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CPT code 67218: Retinal treatment, radiation method2026 Medicare rate & RVUs

Reports radiation-based treatment of a localized retinal lesion, such as a tumor, when the ophthalmic surgeon treats the lesion with radiation rather than laser or cryotherapy.

CMS RVU26DEffective Oct 1, 2026109 payment localities560 Medicare services in 2024

Medicare pays $1,155.00 for 67218 nationally in a facility.

Medicare rate · 67218

Retinal treatment, radiation method

Office or facility?

Work RVUs
19.85
Total RVUs
34.58
Global days
090

National rate · 2026

$1,155.00

Facility setting, before claim adjustments.

See every locality for 67218 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 67218 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67218 covers

This service treats a localized retinal lesion with radiation, commonly through plaque brachytherapy for an intraocular tumor. An ophthalmic surgeon performs the procedure in an operating-room setting, positioning the radiation source to deliver treatment to the targeted area. The exact approach depends on the lesion and treatment plan; this code distinguishes radiation treatment from retinal lesion treatment by photocoagulation or cryotherapy.

Report the code when the treated target is in the retina and radiation is the treatment method. The operative record should identify the lesion and its location, the radiation approach, and the treatment performed. The code covers one or more treatment sessions. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 67218 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67218 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,077.20
AlaskaUnavailable$1,491.36
ArizonaUnavailable$1,133.79
ArkansasUnavailable$1,067.48
Atlanta, GAUnavailable$1,174.63
Austin, TXUnavailable$1,175.79
Bakersfield, CAUnavailable$1,189.13
Baltimore area, MDUnavailable$1,210.18
Beaumont, TXUnavailable$1,111.73
Brazoria, TXUnavailable$1,144.74

67218 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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.

View every state and territory as a table
67218 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67218 rate is calculated

Each of 67218’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 · 67218

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.85

19.85 RVUs× 1.000 GPCI

Practice expense13.15

13.15 RVUs× 1.000 GPCI

Malpractice1.58

1.58 RVUs× 1.000 GPCI

Adjusted RVUs

34.5800

Conversion factor

$33.4009

Medicare rate

$1,155.00

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

Payment rules and modifiers for 67218

67218 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67218

Retinal treatment, radiation method

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 · 67218

Retinal treatment, radiation method

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

67218 without 50 · national facility

$1,155.00

Retinal treatment, radiation method

67218-50 · Bilateral: 150%

$1,732.50

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

67218 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 67218

    Retinal treatment, radiation method19.85 wRVU

    Not priced

  • 67208

    Retinal treatment, cryotherapy7.46 wRVU

    $604.89

  • 67210

    Retinal laser, localized lesion photocoagulation6.2 wRVU

    $517.38

  • 67220

    Choroidal lesion treatment, laser photocoagulation6.2 wRVU

    $532.08

How to choose

67208Retinal treatmentCryotherapy
Select 67208 for retinal lesion destruction using cryotherapy or diathermy. Select 67218 when radiation is the treatment method.
67210Retinal laserLocalized lesion photocoagulation
Select 67210 for retinal lesion treatment by photocoagulation. Radiation-based retinal treatment is reported with 67218.
67220Choroidal lesion treatmentLaser photocoagulation
67220 concerns a localized lesion of the choroid. Use 67218 for a retinal target treated with radiation.

Codes related to 67218

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

Codes related to 67218
CodeHow it relatesNational office range
Same family
67208Retinal treatment, cryotherapyRetinal lesion treatment using cryotherapy or diathermy rather than radiation.$547.95–$771.67
67210Retinal laser, localized lesion photocoagulationRetinal lesion treatment using photocoagulation rather than radiation.$468.00–$662.48
Used instead
67220Choroidal lesion treatment, laser photocoagulationTreats a localized choroidal lesion, not a retinal lesion.$480.74–$683.98

67218 billing questions

How does this differ from 67208 or 67210?

Use 67218 when radiation is used to treat the retinal lesion. Codes 67208 and 67210 distinguish treatment using cryotherapy or diathermy and photocoagulation, respectively.

Does the code include multiple treatment sessions?

Yes. The code covers one or more sessions for the retinal lesion; do not report another unit solely because treatment involves more than one session.

What documentation supports reporting 67218?

Document the retinal lesion and its location, the radiation method, and the treatment performed. The record should support that radiation, rather than laser or cryotherapy, was used.

Can modifier 50 be used for bilateral treatment?

CMS identifies this as a bilateral procedure. When reported bilaterally with modifier 50, it is paid at 150%.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid for this procedure?

CMS restricts assistant-at-surgery payment 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 67218PPRRVU2026_Oct_nonQPP.csv, line 7,443 (RVU26D)

Open CMS sourceHow we calculate rates

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