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CPT code 67220: Choroidal lesion treatment, laser photocoagulation2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $600.07 for 67220 in the office and $477.30 when it’s performed in a hospital or facility.

$600.07Office (non-facility)
$477.30Hospital or facility
+12.8%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $600.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

67220 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$600.07
  2. Los Angeles, CA · California$591.72−$8.35
  3. Miami, FL · Florida$569.26−$30.81
  4. Chicago, IL · Illinois$555.83−$44.24
  5. Manhattan, NY · New York$604.78+$4.71
  6. Alaska · Alaska$648.50+$48.43
  7. Alabama · Alabama$486.50−$113.57

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

67220 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$480.74$391.22
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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 67220 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0546.5348
Practice expense9.25× 1.17810.8965
Malpractice0.48× 1.1130.5342
Total RVUs17.9655
Conversion factor× 33.4009

Office rate, Washington, DC area$600.07

Office: (6.2 × 1.054 + 9.25 × 1.178 + 0.48 × 1.113) × $33.4009 = $600.07

Facility: (6.2 × 1.054 + 6.13 × 1.178 + 0.48 × 1.113) × $33.4009 = $477.30

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, Washington, DC area
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.$320.36
Used instead
67210Retinal laser, localized lesion photocoagulationUse for photocoagulation when the treated lesion is retinal rather than choroidal.$582.73

How 67220 has changed in Washington, DC area

67220 · Office / nonfacility

$600.07

Effective 2026-10-01

The base rate is $22.50 higher than on 2025-10-01, moving from $577.57 to $600.07 (3.9%).

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

    $577.57changed to$600.07

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $597.55changed to$577.57

    • 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

    $587.80changed to$597.55

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $610.06changed to$587.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.80 changed to 8.94
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $621.37changed to$610.06

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $626.89changed to$621.37

    • 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

    $626.44changed to$626.89

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $623.48changed to$626.44

    • 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
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $624.98changed to$623.48

    • 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

    $619.13changed to$624.98

    • 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
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $618.08changed to$619.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.29 changed to 8.30
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $620.77changed to$618.08

    • 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

    $617.68changed to$620.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $642.80changed to$617.68

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.08 changed to 0.47
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $638.90changed to$642.80

    • 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
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $638.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$600.07$477.30RVU26D
2026-07-01$600.07$477.30RVU26C
2026-04-01$600.07$477.30RVU26B
2026-01-01$600.07$477.30RVU26A
2025-10-01$577.57$542.48RVU25D
2025-07-01$577.57$542.48RVU25C
2025-04-01$577.57$542.48RVU25B
2025-01-01$577.57$542.48RVU25A
2024-10-01$597.55$558.67RVU24D
2024-07-01$597.55$558.67RVU24C
2024-04-01$597.55$558.67RVU24B
2024-03-09$597.55$558.67RVU24AR
2024-01-01$587.80$549.55RVU24A
2023-10-01$610.06$568.92RVU23D
2023-07-01$610.06$568.92RVU23C
2023-04-01$610.06$568.92RVU23B
2023-01-01$610.06$568.92RVU23A
2022-10-01$621.37$577.31RVU22D
2022-07-01$621.37$577.31RVU22C
2022-04-01$621.37$577.31RVU22B
2022-01-01$621.37$577.31RVU22A
2021-10-01$626.89$580.31RVU21D
2021-07-01$626.89$580.31RVU21C
2021-04-01$626.89$580.31RVU21B
2021-01-01$626.89$580.31RVU21A
2020-10-01$626.44$583.69RVU20D
2020-07-01$626.44$583.69RVU20C
2020-04-01$626.44$583.69RVU20B
2020-01-01$626.44$583.69RVU20A
2019-10-01$623.48$581.35RVU19D
2019-07-01$623.48$581.35RVU19C
2019-04-01$623.48$581.35RVU19B
2019-01-01$623.48$581.35RVU19A
2018-10-01$624.98$583.77RVU18D
2018-07-01$624.98$583.77RVU18C
2018-04-01$624.98$583.77RVU18B
2018-01-01$624.98$583.77RVU18AR1
2017-10-01$619.13$578.91RVU17D
2017-07-01$619.13$578.91RVU17C
2017-04-01$619.13$578.91RVU17B
2017-01-01$619.13$578.91RVU17A
2016-10-01$618.08$577.52RVU16D
2016-07-01$618.08$577.52RVU16C
2016-04-01$618.08$577.52RVU16B
2016-01-01$618.08$577.52RVU16A
2015-10-01$620.77$579.20RVU15D
2015-07-01$620.77$579.20RVU15C
2015-04-01$617.68$576.32RVU15B
2015-01-01$617.68$576.32RVU15A
2014-10-01$642.80$602.33RVU14D
2014-07-01$642.80$602.33RVU14C
2014-04-01$642.80$602.33RVU14B
2014-01-01$642.80$602.33RVU14A
2013-10-01$638.90$596.51RVU13D
2013-07-01$638.90$596.51RVU13C
2013-04-01$638.90$596.51RVU13B
2013-01-01$638.90$596.51RVU13AR

Price 67220 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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