changed to$596.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.76 changed to 8.73
    • Malpractice RVU 0.51 changed to 0.55
    • 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

    $590.24changed to$595.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.53 changed to 8.76
    • Malpractice RVU 0.53 changed to 0.51
    • 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: $590.24

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$593.38$482.08RVU26D
2026-07-01$593.38$482.08RVU26C
2026-04-01$593.38$482.08RVU26B
2026-01-01$593.38$482.08RVU26A
2025-10-01$568.79$544.60RVU25D
2025-07-01$568.79$544.60RVU25C
2025-04-01$568.79$544.60RVU25B
2025-01-01$568.79$544.60RVU25A
2024-10-01$587.05$561.18RVU24D
2024-07-01$587.05$561.18RVU24C
2024-04-01$587.05$561.18RVU24B
2024-03-09$587.05$561.18RVU24AR
2024-01-01$577.47$552.02RVU24A
2023-10-01$594.85$567.68RVU23D
2023-07-01$594.85$567.68RVU23C
2023-04-01$594.85$567.68RVU23B
2023-01-01$594.85$567.68RVU23A
2022-10-01$601.87$574.32RVU22D
2022-07-01$601.87$574.32RVU22C
2022-04-01$601.87$574.32RVU22B
2022-01-01$601.87$574.32RVU22A
2021-10-01$604.46$577.73RVU21D
2021-07-01$604.46$577.73RVU21C
2021-04-01$604.46$577.73RVU21B
2021-01-01$604.46$577.73RVU21A
2020-10-01$608.71$584.03RVU20D
2020-07-01$608.71$584.03RVU20C
2020-04-01$608.71$584.03RVU20B
2020-01-01$608.71$584.03RVU20A
2019-10-01$608.89$585.79RVU19D
2019-07-01$608.89$585.79RVU19C
2019-04-01$608.89$585.79RVU19B
2019-01-01$608.89$585.79RVU19A
2018-10-01$608.58$587.28RVU18D
2018-07-01$608.58$587.28RVU18C
2018-04-01$608.58$587.28RVU18B
2018-01-01$608.58$587.28RVU18AR1
2017-10-01$601.98$581.47RVU17D
2017-07-01$601.98$581.47RVU17C
2017-04-01$601.98$581.47RVU17B
2017-01-01$601.98$581.47RVU17A
2016-10-01$598.39$578.32RVU16D
2016-07-01$598.39$578.32RVU16C
2016-04-01$598.39$578.32RVU16B
2016-01-01$598.39$578.32RVU16A
2015-10-01$599.54$578.35RVU15D
2015-07-01$599.54$578.35RVU15C
2015-04-01$596.56$575.47RVU15B
2015-01-01$596.56$575.47RVU15A
2014-10-01$595.79$575.78RVU14D
2014-07-01$595.79$575.78RVU14C
2014-04-01$595.79$575.78RVU14B
2014-01-01$595.79$575.78RVU14A
2013-10-01$590.24$568.63RVU13D
2013-07-01$590.24$568.63RVU13C
2013-04-01$590.24$568.63RVU13B
2013-01-01$590.24$568.63RVU13AR

Price 67208 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

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
RVUs for 67208PPRRVU2026_Oct_nonQPP.csv, line 7,441 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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