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

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 Utah, Medicare pays $285.27 for 67227 in the office and $208.66 when it’s performed in a hospital or facility.

$285.27Office (non-facility)
$208.66Hospital or facility
−3.8%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 Utah
  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 Utah 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. Utah pays $285.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

67227 in Utah vs other payment areas
  1. Utah · this page$285.27
  2. Los Angeles, CA · California$330.20+$44.93
  3. Washington, DC area · District of Columbia$334.71+$49.44
  4. Miami, FL · Florida$317.01+$31.74
  5. Chicago, IL · Illinois$309.51+$24.24
  6. Manhattan, NY · New York$337.17+$51.90
  7. Alaska · Alaska$360.96+$75.69

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

Every other payment area

67227 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$271.08$199.77
ArkansasArkansas$267.85$197.84
ArizonaArizona$289.95$210.98
Bakersfield, CACalifornia$312.07$222.75
Chico, CACalifornia$311.21$221.89
El Centro, CACalifornia$311.26$221.93
Fresno, CACalifornia$311.21$221.89
Hanford, CACalifornia$311.21$221.89

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 67227 in Utah
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense5.21× 0.9404.8974
Malpractice0.26× 0.8980.2335
Total RVUs8.5409
Conversion factor× 33.4009

Office rate, Utah$285.27

Office: (3.41 × 1 + 5.21 × 0.94 + 0.26 × 0.898) × $33.4009 = $285.27

Facility: (3.41 × 1 + 2.77 × 0.94 + 0.26 × 0.898) × $33.4009 = $208.66

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, Utah
Same family
67228Retinal laser, extensive or progressive retinopathyExtensive or progressive retinopathy treated with photocoagulation rather than cryotherapy or diathermy.$328.65
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.$582.72
67210Retinal laser, localized lesion photocoagulationPhotocoagulation for a retinal lesion rather than extensive or progressive retinopathy.$498.07

How 67227 has changed in Utah

67227 · Office / nonfacility

$285.27

Effective 2026-10-01

The base rate is $13.04 higher than on 2025-10-01, moving from $272.23 to $285.27 (4.8%).

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

    $272.23changed to$285.27

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $281.08changed to$272.23

    • 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

    $276.49changed to$281.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $281.85changed to$276.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.95 changed to 5.03
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $281.64changed to$281.85

    • 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
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $283.29changed to$281.64

    • 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

    $287.78changed to$283.29

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $290.06changed to$287.78

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.74changed to$290.06

    • 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

    $284.14changed to$288.74

    • 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 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $282.35changed to$284.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.44 changed to 4.46
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $598.06changed to$282.35

    • 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

    $595.09changed to$598.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $593.05changed to$595.09

    • 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
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $588.34changed to$593.05

    • 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
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $588.34

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$285.27$208.66RVU26D
2026-07-01$285.27$208.66RVU26C
2026-04-01$285.27$208.66RVU26B
2026-01-01$285.27$208.66RVU26A
2025-10-01$272.23$235.71RVU25D
2025-07-01$272.23$235.71RVU25C
2025-04-01$272.23$235.71RVU25B
2025-01-01$272.23$235.71RVU25A
2024-10-01$281.08$242.26RVU24D
2024-07-01$281.08$242.26RVU24C
2024-04-01$281.08$242.26RVU24B
2024-03-09$281.08$242.26RVU24AR
2024-01-01$276.49$238.31RVU24A
2023-10-01$281.85$242.62RVU23D
2023-07-01$281.85$242.62RVU23C
2023-04-01$281.85$242.62RVU23B
2023-01-01$281.85$242.62RVU23A
2022-10-01$281.64$241.89RVU22D
2022-07-01$281.64$241.89RVU22C
2022-04-01$281.64$241.89RVU22B
2022-01-01$281.64$241.89RVU22A
2021-10-01$283.29$243.85RVU21D
2021-07-01$283.29$243.85RVU21C
2021-04-01$283.29$243.85RVU21B
2021-01-01$283.29$243.85RVU21A
2020-10-01$287.78$251.47RVU20D
2020-07-01$287.78$251.47RVU20C
2020-04-01$287.78$251.47RVU20B
2020-01-01$287.78$251.47RVU20A
2019-10-01$290.06$255.32RVU19D
2019-07-01$290.06$255.32RVU19C
2019-04-01$290.06$255.32RVU19B
2019-01-01$290.06$255.32RVU19A
2018-10-01$288.74$256.04RVU18D
2018-07-01$288.74$256.04RVU18C
2018-04-01$288.74$256.04RVU18B
2018-01-01$288.74$256.04RVU18AR1
2017-10-01$284.14$253.60RVU17D
2017-07-01$284.14$253.60RVU17C
2017-04-01$284.14$253.60RVU17B
2017-01-01$284.14$253.60RVU17A
2016-10-01$282.35$252.31RVU16D
2016-07-01$282.35$252.31RVU16C
2016-04-01$282.35$252.31RVU16B
2016-01-01$282.35$252.31RVU16A
2015-10-01$598.06$560.96RVU15D
2015-07-01$598.06$560.96RVU15C
2015-04-01$595.09$558.17RVU15B
2015-01-01$595.09$558.17RVU15A
2014-10-01$593.05$557.49RVU14D
2014-07-01$593.05$557.49RVU14C
2014-04-01$593.05$557.49RVU14B
2014-01-01$593.05$557.49RVU14A
2013-10-01$588.34$550.32RVU13D
2013-07-01$588.34$550.32RVU13C
2013-04-01$588.34$550.32RVU13B
2013-01-01$588.34$550.32RVU13AR

Price 67227 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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