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CPT code 67227: Retinopathy treatment, cryotherapy or diathermy2026 Medicare rate & RVUs in Houston, TX

Reports cryotherapy or diathermy to destroy extensive or progressive retinal disease, such as diabetic retinopathy, when that treatment method is used.

CMS RVU26DEffective Oct 1, 2026One payment locality52 Medicare services in 2024

In Houston, TX, Medicare pays $299.56 for 67227 in the office and $218.63 when it’s performed in a hospital or facility.

$299.56Office (non-facility)
$218.63Hospital or facility
+1.0%vs the national office rate ($296.60)

Check a contract rate as a % of Medicare · 67227 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 67227 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 67227 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 67227 covers

An ophthalmologist, often a retina specialist, uses cryotherapy or diathermy to treat extensive or progressive retinopathy. A typical clinical context is widespread diabetic retinal disease requiring destructive treatment rather than treatment of a single discrete retinal lesion. The service may be performed in an office-based or facility setting, depending on the care provided.

Choose this code based on the disease extent and the destructive method documented; laser photocoagulation for extensive retinopathy is represented by a separate code. The record should identify the treated eye, the retinopathy and its extent or progression, and the method used. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. For bilateral treatment reported with modifier 50, CMS pays 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the 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 Houston, TX compares for 67227

Across 109 of 109 payment localities, the office rate for 67227 runs from $267.85 in Arkansas to $382.02 in San Benito County, CA. Houston, TX pays $299.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

67227 in Houston, TX vs other payment areas
  1. Houston, TX · this page$299.56
  2. Austin, TX · Texas$305.93+$6.37
  3. Beaumont, TX · Texas$280.32−$19.24
  4. Brazoria, TX · Texas$294.03−$5.53
  5. Dallas, TX · Texas$295.70−$3.86
  6. Fort Worth, TX · Texas$294.07−$5.49
  7. Galveston, TX · Texas$294.80−$4.76

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

Every other payment area

67227 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$286.88$209.54
Los Angeles, CACalifornia$330.20$233.78
Washington, DC areaDistrict of Columbia$334.71$238.70
Miami, FLFlorida$317.01$232.17
Chicago, ILIllinois$309.51$227.61
Manhattan, NYNew York$337.17$242.47
AlaskaAlaska$360.96$274.16
AlabamaAlabama$271.08$199.77

67227 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.

$267.85

$360.96

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

View every state and territory as a table
67227 office rate range by state
State / territoryOffice rate rangeLocalities
AK$360.961
AL$271.081
AR$267.851
AZ$289.951
CA$311.21–$382.0229
CO$307.201
CT$314.101
DC$334.711
DE$294.201
FL$293.31–$317.013
GA$279.47–$301.472
GU$316.781
HI$316.781
IA$276.571
ID$278.101
IL$286.35–$309.514
IN$279.431
KS$275.591
KY$276.551
LA$276.22–$287.512
MA$305.88–$334.072
MD$299.12–$334.713
ME$279.40–$291.832
MI$282.58–$296.472
MN$295.531
MO$272.36–$288.263
MS$270.141
MT$296.581
NC$281.811
ND$291.441
NE$277.801
NH$302.651
NJ$318.01–$332.212
NM$283.901
NV$295.321
NY$285.32–$344.225
OH$281.531
OK$276.041
OR$293.32–$315.522
PA$281.85–$307.462
PR$298.381
RI$303.571
SC$282.071
SD$290.831
TN$276.741
TX$280.32–$305.938
UT$285.271
VA$291.09–$334.712
VI$298.381
VT$290.571
WA$305.23–$340.212
WI$283.281
WV$277.551
WY$294.341

See 67227 in every payment locality

How the 67227 rate is calculated

Each of 67227’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 · 67227

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense5.21

5.21 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

8.8800

Conversion factor

$33.4009

Medicare rate

$296.60

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,447

Code
67227
Physician work
3.41
Practice expense
5.21
Malpractice
0.26

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 67227 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0083.4373
Practice expense5.21× 0.9935.1735
Malpractice0.26× 1.3760.3578
Total RVUs8.9686
Conversion factor× 33.4009

Office rate, Houston, TX$299.56

Office: (3.41 × 1.008 + 5.21 × 0.993 + 0.26 × 1.376) × $33.4009 = $299.56

Facility: (3.41 × 1.008 + 2.77 × 0.993 + 0.26 × 1.376) × $33.4009 = $218.63

Open 67227 in the RVU calculator

Payment rules and modifiers for 67227

67227 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67227

Retinopathy treatment, cryotherapy or diathermy

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67227

Retinopathy treatment, cryotherapy or diathermy

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67227 without 50 · national office

$296.60

Retinopathy treatment, cryotherapy or diathermy

67227-50 · Bilateral: 150%

$444.90

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 67227

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

Codes related to 67227
CodeHow it relatesOffice range, Houston, TX
Same family
67228Retinal laser, extensive or progressive retinopathyExtensive or progressive retinopathy treated with photocoagulation rather than cryotherapy or diathermy.$345.26
67229Retinopathy treatment, preterm infant, general anesthesiaRetinopathy treatment code for extensive or progressive disease of a premature infant.No office rate
67208Retinal treatment, cryotherapyCryotherapy or diathermy for a retinal lesion rather than extensive or progressive retinopathy.$611.94
67210Retinal laser, localized lesion photocoagulationPhotocoagulation for a retinal lesion rather than extensive or progressive retinopathy.$523.13

How 67227 has changed in Houston, TX

67227 · Office / nonfacility

$299.56

Effective 2026-10-01

The base rate is $10.11 higher than on 2025-10-01, moving from $289.45 to $299.56 (3.5%).

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

    $289.45changed to$299.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 4.99 changed to 5.21
    • Malpractice RVU 0.28 changed to 0.26
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $298.74changed to$289.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.03 changed to 4.99
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $293.86changed to$298.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $302.32changed to$293.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.95 changed to 5.03
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $304.78changed to$302.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.83 changed to 4.95
    • Malpractice RVU 0.25 changed to 0.27
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $306.54changed to$304.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.80 changed to 4.83
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $306.40changed to$306.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.56 changed to 4.80
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $304.47changed to$306.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.58 changed to 4.56
    • Malpractice RVU 0.26 changed to 0.27
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $303.04changed to$304.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.55 changed to 4.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $298.11changed to$303.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.46 changed to 4.55
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $296.17changed to$298.11

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.44 changed to 4.46
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $626.82changed to$296.17

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 7.53 changed to 3.50
    • Practice expense RVU 9.20 changed to 4.44
    • Malpractice RVU 0.54 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $623.70changed to$626.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $621.21changed to$623.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.19 changed to 9.20
    • Malpractice RVU 0.51 changed to 0.54
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $616.73changed to$621.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.02 changed to 9.19
    • Malpractice RVU 0.53 changed to 0.51
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $616.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$299.56$218.63RVU26D
2026-07-01$299.56$218.63RVU26C
2026-04-01$299.56$218.63RVU26B
2026-01-01$299.56$218.63RVU26A
2025-10-01$289.45$250.20RVU25D
2025-07-01$289.45$250.20RVU25C
2025-04-01$289.45$250.20RVU25B
2025-01-01$289.45$250.20RVU25A
2024-10-01$298.74$257.01RVU24D
2024-07-01$298.74$257.01RVU24C
2024-04-01$298.74$257.01RVU24B
2024-03-09$298.74$257.01RVU24AR
2024-01-01$293.86$252.81RVU24A
2023-10-01$302.32$259.28RVU23D
2023-07-01$302.32$259.28RVU23C
2023-04-01$302.32$259.28RVU23B
2023-01-01$302.32$259.28RVU23A
2022-10-01$304.78$260.27RVU22D
2022-07-01$304.78$260.27RVU22C
2022-04-01$304.78$260.27RVU22B
2022-01-01$304.78$260.27RVU22A
2021-10-01$306.54$262.38RVU21D
2021-07-01$306.54$262.38RVU21C
2021-04-01$306.54$262.38RVU21B
2021-01-01$306.54$262.38RVU21A
2020-10-01$306.40$266.28RVU20D
2020-07-01$306.40$266.28RVU20C
2020-04-01$306.40$266.28RVU20B
2020-01-01$306.40$266.28RVU20A
2019-10-01$304.47$266.54RVU19D
2019-07-01$304.47$266.54RVU19C
2019-04-01$304.47$266.54RVU19B
2019-01-01$304.47$266.54RVU19A
2018-10-01$303.04$267.34RVU18D
2018-07-01$303.04$267.34RVU18C
2018-04-01$303.04$267.34RVU18B
2018-01-01$303.04$267.34RVU18AR1
2017-10-01$298.11$264.80RVU17D
2017-07-01$298.11$264.80RVU17C
2017-04-01$298.11$264.80RVU17B
2017-01-01$298.11$264.80RVU17A
2016-10-01$296.17$263.39RVU16D
2016-07-01$296.17$263.39RVU16C
2016-04-01$296.17$263.39RVU16B
2016-01-01$296.17$263.39RVU16A
2015-10-01$626.82$586.34RVU15D
2015-07-01$626.82$586.34RVU15C
2015-04-01$623.70$583.42RVU15B
2015-01-01$623.70$583.42RVU15A
2014-10-01$621.21$582.36RVU14D
2014-07-01$621.21$582.36RVU14C
2014-04-01$621.21$582.36RVU14B
2014-01-01$621.21$582.36RVU14A
2013-10-01$616.73$575.14RVU13D
2013-07-01$616.73$575.14RVU13C
2013-04-01$616.73$575.14RVU13B
2013-01-01$616.73$575.14RVU13AR

Price 67227 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

67227 billing questions

How does this code differ from 67228?

Both address extensive or progressive retinopathy, but 67227 is for cryotherapy or diathermy. Code 67228 is used when the treatment is photocoagulation.

Can this code be used for a single retinal lesion?

It is intended for extensive or progressive retinopathy, not treatment of a discrete retinal lesion. Codes 67208 and 67210 describe retinal-lesion treatment using different methods.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in this procedure.

How is bilateral treatment handled?

CMS recognizes this as a bilateral procedure; treatment of both eyes reported with modifier 50 is paid at 150%.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports reporting this code?

Document the diagnosis and extent or progression of the retinopathy, the eye treated, and use of cryotherapy or diathermy.

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 67227PPRRVU2026_Oct_nonQPP.csv, line 7,447 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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