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CPT code 67228: Retinal laser, extensive or progressive retinopathy2026 Medicare rate & RVUs in Colorado

Reports retinal laser treatment for extensive or progressive retinopathy, commonly proliferative diabetic retinopathy, including treatment delivered over one or more sessions.

CMS RVU26DEffective Oct 1, 2026One payment locality36.2K Medicare services in 2024

In Colorado, Medicare pays $352.11 for 67228 in the office and $259.35 when it’s performed in a hospital or facility.

$352.11Office (non-facility)
$259.35Hospital or facility
+3.3%vs the national office rate ($341.02)

Check a contract rate as a % of Medicare · 67228 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 67228 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 67228 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 67228 covers

An ophthalmologist uses laser photocoagulation to treat extensive or progressive retinal disease. A common setting is proliferative diabetic retinopathy treated with scatter laser, often called panretinal photocoagulation. The treatment may be delivered over more than one session; the code encompasses one or more sessions rather than describing a single laser spot or isolated retinal lesion. Documentation should identify the treated eye, the retinopathy and its extent or progression, and the laser treatment performed.

Select this service for extensive or progressive retinopathy treated with photocoagulation, not a localized retinal lesion or a different treatment method. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Colorado compares for 67228

Across 109 of 109 payment localities, the office rate for 67228 runs from $309.07 in Arkansas to $433.70 in San Benito County, CA. Colorado pays $352.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

67228 in Colorado vs other payment areas
  1. Colorado · this page$352.11
  2. Los Angeles, CA · California$377.06+$24.95
  3. Washington, DC area · District of Columbia$383.24+$31.13
  4. Miami, FL · Florida$366.54+$14.43
  5. Chicago, IL · Illinois$358.09+$5.98
  6. Manhattan, NY · New York$387.22+$35.11
  7. Alaska · Alaska$419.37+$67.26

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

Every other payment area

67228 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$312.65$236.37
ArkansasArkansas$309.07$234.19
ArizonaArizona$333.56$249.09
Bakersfield, CACalifornia$357.06$261.52
Chico, CACalifornia$355.92$260.38
El Centro, CACalifornia$355.98$260.43
Fresno, CACalifornia$355.92$260.38
Hanford, CACalifornia$355.92$260.38

67228 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.

$309.07

$419.37

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

View every state and territory as a table
67228 office rate range by state
State / territoryOffice rate rangeLocalities
AK$419.371
AL$312.651
AR$309.071
AZ$333.561
CA$355.92–$433.7029
CO$352.111
CT$360.691
DC$383.241
DE$338.321
FL$338.70–$366.543
GA$323.14–$346.782
GU$361.641
HI$361.641
IA$318.131
ID$319.951
IL$331.39–$358.094
IN$321.411
KS$317.331
KY$319.341
LA$319.10–$331.622
MA$350.82–$381.762
MD$343.73–$383.243
ME$321.69–$335.032
MI$326.32–$342.522
MN$338.201
MO$315.00–$332.103
MS$312.071
MT$341.001
NC$324.321
ND$334.081
NE$319.401
NH$347.201
NJ$365.02–$380.642
NM$327.901
NV$339.261
NY$328.23–$395.425
OH$324.901
OK$318.471
OR$336.81–$361.012
PA$325.10–$353.492
PR$342.901
RI$348.631
SC$325.101
SD$333.261
TN$318.651
TX$323.42–$350.798
UT$328.651
VA$334.42–$383.242
VI$342.901
VT$333.381
WA$349.97–$388.342
WI$325.111
WV$321.651
WY$337.981

See 67228 in every payment locality

How the 67228 rate is calculated

Each of 67228’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 · 67228

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.28

4.28 RVUs× 1.000 GPCI

Practice expense5.58

5.58 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

10.2100

Conversion factor

$33.4009

Medicare rate

$341.02

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,448

Code
67228
Physician work
4.28
Practice expense
5.58
Malpractice
0.35

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office calculation for 67228 in Colorado
ComponentRVULocality factorAdjusted
Physician work4.28× 1.0124.3314
Practice expense5.58× 1.0645.9371
Malpractice0.35× 0.7810.2733
Total RVUs10.5418
Conversion factor× 33.4009

Office rate, Colorado$352.11

Office: (4.28 × 1.012 + 5.58 × 1.064 + 0.35 × 0.781) × $33.4009 = $352.11

Facility: (4.28 × 1.012 + 2.97 × 1.064 + 0.35 × 0.781) × $33.4009 = $259.35

Open 67228 in the RVU calculator

Payment rules and modifiers for 67228

67228 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67228

Retinal laser, extensive or progressive retinopathy

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 · 67228

Retinal laser, extensive or progressive retinopathy

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

67228 without 50 · national office

$341.02

Retinal laser, extensive or progressive retinopathy

67228-50 · Bilateral: 150%

$511.53

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 67228

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

Codes related to 67228
CodeHow it relatesOffice range, Colorado
Used instead
67227Retinopathy treatment, cryotherapy or diathermyTreats extensive or progressive retinopathy with cryotherapy rather than photocoagulation.$307.20
67210Retinal laser, localized lesion photocoagulationPhotocoagulation for a localized retinal lesion rather than extensive or progressive retinopathy.$535.09
67208Retinal treatment, cryotherapyCryotherapy for a localized retinal lesion rather than progressive retinopathy treated with laser.$625.07

How 67228 has changed in Colorado

67228 · Office / nonfacility

$352.11

Effective 2026-10-01

The base rate is $18.07 higher than on 2025-10-01, moving from $334.04 to $352.11 (5.4%).

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

    $334.04changed to$352.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.39 changed to 4.28
    • Practice expense RVU 5.33 changed to 5.58
    • Work GPCI 1.008 changed to 1.012
    • Practice expense GPCI 1.053 changed to 1.064
    • Malpractice GPCI 0.827 changed to 0.781

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $345.16changed to$334.04

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.37 changed to 5.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $339.53changed to$345.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $346.83changed to$339.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.28 changed to 5.37
    • Work GPCI 1.005 changed to 1.008
    • Practice expense GPCI 1.050 changed to 1.053
    • Malpractice GPCI 0.797 changed to 0.827

  5. January 1, 2023

    RVU23A

    $347.33changed to$346.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.14 changed to 5.28
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.047 changed to 1.050
    • Malpractice GPCI 0.767 changed to 0.797

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $350.68changed to$347.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.16 changed to 5.14
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $353.80changed to$350.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.96 changed to 5.16
    • Malpractice RVU 0.32 changed to 0.33
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.033 changed to 1.047
    • Malpractice GPCI 0.905 changed to 0.767

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $354.40changed to$353.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.02 changed to 4.96
    • Practice expense GPCI 1.018 changed to 1.033
    • Malpractice GPCI 1.042 changed to 0.905

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $354.74changed to$354.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.05 changed to 5.02
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $349.74changed to$354.74

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.94 changed to 5.05
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 1.015 changed to 1.018
    • Malpractice GPCI 1.066 changed to 1.042

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $348.13changed to$349.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.93 changed to 4.94
    • Practice expense GPCI 1.011 changed to 1.015
    • Malpractice GPCI 1.090 changed to 1.066

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1024.75changed to$348.13

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 13.82 changed to 4.39
    • Practice expense RVU 13.46 changed to 4.93
    • Malpractice RVU 1.00 changed to 0.32

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1019.65changed to$1024.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1053.91changed to$1019.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.52 changed to 13.46
    • Malpractice RVU 2.01 changed to 1.00
    • Practice expense GPCI 1.008 changed to 1.011
    • Malpractice GPCI 0.981 changed to 1.090

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1032.25changed to$1053.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.63 changed to 13.52
    • Malpractice RVU 2.10 changed to 2.01
    • Practice expense GPCI 1.004 changed to 1.008
    • Malpractice GPCI 0.872 changed to 0.981

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1032.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$352.11$259.35RVU26D
2026-07-01$352.11$259.35RVU26C
2026-04-01$352.11$259.35RVU26B
2026-01-01$352.11$259.35RVU26A
2025-10-01$334.04$297.60RVU25D
2025-07-01$334.04$297.60RVU25C
2025-04-01$334.04$297.60RVU25B
2025-01-01$334.04$297.60RVU25A
2024-10-01$345.16$305.56RVU24D
2024-07-01$345.16$305.56RVU24C
2024-04-01$345.16$305.56RVU24B
2024-03-09$345.16$305.56RVU24AR
2024-01-01$339.53$300.57RVU24A
2023-10-01$346.83$307.34RVU23D
2023-07-01$346.83$307.34RVU23C
2023-04-01$346.83$307.34RVU23B
2023-01-01$346.83$307.34RVU23A
2022-10-01$347.33$307.48RVU22D
2022-07-01$347.33$307.48RVU22C
2022-04-01$347.33$307.48RVU22B
2022-01-01$347.33$307.48RVU22A
2021-10-01$350.68$309.76RVU21D
2021-07-01$350.68$309.76RVU21C
2021-04-01$350.68$309.76RVU21B
2021-01-01$350.68$309.76RVU21A
2020-10-01$353.80$315.40RVU20D
2020-07-01$353.80$315.40RVU20C
2020-04-01$353.80$315.40RVU20B
2020-01-01$353.80$315.40RVU20A
2019-10-01$354.40$317.35RVU19D
2019-07-01$354.40$317.35RVU19C
2019-04-01$354.40$317.35RVU19B
2019-01-01$354.40$317.35RVU19A
2018-10-01$354.74$318.09RVU18D
2018-07-01$354.74$318.09RVU18C
2018-04-01$354.74$318.09RVU18B
2018-01-01$354.74$318.09RVU18AR1
2017-10-01$349.74$315.87RVU17D
2017-07-01$349.74$315.87RVU17C
2017-04-01$349.74$315.87RVU17B
2017-01-01$349.74$315.87RVU17A
2016-10-01$348.13$314.46RVU16D
2016-07-01$348.13$314.46RVU16C
2016-04-01$348.13$314.46RVU16B
2016-01-01$348.13$314.46RVU16A
2015-10-01$1,024.75$970.62RVU15D
2015-07-01$1,024.75$970.62RVU15C
2015-04-01$1,019.65$965.79RVU15B
2015-01-01$1,019.65$965.79RVU15A
2014-10-01$1,053.91$1,001.55RVU14D
2014-07-01$1,053.91$1,001.55RVU14C
2014-04-01$1,053.91$1,001.55RVU14B
2014-01-01$1,053.91$1,001.55RVU14A
2013-10-01$1,032.25$976.91RVU13D
2013-07-01$1,032.25$976.91RVU13C
2013-04-01$1,032.25$976.91RVU13B
2013-01-01$1,032.25$976.91RVU13AR

Price 67228 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

67228 billing questions

When is this code appropriate instead of 67210?

Use this code for laser treatment of extensive or progressive retinopathy, such as proliferative diabetic retinopathy. Code 67210 describes photocoagulation for a localized retinal lesion.

Can the code be reported for each laser session?

The service covers one or more sessions. A series of sessions for the same treatment is not automatically reported as a separate service for every visit.

How should bilateral treatment be reported?

Report modifier 50 for bilateral treatment; Medicare pays the bilateral procedure at 150%.

Are related postoperative visits separately payable?

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

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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

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

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 67228PPRRVU2026_Oct_nonQPP.csv, line 7,448 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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