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

In Connecticut, Medicare pays $1,213.17 for 67218 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67218 nationwide

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

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.

How Connecticut compares for 67218

Across 109 of 109 payment localities, the facility rate for 67218 runs from $1,067.48 in Arkansas to $1,491.36 in Alaska. Connecticut pays $1,213.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67218 rates by state

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

See 67218 in every payment locality

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.

Payment rules and modifiers for 67218

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

What modifiers do to the payment

When to use modifier 50

Codes related to 67218

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

How 67218 has changed in Connecticut

Price 67218 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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

Open CMS sourceHow we calculate rates