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

In Vermont, Medicare pays $333.38 for 67228 in the office and $247.08 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $333.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67228 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 67228

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

What modifiers do to the payment

When to use modifier 50

Codes related to 67228

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

How 67228 has changed in Vermont

Price 67228 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates