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

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 Virginia, Medicare pays $291.09 for 67227 in the office and $210.98 when it’s performed in a hospital or facility.

$291.09Office (non-facility)
$210.98Hospital or facility
−1.9%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 Virginia
  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 Virginia 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. Virginia pays $291.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

67227 in Virginia vs other payment areas
  1. Virginia · this page$291.09
  2. Los Angeles, CA · California$330.20+$39.11
  3. Washington, DC area · District of Columbia$334.71+$43.62
  4. Miami, FL · Florida$317.01+$25.92
  5. Chicago, IL · Illinois$309.51+$18.42
  6. Manhattan, NY · New York$337.17+$46.08
  7. Alaska · Alaska$360.96+$69.87

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 67227 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense5.21× 0.9835.1214
Malpractice0.26× 0.7060.1836
Total RVUs8.7150
Conversion factor× 33.4009

Office rate, Virginia$291.09

Office: (3.41 × 1 + 5.21 × 0.983 + 0.26 × 0.706) × $33.4009 = $291.09

Facility: (3.41 × 1 + 2.77 × 0.983 + 0.26 × 0.706) × $33.4009 = $210.98

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, Virginia
Same family
67228Retinal laser, extensive or progressive retinopathyExtensive or progressive retinopathy treated with photocoagulation rather than cryotherapy or diathermy.$334.42
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.$593.38
67210Retinal laser, localized lesion photocoagulationPhotocoagulation for a retinal lesion rather than extensive or progressive retinopathy.$507.57

How 67227 has changed in Virginia

67227 · Office / nonfacility

$291.09

Effective 2026-10-01

The base rate is $11.99 higher than on 2025-10-01, moving from $279.10 to $291.09 (4.3%).

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

    $279.10changed to$291.09

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $288.28changed to$279.10

    • 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

    $283.58changed to$288.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $292.23changed to$283.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.95 changed to 5.03
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $295.19changed to$292.23

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $296.91changed to$295.19

    • 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

    $298.20changed to$296.91

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $297.39changed to$298.20

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $296.00changed to$297.39

    • 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

    $291.04changed to$296.00

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $288.96changed to$291.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.44 changed to 4.46
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $611.54changed to$288.96

    • 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

    $608.49changed to$611.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $606.59changed to$608.49

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $602.44changed to$606.59

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $602.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$291.09$210.98RVU26D
2026-07-01$291.09$210.98RVU26C
2026-04-01$291.09$210.98RVU26B
2026-01-01$291.09$210.98RVU26A
2025-10-01$279.10$240.59RVU25D
2025-07-01$279.10$240.59RVU25C
2025-04-01$279.10$240.59RVU25B
2025-01-01$279.10$240.59RVU25A
2024-10-01$288.28$247.34RVU24D
2024-07-01$288.28$247.34RVU24C
2024-04-01$288.28$247.34RVU24B
2024-03-09$288.28$247.34RVU24AR
2024-01-01$283.58$243.30RVU24A
2023-10-01$292.23$250.29RVU23D
2023-07-01$292.23$250.29RVU23C
2023-04-01$292.23$250.29RVU23B
2023-01-01$292.23$250.29RVU23A
2022-10-01$295.19$252.15RVU22D
2022-07-01$295.19$252.15RVU22C
2022-04-01$295.19$252.15RVU22B
2022-01-01$295.19$252.15RVU22A
2021-10-01$296.91$254.21RVU21D
2021-07-01$296.91$254.21RVU21C
2021-04-01$296.91$254.21RVU21B
2021-01-01$296.91$254.21RVU21A
2020-10-01$298.20$259.22RVU20D
2020-07-01$298.20$259.22RVU20C
2020-04-01$298.20$259.22RVU20B
2020-01-01$298.20$259.22RVU20A
2019-10-01$297.39$260.44RVU19D
2019-07-01$297.39$260.44RVU19C
2019-04-01$297.39$260.44RVU19B
2019-01-01$297.39$260.44RVU19A
2018-10-01$296.00$261.22RVU18D
2018-07-01$296.00$261.22RVU18C
2018-04-01$296.00$261.22RVU18B
2018-01-01$296.00$261.22RVU18AR1
2017-10-01$291.04$258.52RVU17D
2017-07-01$291.04$258.52RVU17C
2017-04-01$291.04$258.52RVU17B
2017-01-01$291.04$258.52RVU17A
2016-10-01$288.96$256.93RVU16D
2016-07-01$288.96$256.93RVU16C
2016-04-01$288.96$256.93RVU16B
2016-01-01$288.96$256.93RVU16A
2015-10-01$611.54$571.98RVU15D
2015-07-01$611.54$571.98RVU15C
2015-04-01$608.49$569.13RVU15B
2015-01-01$608.49$569.13RVU15A
2014-10-01$606.59$568.67RVU14D
2014-07-01$606.59$568.67RVU14C
2014-04-01$606.59$568.67RVU14B
2014-01-01$606.59$568.67RVU14A
2013-10-01$602.44$561.89RVU13D
2013-07-01$602.44$561.89RVU13C
2013-04-01$602.44$561.89RVU13B
2013-01-01$602.44$561.89RVU13AR

Price 67227 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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