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CPT code 67210: Retinal laser, localized lesion photocoagulation2026 Medicare rate & RVUs in Delaware

Reports ophthalmic photocoagulation to destroy a localized retinal lesion, such as macular edema or a retinal tumor, in one or more sessions.

CMS RVU26DEffective Oct 1, 2026One payment locality31K Medicare services in 2024

In Delaware, Medicare pays $513.24 for 67210 in the office and $425.12 when it’s performed in a hospital or facility.

$513.24Office (non-facility)
$425.12Hospital or facility
−0.8%vs the national office rate ($517.38)

Check a contract rate as a % of Medicare · 67210 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 67210 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 67210 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 67210 covers

CPT 67210 covers laser photocoagulation directed at a localized retinal lesion, including treatment for macular edema or a retinal tumor. An ophthalmologist, often a retina specialist, applies laser energy to the affected retinal area in an office or surgical setting. The code is specific to retinal tissue and photocoagulation; it is not the code for cryotherapy or treatment of a choroidal lesion.

Report the service based on the documented lesion, treated eye, and photocoagulation performed. The code encompasses one or more treatment sessions; document the clinical indication and treated retinal area. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 services are not paid; 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 Delaware compares for 67210

Across 109 of 109 payment localities, the office rate for 67210 runs from $468.00 in Arkansas to $662.48 in San Benito County, CA. Delaware pays $513.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

67210 in Delaware vs other payment areas
  1. Delaware · this page$513.24
  2. Los Angeles, CA · California$574.16+$60.92
  3. Washington, DC area · District of Columbia$582.73+$69.49
  4. Miami, FL · Florida$554.46+$41.22
  5. Chicago, IL · Illinois$541.49+$28.25
  6. Manhattan, NY · New York$587.84+$74.60
  7. Alaska · Alaska$632.68+$119.44

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

Every other payment area

67210 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$473.54$395.50
ArkansasArkansas$468.00$391.39
ArizonaArizona$505.91$419.50
Bakersfield, CACalifornia$543.13$445.39
Chico, CACalifornia$541.52$443.78
El Centro, CACalifornia$541.61$443.86
Fresno, CACalifornia$541.52$443.78
Hanford, CACalifornia$541.52$443.78

67210 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.

$468.00

$632.68

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

View every state and territory as a table
67210 office rate range by state
State / territoryOffice rate rangeLocalities
AK$632.681
AL$473.541
AR$468.001
AZ$505.911
CA$541.52–$662.4829
CO$535.091
CT$547.591
DC$582.731
DE$513.241
FL$512.68–$554.463
GA$488.78–$525.992
GU$550.761
HI$550.761
IA$482.531
ID$485.241
IL$501.02–$541.494
IN$487.511
KS$481.051
KY$483.361
LA$482.89–$502.262
MA$532.95–$581.092
MD$521.64–$582.733
ME$487.68–$508.702
MI$493.92–$518.322
MN$514.381
MO$476.39–$503.303
MS$472.251
MT$517.351
NC$491.781
ND$507.661
NE$484.571
NH$527.391
NJ$554.29–$578.572
NM$496.271
NV$514.941
NY$497.82–$600.215
OH$491.941
OK$482.281
OR$511.34–$549.132
PA$492.38–$536.322
PR$520.371
RI$529.251
SC$492.591
SD$506.511
TN$483.051
TX$489.76–$532.988
UT$498.071
VA$507.57–$582.732
VI$520.371
VT$506.361
WA$531.74–$591.462
WI$493.711
WV$485.931
WY$513.121

See 67210 in every payment locality

How the 67210 rate is calculated

Each of 67210’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 · 67210

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.20

6.20 RVUs× 1.000 GPCI

Practice expense8.80

8.80 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

15.4900

Conversion factor

$33.4009

Medicare rate

$517.38

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,442

Code
67210
Physician work
6.20
Practice expense
8.80
Malpractice
0.49

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 67210 in Delaware
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0056.2310
Practice expense8.80× 0.9888.6944
Malpractice0.49× 0.8990.4405
Total RVUs15.3659
Conversion factor× 33.4009

Office rate, Delaware$513.24

Office: (6.2 × 1.005 + 8.8 × 0.988 + 0.49 × 0.899) × $33.4009 = $513.24

Facility: (6.2 × 1.005 + 6.13 × 0.988 + 0.49 × 0.899) × $33.4009 = $425.12

Open 67210 in the RVU calculator

Payment rules and modifiers for 67210

67210 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67210

Retinal laser, localized lesion photocoagulation

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 · 67210

Retinal laser, localized lesion photocoagulation

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

67210 without 50 · national office

$517.38

Retinal laser, localized lesion photocoagulation

67210-50 · Bilateral: 150%

$776.07

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 67210

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

Codes related to 67210
CodeHow it relatesOffice range, Delaware
Same family
67208Retinal treatment, cryotherapyLocalized retinal lesion treatment by cryotherapy or diathermy rather than photocoagulation.$600.11
67218Retinal treatment, radiation methodLocalized retinal lesion treatment using radiation therapy.No office rate
Used instead
67220Choroidal lesion treatment, laser photocoagulationPhotocoagulation for a localized choroidal lesion rather than a retinal lesion.$527.78
67221Photodynamic therapy, choroidal lesionPhotodynamic treatment for a localized choroidal lesion rather than retinal photocoagulation.$281.97
67228Retinal laser, extensive or progressive retinopathyPhotocoagulation for extensive retinopathy rather than a localized retinal lesion.$338.32

How 67210 has changed in Delaware

67210 · Office / nonfacility

$513.24

Effective 2026-10-01

The base rate is $20.15 higher than on 2025-10-01, moving from $493.09 to $513.24 (4.1%).

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

    $493.09changed to$513.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.36 changed to 6.20
    • Practice expense RVU 8.41 changed to 8.80
    • Malpractice RVU 0.51 changed to 0.49
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $509.43changed to$493.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.48 changed to 8.41
    • Malpractice RVU 0.50 changed to 0.51

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $501.11changed to$509.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $517.86changed to$501.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.35 changed to 8.48
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $524.77changed to$517.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.13 changed to 8.35
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $528.51changed to$524.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.14 changed to 8.13
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $536.41changed to$528.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.81 changed to 8.14
    • Malpractice RVU 0.48 changed to 0.47
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $539.48changed to$536.41

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.90 changed to 7.81
    • Malpractice RVU 0.46 changed to 0.48
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $540.76changed to$539.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.94 changed to 7.90
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $537.85changed to$540.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.86 changed to 7.94
    • Malpractice RVU 0.46 changed to 0.47
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $537.69changed to$537.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.84 changed to 7.86
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $539.65changed to$537.69

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.83 changed to 7.84
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $536.97changed to$539.65

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $550.40changed to$536.97

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.84 changed to 7.83
    • Malpractice RVU 0.90 changed to 0.47
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $543.82changed to$550.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.54 changed to 7.84
    • Malpractice RVU 0.94 changed to 0.90
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $543.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$513.24$425.12RVU26D
2026-07-01$513.24$425.12RVU26C
2026-04-01$513.24$425.12RVU26B
2026-01-01$513.24$425.12RVU26A
2025-10-01$493.09$477.37RVU25D
2025-07-01$493.09$477.37RVU25C
2025-04-01$493.09$477.37RVU25B
2025-01-01$493.09$477.37RVU25A
2024-10-01$509.43$491.93RVU24D
2024-07-01$509.43$491.93RVU24C
2024-04-01$509.43$491.93RVU24B
2024-03-09$509.43$491.93RVU24AR
2024-01-01$501.11$483.90RVU24A
2023-10-01$517.86$499.09RVU23D
2023-07-01$517.86$499.09RVU23C
2023-04-01$517.86$499.09RVU23B
2023-01-01$517.86$499.09RVU23A
2022-10-01$524.77$504.26RVU22D
2022-07-01$524.77$504.26RVU22C
2022-04-01$524.77$504.26RVU22B
2022-01-01$524.77$504.26RVU22A
2021-10-01$528.51$507.11RVU21D
2021-07-01$528.51$507.11RVU21C
2021-04-01$528.51$507.11RVU21B
2021-01-01$528.51$507.11RVU21A
2020-10-01$536.41$516.88RVU20D
2020-07-01$536.41$516.88RVU20C
2020-04-01$536.41$516.88RVU20B
2020-01-01$536.41$516.88RVU20A
2019-10-01$539.48$520.75RVU19D
2019-07-01$539.48$520.75RVU19C
2019-04-01$539.48$520.75RVU19B
2019-01-01$539.48$520.75RVU19A
2018-10-01$540.76$522.79RVU18D
2018-07-01$540.76$522.79RVU18C
2018-04-01$540.76$522.79RVU18B
2018-01-01$540.76$522.79RVU18AR1
2017-10-01$537.85$519.82RVU17D
2017-07-01$537.85$519.82RVU17C
2017-04-01$537.85$519.82RVU17B
2017-01-01$537.85$519.82RVU17A
2016-10-01$537.69$519.60RVU16D
2016-07-01$537.69$519.60RVU16C
2016-04-01$537.69$519.60RVU16B
2016-01-01$537.69$519.60RVU16A
2015-10-01$539.65$521.13RVU15D
2015-07-01$539.65$521.13RVU15C
2015-04-01$536.97$518.53RVU15B
2015-01-01$536.97$518.53RVU15A
2014-10-01$550.40$532.18RVU14D
2014-07-01$550.40$532.18RVU14C
2014-04-01$550.40$532.18RVU14B
2014-01-01$550.40$532.18RVU14A
2013-10-01$543.82$524.63RVU13D
2013-07-01$543.82$524.63RVU13C
2013-04-01$543.82$524.63RVU13B
2013-01-01$543.82$524.63RVU13AR

Price 67210 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

67210 billing questions

How does 67210 differ from 67208?

67210 is for photocoagulation of a localized retinal lesion. 67208 is used when the retinal lesion is treated with cryotherapy or diathermy.

Does 67210 include multiple laser spots or sessions?

The code covers one or more treatment sessions for the localized lesion. Document the treated area and service rather than reporting each laser spot as a separate unit.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment reported under the CMS payment rule?

When the service is performed bilaterally and reported with modifier 50, CMS pays 150%.

Can an assistant surgeon 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 67210PPRRVU2026_Oct_nonQPP.csv, line 7,442 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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