CPT code 67220: Choroidal lesion treatment, laser photocoagulation2026 Medicare rate & RVUs in South Dakota
Laser photocoagulation to destroy a localized choroidal lesion is reported when the treated target is in the choroid, not the retina.
In South Dakota, Medicare pays $521.43 for 67220 in the office and $417.22 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $521.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$521.43
- Los Angeles, CA · California$591.72+$70.29
- Washington, DC area · District of Columbia$600.07+$78.64
- Miami, FL · Florida$569.26+$47.83
- Chicago, IL · Illinois$555.83+$34.40
- Manhattan, NY · New York$604.78+$83.35
- Alaska · Alaska$648.50+$127.07
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $486.50 | $395.31 |
| 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 |
| Merced, CACalifornia | $557.82 | $443.60 |
| Modesto, CACalifornia | $557.82 | $443.60 |
| Napa, CACalifornia | $635.48 | $498.13 |
| Oxnard, CACalifornia | $588.06 | $464.88 |
| Redding, CACalifornia | $557.82 | $443.60 |
| Rest of CaliforniaCalifornia | $557.82 | $443.60 |
| Riverside, CACalifornia | $563.11 | $448.89 |
| Sacramento, CACalifornia | $582.45 | $461.26 |
| Salinas, CACalifornia | $580.18 | $459.40 |
| San Diego, CACalifornia | $591.50 | $466.87 |
| Marin County, CACalifornia | $669.75 | $522.81 |
| San Francisco, CACalifornia | $669.20 | $522.27 |
| San Benito County, CACalifornia | $683.98 | $533.70 |
| Santa Clara County, CACalifornia | $681.75 | $531.48 |
| San Luis Obispo, CACalifornia | $571.10 | $452.41 |
| Santa Cruz, CACalifornia | $595.41 | $468.80 |
| Santa Maria, CACalifornia | $581.72 | $460.21 |
| Santa Rosa, CACalifornia | $601.29 | $473.32 |
| Stockton, CACalifornia | $557.82 | $443.60 |
| Vallejo, CACalifornia | $634.70 | $497.35 |
| Visalia, CACalifornia | $557.82 | $443.60 |
| Yuba City, CACalifornia | $557.82 | $443.60 |
| ColoradoColorado | $550.82 | $439.94 |
| ConnecticutConnecticut | $563.37 | $451.14 |
| DelawareDelaware | $527.78 | $424.82 |
| Fort Lauderdale, FLFlorida | $549.05 | $443.48 |
| Rest of FloridaFlorida | $526.55 | $426.92 |
| Atlanta, GAGeorgia | $540.86 | $434.99 |
| Rest of GeorgiaGeorgia | $501.79 | $408.83 |
| Hawaii, Guam, HIHawaii | $567.65 | $449.17 |
| IowaIowa | $496.15 | $400.79 |
| IdahoIdaho | $498.91 | $403.04 |
| East St. Louis, ILIllinois | $523.62 | $427.74 |
| Rest of IllinoisIllinois | $514.22 | $419.08 |
| Suburban Chicago, ILIllinois | $554.24 | $447.22 |
| IndianaIndiana | $501.28 | $404.68 |
| KansasKansas | $494.46 | $400.26 |
| KentuckyKentucky | $496.42 | $403.78 |
| New Orleans, LALouisiana | $516.03 | $417.97 |
| Rest of LouisianaLouisiana | $495.87 | $403.65 |
| Metropolitan Boston, MAMassachusetts | $598.74 | $474.31 |
| Rest of MassachusettsMassachusetts | $548.51 | $438.78 |
| Baltimore area, MDMaryland | $561.74 | $449.93 |
| Rest of MarylandMaryland | $536.54 | $431.08 |
| Rest of MaineMaine | $501.30 | $405.43 |
| Southern Maine, MEMaine | $523.38 | $420.11 |
| Detroit, MIMichigan | $532.26 | $431.70 |
| Rest of MichiganMichigan | $507.27 | $412.12 |
| MinnesotaMinnesota | $529.75 | $422.52 |
| Metropolitan Kansas City, MOMissouri | $512.86 | $415.01 |
| Metropolitan St. Louis, MOMissouri | $517.28 | $418.07 |
| Rest of MissouriMissouri | $489.02 | $399.19 |
| MississippiMississippi | $484.95 | $395.22 |
| MontanaMontana | $532.04 | $427.83 |
| North CarolinaNorth Carolina | $505.59 | $408.36 |
| North DakotaNorth Dakota | $522.55 | $418.34 |
| NebraskaNebraska | $498.31 | $402.13 |
| New HampshireNew Hampshire | $542.74 | $434.26 |
| Northern New JerseyNew Jersey | $595.65 | $474.76 |
| Rest of New JerseyNew Jersey | $570.34 | $456.54 |
| New MexicoNew Mexico | $509.66 | $414.09 |
| NevadaNevada | $529.71 | $425.39 |
| NYC suburbs and Long Island, NYNew York | $617.46 | $493.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $574.11 | $460.00 |
| Queens, NYNew York | $608.65 | $485.47 |
| Rest of New YorkNew York | $511.87 | $412.87 |
| OhioOhio | $505.33 | $410.18 |
| OklahomaOklahoma | $495.44 | $402.38 |
| Portland, OROregon | $565.58 | $449.80 |
| Rest of OregonOregon | $526.08 | $422.28 |
| Metropolitan Philadelphia, PAPennsylvania | $551.57 | $443.08 |
| Rest of PennsylvaniaPennsylvania | $505.86 | $410.19 |
| Puerto RicoPuerto Rico | $535.23 | $429.88 |
| Rhode IslandRhode Island | $544.48 | $436.83 |
| South CarolinaSouth Carolina | $506.19 | $409.90 |
| TennesseeTennessee | $496.54 | $401.81 |
| Austin, TXTexas | $548.58 | $438.33 |
| Beaumont, TXTexas | $503.13 | $408.30 |
| Brazoria, TXTexas | $527.43 | $424.15 |
| Dallas, TXTexas | $530.43 | $426.63 |
| Fort Worth, TXTexas | $527.55 | $424.79 |
| Galveston, TXTexas | $528.81 | $425.33 |
| Houston, TXTexas | $537.60 | $434.12 |
| Rest of TexasTexas | $514.76 | $415.87 |
| UtahUtah | $511.90 | $413.95 |
| VirginiaVirginia | $522.11 | $419.67 |
| Virgin Islands, VIUnited States Virgin Islands | $535.23 | $429.88 |
| VermontVermont | $521.07 | $417.90 |
| Rest of WashingtonWashington | $547.31 | $437.58 |
| King County, WAWashington | $609.63 | $481.76 |
| WisconsinWisconsin | $508.01 | $408.17 |
| West VirginiaWest Virginia | $498.51 | $407.95 |
| WyomingWyoming | $527.91 | $423.70 |
67220 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $648.50 | 1 |
| AL | $486.50 | 1 |
| AR | $480.74 | 1 |
| AZ | $520.19 | 1 |
| CA | $557.82–$683.98 | 29 |
| CO | $550.82 | 1 |
| CT | $563.37 | 1 |
| DC | $600.07 | 1 |
| DE | $527.78 | 1 |
| FL | $526.55–$569.26 | 3 |
| GA | $501.79–$540.86 | 2 |
| GU | $567.65 | 1 |
| HI | $567.65 | 1 |
| IA | $496.15 | 1 |
| ID | $498.91 | 1 |
| IL | $514.22–$555.83 | 4 |
| IN | $501.28 | 1 |
| KS | $494.46 | 1 |
| KY | $496.42 | 1 |
| LA | $495.87–$516.03 | 2 |
| MA | $548.51–$598.74 | 2 |
| MD | $536.54–$600.07 | 3 |
| ME | $501.30–$523.38 | 2 |
| MI | $507.27–$532.26 | 2 |
| MN | $529.75 | 1 |
| MO | $489.02–$517.28 | 3 |
| MS | $484.95 | 1 |
| MT | $532.04 | 1 |
| NC | $505.59 | 1 |
| ND | $522.55 | 1 |
| NE | $498.31 | 1 |
| NH | $542.74 | 1 |
| NJ | $570.34–$595.65 | 2 |
| NM | $509.66 | 1 |
| NV | $529.71 | 1 |
| NY | $511.87–$617.46 | 5 |
| OH | $505.33 | 1 |
| OK | $495.44 | 1 |
| OR | $526.08–$565.58 | 2 |
| PA | $505.86–$551.57 | 2 |
| PR | $535.23 | 1 |
| RI | $544.48 | 1 |
| SC | $506.19 | 1 |
| SD | $521.43 | 1 |
| TN | $496.54 | 1 |
| TX | $503.13–$548.58 | 8 |
| UT | $511.90 | 1 |
| VA | $522.11–$600.07 | 2 |
| VI | $535.23 | 1 |
| VT | $521.07 | 1 |
| WA | $547.31–$609.63 | 2 |
| WI | $508.01 | 1 |
| WV | $498.51 | 1 |
| WY | $527.91 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.20 | × 1.000 | 6.2000 |
| Practice expense | 9.25 | × 1.000 | 9.2500 |
| Malpractice | 0.48 | × 0.336 | 0.1613 |
| Total RVUs | 15.6113 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$521.43
Office: (6.2 × 1 + 9.25 × 1 + 0.48 × 0.336) × $33.4009 = $521.43
Facility: (6.2 × 1 + 6.13 × 1 + 0.48 × 0.336) × $33.4009 = $417.22
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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).
How 67220 has changed in South Dakota
67220 · Office / nonfacility
$521.43
Effective 2026-10-01
The base rate is $23.26 higher than on 2025-10-01, moving from $498.17 to $521.43 (4.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$498.17changed to$521.43
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$515.53changed to$498.17
- 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.
March 9, 2024
RVU24AR
$507.12changed to$515.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$519.77changed to$507.12
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.80 changed to 8.94
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$523.02changed to$519.77
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$528.39changed to$523.02
- 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.
January 1, 2021
RVU21A
$533.64changed to$528.39
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$536.94changed to$533.64
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$537.94changed to$536.94
- 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.
January 1, 2018
RVU18AR1
$532.65changed to$537.94
- 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
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$531.12changed to$532.65
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 8.29 changed to 8.30
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$533.18changed to$531.12
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.47 changed to 0.46
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$530.53changed to$533.18
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$540.90changed to$530.53
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 1.08 changed to 0.47
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$540.56changed to$540.90
- 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
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $540.56
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $521.43 | $417.22 | RVU26D |
| 2026-07-01 | $521.43 | $417.22 | RVU26C |
| 2026-04-01 | $521.43 | $417.22 | RVU26B |
| 2026-01-01 | $521.43 | $417.22 | RVU26A |
| 2025-10-01 | $498.17 | $468.73 | RVU25D |
| 2025-07-01 | $498.17 | $468.73 | RVU25C |
| 2025-04-01 | $498.17 | $468.73 | RVU25B |
| 2025-01-01 | $498.17 | $468.73 | RVU25A |
| 2024-10-01 | $515.53 | $482.91 | RVU24D |
| 2024-07-01 | $515.53 | $482.91 | RVU24C |
| 2024-04-01 | $515.53 | $482.91 | RVU24B |
| 2024-03-09 | $515.53 | $482.91 | RVU24AR |
| 2024-01-01 | $507.12 | $475.03 | RVU24A |
| 2023-10-01 | $519.77 | $485.89 | RVU23D |
| 2023-07-01 | $519.77 | $485.89 | RVU23C |
| 2023-04-01 | $519.77 | $485.89 | RVU23B |
| 2023-01-01 | $519.77 | $485.89 | RVU23A |
| 2022-10-01 | $523.02 | $487.38 | RVU22D |
| 2022-07-01 | $523.02 | $487.38 | RVU22C |
| 2022-04-01 | $523.02 | $487.38 | RVU22B |
| 2022-01-01 | $523.02 | $487.38 | RVU22A |
| 2021-10-01 | $528.39 | $490.70 | RVU21D |
| 2021-07-01 | $528.39 | $490.70 | RVU21C |
| 2021-04-01 | $528.39 | $490.70 | RVU21B |
| 2021-01-01 | $528.39 | $490.70 | RVU21A |
| 2020-10-01 | $533.64 | $498.64 | RVU20D |
| 2020-07-01 | $533.64 | $498.64 | RVU20C |
| 2020-04-01 | $533.64 | $498.64 | RVU20B |
| 2020-01-01 | $533.64 | $498.64 | RVU20A |
| 2019-10-01 | $536.94 | $501.99 | RVU19D |
| 2019-07-01 | $536.94 | $501.99 | RVU19C |
| 2019-04-01 | $536.94 | $501.99 | RVU19B |
| 2019-01-01 | $536.94 | $501.99 | RVU19A |
| 2018-10-01 | $537.94 | $503.74 | RVU18D |
| 2018-07-01 | $537.94 | $503.74 | RVU18C |
| 2018-04-01 | $537.94 | $503.74 | RVU18B |
| 2018-01-01 | $537.94 | $503.74 | RVU18AR1 |
| 2017-10-01 | $532.65 | $499.27 | RVU17D |
| 2017-07-01 | $532.65 | $499.27 | RVU17C |
| 2017-04-01 | $532.65 | $499.27 | RVU17B |
| 2017-01-01 | $532.65 | $499.27 | RVU17A |
| 2016-10-01 | $531.12 | $497.46 | RVU16D |
| 2016-07-01 | $531.12 | $497.46 | RVU16C |
| 2016-04-01 | $531.12 | $497.46 | RVU16B |
| 2016-01-01 | $531.12 | $497.46 | RVU16A |
| 2015-10-01 | $533.18 | $498.69 | RVU15D |
| 2015-07-01 | $533.18 | $498.69 | RVU15C |
| 2015-04-01 | $530.53 | $496.20 | RVU15B |
| 2015-01-01 | $530.53 | $496.20 | RVU15A |
| 2014-10-01 | $540.90 | $507.23 | RVU14D |
| 2014-07-01 | $540.90 | $507.23 | RVU14C |
| 2014-04-01 | $540.90 | $507.23 | RVU14B |
| 2014-01-01 | $540.90 | $507.23 | RVU14A |
| 2013-10-01 | $540.56 | $505.18 | RVU13D |
| 2013-07-01 | $540.56 | $505.18 | RVU13C |
| 2013-04-01 | $540.56 | $505.18 | RVU13B |
| 2013-01-01 | $540.56 | $505.18 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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