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

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 Idaho, Medicare pays $485.24 for 67210 in the office and $403.19 when it’s performed in a hospital or facility.

$485.24Office (non-facility)
$403.19Hospital or facility
−6.2%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 Idaho
  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 Idaho 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. Idaho pays $485.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

67210 in Idaho vs other payment areas
  1. Idaho · this page$485.24
  2. Los Angeles, CA · California$574.16+$88.92
  3. Washington, DC area · District of Columbia$582.73+$97.49
  4. Miami, FL · Florida$554.46+$69.22
  5. Chicago, IL · Illinois$541.49+$56.25
  6. Manhattan, NY · New York$587.84+$102.60
  7. Alaska · Alaska$632.68+$147.44

Other areas in Idaho 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 Idaho 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

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for 67210 in Idaho
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0006.2000
Practice expense8.80× 0.9208.0960
Malpractice0.49× 0.4730.2318
Total RVUs14.5278
Conversion factor× 33.4009

Office rate, Idaho$485.24

Office: (6.2 × 1 + 8.8 × 0.92 + 0.49 × 0.473) × $33.4009 = $485.24

Facility: (6.2 × 1 + 6.13 × 0.92 + 0.49 × 0.473) × $33.4009 = $403.19

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, Idaho
Same family
67208Retinal treatment, cryotherapyLocalized retinal lesion treatment by cryotherapy or diathermy rather than photocoagulation.$567.62
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.$498.91
67221Photodynamic therapy, choroidal lesionPhotodynamic treatment for a localized choroidal lesion rather than retinal photocoagulation.$266.60
67228Retinal laser, extensive or progressive retinopathyPhotocoagulation for extensive retinopathy rather than a localized retinal lesion.$319.95

How 67210 has changed in Idaho

67210 · Office / nonfacility

$485.24

Effective 2026-10-01

The base rate is $24.90 higher than on 2025-10-01, moving from $460.34 to $485.24 (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

    $460.34changed to$485.24

    • 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
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $475.69changed to$460.34

    • 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

    $467.93changed to$475.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $475.64changed to$467.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.35 changed to 8.48
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461

  5. January 1, 2023

    RVU23A

    $474.04changed to$475.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.13 changed to 8.35
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $477.84changed to$474.04

    • 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

    $488.42changed to$477.84

    • 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
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $494.50changed to$488.42

    • 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
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $495.45changed to$494.50

    • 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

    $490.55changed to$495.45

    • 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
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $488.16changed to$490.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.84 changed to 7.86
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $489.78changed to$488.16

    • 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

    $487.34changed to$489.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $497.40changed to$487.34

    • 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 0.896 changed to 0.898
    • Malpractice GPCI 0.556 changed to 0.508

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $495.43changed to$497.40

    • 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 0.894 changed to 0.896
    • Malpractice GPCI 0.603 changed to 0.556

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $495.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$485.24$403.19RVU26D
2026-07-01$485.24$403.19RVU26C
2026-04-01$485.24$403.19RVU26B
2026-01-01$485.24$403.19RVU26A
2025-10-01$460.34$445.94RVU25D
2025-07-01$460.34$445.94RVU25C
2025-04-01$460.34$445.94RVU25B
2025-01-01$460.34$445.94RVU25A
2024-10-01$475.69$459.67RVU24D
2024-07-01$475.69$459.67RVU24C
2024-04-01$475.69$459.67RVU24B
2024-03-09$475.69$459.67RVU24AR
2024-01-01$467.93$452.17RVU24A
2023-10-01$475.64$459.00RVU23D
2023-07-01$475.64$459.00RVU23C
2023-04-01$475.64$459.00RVU23B
2023-01-01$475.64$459.00RVU23A
2022-10-01$474.04$456.43RVU22D
2022-07-01$474.04$456.43RVU22C
2022-04-01$474.04$456.43RVU22B
2022-01-01$474.04$456.43RVU22A
2021-10-01$477.84$459.48RVU21D
2021-07-01$477.84$459.48RVU21C
2021-04-01$477.84$459.48RVU21B
2021-01-01$477.84$459.48RVU21A
2020-10-01$488.42$471.40RVU20D
2020-07-01$488.42$471.40RVU20C
2020-04-01$488.42$471.40RVU20B
2020-01-01$488.42$471.40RVU20A
2019-10-01$494.50$477.93RVU19D
2019-07-01$494.50$477.93RVU19C
2019-04-01$494.50$477.93RVU19B
2019-01-01$494.50$477.93RVU19A
2018-10-01$495.45$479.53RVU18D
2018-07-01$495.45$479.53RVU18C
2018-04-01$495.45$479.53RVU18B
2018-01-01$495.45$479.53RVU18AR1
2017-10-01$490.55$474.72RVU17D
2017-07-01$490.55$474.72RVU17C
2017-04-01$490.55$474.72RVU17B
2017-01-01$490.55$474.72RVU17A
2016-10-01$488.16$472.40RVU16D
2016-07-01$488.16$472.40RVU16C
2016-04-01$488.16$472.40RVU16B
2016-01-01$488.16$472.40RVU16A
2015-10-01$489.78$473.64RVU15D
2015-07-01$489.78$473.64RVU15C
2015-04-01$487.34$471.29RVU15B
2015-01-01$487.34$471.29RVU15A
2014-10-01$497.40$481.67RVU14D
2014-07-01$497.40$481.67RVU14C
2014-04-01$497.40$481.67RVU14B
2014-01-01$497.40$481.67RVU14A
2013-10-01$495.43$479.00RVU13D
2013-07-01$495.43$479.00RVU13C
2013-04-01$495.43$479.00RVU13B
2013-01-01$495.43$479.00RVU13AR

Price 67210 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

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 IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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