FeeBase
Log inGet started
Menu

CPT code 67220: Choroidal lesion treatment, laser photocoagulation2026 Medicare rate & RVUs in Arkansas

Laser photocoagulation to destroy a localized choroidal lesion is reported when the treated target is in the choroid, not the retina.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Arkansas, Medicare pays $480.74 for 67220 in the office and $391.22 when it’s performed in a hospital or facility.

$480.74Office (non-facility)
$391.22Hospital or facility
−9.6%vs the national office rate ($532.08)

Check a contract rate as a % of Medicare · 67220 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 67220 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 67220 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 67220 covers

An ophthalmologist, often a retina or ocular oncology specialist, uses laser photocoagulation to destroy a localized lesion in the choroid. The code can cover one or more treatment sessions for that lesion. The key distinction is the treated tissue: a choroidal target supports this code, while a retinal target points to a retinal-lesion code. Treatment is commonly performed in an ophthalmology office or an outpatient facility.

Report the service based on the lesion’s choroidal location and the laser treatment documented. The record should identify the treated eye and lesion and describe the photocoagulation performed. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 Arkansas compares for 67220

Across 109 of 109 payment localities, the office rate for 67220 runs from $480.74 in Arkansas to $683.98 in San Benito County, CA. Arkansas pays $480.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

67220 in Arkansas vs other payment areas
  1. Arkansas · this page$480.74
  2. Los Angeles, CA · California$591.72+$110.98
  3. Washington, DC area · District of Columbia$600.07+$119.33
  4. Miami, FL · Florida$569.26+$88.52
  5. Chicago, IL · Illinois$555.83+$75.09
  6. Manhattan, NY · New York$604.78+$124.04
  7. Alaska · Alaska$648.50+$167.76

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

Every other payment area

67220 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$486.50$395.31
ArizonaArizona$520.19$419.21
Bakersfield, CACalifornia$559.40$445.19
Chico, CACalifornia$557.82$443.60
El Centro, CACalifornia$557.90$443.68
Fresno, CACalifornia$557.82$443.60
Hanford, CACalifornia$557.82$443.60
Madera, CACalifornia$557.82$443.60

67220 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.

$480.74

$648.50

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

View every state and territory as a table
67220 office rate range by state
State / territoryOffice rate rangeLocalities
AK$648.501
AL$486.501
AR$480.741
AZ$520.191
CA$557.82–$683.9829
CO$550.821
CT$563.371
DC$600.071
DE$527.781
FL$526.55–$569.263
GA$501.79–$540.862
GU$567.651
HI$567.651
IA$496.151
ID$498.911
IL$514.22–$555.834
IN$501.281
KS$494.461
KY$496.421
LA$495.87–$516.032
MA$548.51–$598.742
MD$536.54–$600.073
ME$501.30–$523.382
MI$507.27–$532.262
MN$529.751
MO$489.02–$517.283
MS$484.951
MT$532.041
NC$505.591
ND$522.551
NE$498.311
NH$542.741
NJ$570.34–$595.652
NM$509.661
NV$529.711
NY$511.87–$617.465
OH$505.331
OK$495.441
OR$526.08–$565.582
PA$505.86–$551.572
PR$535.231
RI$544.481
SC$506.191
SD$521.431
TN$496.541
TX$503.13–$548.588
UT$511.901
VA$522.11–$600.072
VI$535.231
VT$521.071
WA$547.31–$609.632
WI$508.011
WV$498.511
WY$527.911

See 67220 in every payment locality

How the 67220 rate is calculated

Each of 67220’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 · 67220

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.20

6.20 RVUs× 1.000 GPCI

Practice expense9.25

9.25 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

15.9300

Conversion factor

$33.4009

Medicare rate

$532.08

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,444

Code
67220
Physician work
6.20
Practice expense
9.25
Malpractice
0.48

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 67220 in Arkansas
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0006.2000
Practice expense9.25× 0.8597.9458
Malpractice0.48× 0.5150.2472
Total RVUs14.3929
Conversion factor× 33.4009

Office rate, Arkansas$480.74

Office: (6.2 × 1 + 9.25 × 0.859 + 0.48 × 0.515) × $33.4009 = $480.74

Facility: (6.2 × 1 + 6.13 × 0.859 + 0.48 × 0.515) × $33.4009 = $391.22

Open 67220 in the RVU calculator

Payment rules and modifiers for 67220

67220 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67220

Choroidal lesion treatment, laser 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 · 67220

Choroidal lesion treatment, laser 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

67220 without 50 · national office

$532.08

Choroidal lesion treatment, laser photocoagulation

67220-50 · Bilateral: 150%

$798.12

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 67220

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

Codes related to 67220
CodeHow it relatesOffice range, Arkansas
Same family
67218Retinal treatment, radiation methodChoroidal lesion treatment by radioactive plaque rather than photocoagulation.No office rate
67221Photodynamic therapy, choroidal lesionChoroidal lesion treatment using photodynamic therapy.$257.00
Used instead
67210Retinal laser, localized lesion photocoagulationUse for photocoagulation when the treated lesion is retinal rather than choroidal.$468.00

How 67220 has changed in Arkansas

67220 · Office / nonfacility

$480.74

Effective 2026-10-01

The base rate is $20.45 higher than on 2025-10-01, moving from $460.29 to $480.74 (4.4%).

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

    $460.29changed to$480.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.36 changed to 6.20
    • Practice expense RVU 8.85 changed to 9.25
    • Malpractice RVU 0.50 changed to 0.48
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $476.09changed to$460.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.94 changed to 8.85
    • Malpractice RVU 0.49 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $468.31changed to$476.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $478.06changed to$468.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.80 changed to 8.94
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $479.63changed to$478.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.58 changed to 8.80
    • Malpractice RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $484.31changed to$479.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.62 changed to 8.58
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $494.31changed to$484.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.25 changed to 8.62
    • Malpractice RVU 0.48 changed to 0.47
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $501.48changed to$494.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.36 changed to 8.25
    • Malpractice RVU 0.46 changed to 0.48
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $502.39changed to$501.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.40 changed to 8.36
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $496.57changed to$502.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.30 changed to 8.40
    • Malpractice RVU 0.46 changed to 0.47
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $493.85changed to$496.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.29 changed to 8.30
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $495.83changed to$493.85

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $493.36changed to$495.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $504.04changed to$493.36

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.08 changed to 0.47
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $499.73changed to$504.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.04 changed to 8.29
    • Malpractice RVU 1.13 changed to 1.08
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $499.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$480.74$391.22RVU26D
2026-07-01$480.74$391.22RVU26C
2026-04-01$480.74$391.22RVU26B
2026-01-01$480.74$391.22RVU26A
2025-10-01$460.29$434.98RVU25D
2025-07-01$460.29$434.98RVU25C
2025-04-01$460.29$434.98RVU25B
2025-01-01$460.29$434.98RVU25A
2024-10-01$476.09$448.03RVU24D
2024-07-01$476.09$448.03RVU24C
2024-04-01$476.09$448.03RVU24B
2024-03-09$476.09$448.03RVU24AR
2024-01-01$468.31$440.72RVU24A
2023-10-01$478.06$449.16RVU23D
2023-07-01$478.06$449.16RVU23C
2023-04-01$478.06$449.16RVU23B
2023-01-01$478.06$449.16RVU23A
2022-10-01$479.63$449.44RVU22D
2022-07-01$479.63$449.44RVU22C
2022-04-01$479.63$449.44RVU22B
2022-01-01$479.63$449.44RVU22A
2021-10-01$484.31$452.39RVU21D
2021-07-01$484.31$452.39RVU21C
2021-04-01$484.31$452.39RVU21B
2021-01-01$484.31$452.39RVU21A
2020-10-01$494.31$464.24RVU20D
2020-07-01$494.31$464.24RVU20C
2020-04-01$494.31$464.24RVU20B
2020-01-01$494.31$464.24RVU20A
2019-10-01$501.48$471.00RVU19D
2019-07-01$501.48$471.00RVU19C
2019-04-01$501.48$471.00RVU19B
2019-01-01$501.48$471.00RVU19A
2018-10-01$502.39$472.57RVU18D
2018-07-01$502.39$472.57RVU18C
2018-04-01$502.39$472.57RVU18B
2018-01-01$502.39$472.57RVU18AR1
2017-10-01$496.57$467.53RVU17D
2017-07-01$496.57$467.53RVU17C
2017-04-01$496.57$467.53RVU17B
2017-01-01$496.57$467.53RVU17A
2016-10-01$493.85$464.67RVU16D
2016-07-01$493.85$464.67RVU16C
2016-04-01$493.85$464.67RVU16B
2016-01-01$493.85$464.67RVU16A
2015-10-01$495.83$465.92RVU15D
2015-07-01$495.83$465.92RVU15C
2015-04-01$493.36$463.60RVU15B
2015-01-01$493.36$463.60RVU15A
2014-10-01$504.04$474.88RVU14D
2014-07-01$504.04$474.88RVU14C
2014-04-01$504.04$474.88RVU14B
2014-01-01$504.04$474.88RVU14A
2013-10-01$499.73$469.13RVU13D
2013-07-01$499.73$469.13RVU13C
2013-04-01$499.73$469.13RVU13B
2013-01-01$499.73$469.13RVU13AR

Price 67220 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

67220 billing questions

How does this differ from 67210?

This code is for laser treatment of a choroidal lesion. Use 67210 when the treated lesion is in the retina.

How does this differ from 67218?

Both concern a localized choroidal lesion, but 67218 describes treatment with a radioactive plaque. This code is for photocoagulation.

Does one or more treatment sessions change the code?

The code covers one or more sessions. Document the lesion and the photocoagulation performed; do not select a retinal-lesion code just because treatment required multiple sessions.

What postoperative care is included?

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

Can modifier 50 be used for treatment of both eyes?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. 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 67220PPRRVU2026_Oct_nonQPP.csv, line 7,444 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 67220 pays in Arkansas?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 67220 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet