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CPT code 67229: Retinopathy treatment, preterm infant, general anesthesia2026 Medicare rate & RVUs

Treatment of extensive or progressive retinopathy in a preterm infant under general anesthesia, including care such as retinal ablation for retinopathy of prematurity.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $969.96 for 67229 nationally in a facility.

Medicare rate · 67229

Retinopathy treatment, preterm infant, general anesthesia

Office or facility?

Work RVUs
15.89
Total RVUs
29.04
Global days
090

National rate · 2026

$969.96

Facility setting, before claim adjustments.

See every locality for 67229 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 67229 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67229 covers

An ophthalmologist, often a retinal specialist, uses this service to treat extensive or progressive retinopathy in a preterm infant under general anesthesia. A common clinical situation is treatment of sight-threatening retinopathy of prematurity, such as laser treatment of the peripheral retina. The procedure may take place in an operating room or another setting equipped for anesthesia and infant monitoring. The code encompasses one or more treatment sessions.

Select this code when the patient is a preterm infant and the retinopathy treatment is performed under general anesthesia; do not choose it solely because the diagnosis is retinopathy. Document the infant’s condition, the extent or progression prompting treatment, the treatment performed, anesthesia, treated eye or eyes, and sessions. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. 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.

Where 67229 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67229 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$901.95
AlaskaUnavailable$1,242.08
ArizonaUnavailable$951.55
ArkansasUnavailable$893.44
Atlanta, GAUnavailable$986.43
Austin, TXUnavailable$989.20
Bakersfield, CAUnavailable$1,001.55
Baltimore area, MDUnavailable$1,017.47
Beaumont, TXUnavailable$931.24
Brazoria, TXUnavailable$961.30

67229 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
67229 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67229 rate is calculated

Each of 67229’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 · 67229

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.89

15.89 RVUs× 1.000 GPCI

Practice expense11.88

11.88 RVUs× 1.000 GPCI

Malpractice1.27

1.27 RVUs× 1.000 GPCI

Adjusted RVUs

29.0400

Conversion factor

$33.4009

Medicare rate

$969.96

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

Payment rules and modifiers for 67229

67229 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67229

Retinopathy treatment, preterm infant, general anesthesia

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67229

Retinopathy treatment, preterm infant, general anesthesia

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67229 without 50 · national facility

$969.96

Retinopathy treatment, preterm infant, general anesthesia

67229-50 · Bilateral: 150%

$1,454.94

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

67229 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 67229

    Retinopathy treatment, preterm infant, general anesthesia15.89 wRVU

    Not priced

  • 67228

    Retinal laser, extensive or progressive retinopathy4.28 wRVU

    $341.02

  • 67227

    Retinopathy treatment, cryotherapy or diathermy3.41 wRVU

    $296.60

  • 67208

    Retinal treatment, cryotherapy7.46 wRVU

    $604.89

How to choose

67228Retinal laserExtensive or progressive retinopathy
Choose 67229 for a preterm infant treated under general anesthesia. Code 67228 describes photocoagulation for extensive or progressive retinopathy without that specific qualifier.
67227Retinopathy treatmentCryotherapy or diathermy
Code 67227 describes cryotherapy for extensive or progressive retinopathy. Use 67229 for the specified preterm-infant treatment under general anesthesia.
67208Retinal treatmentCryotherapy
Code 67208 is for a localized retinal lesion treated with photocoagulation; 67229 is for extensive or progressive retinopathy in a preterm infant under general anesthesia.

Codes related to 67229

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

Codes related to 67229
CodeHow it relatesNational office range
Same family
67227Retinopathy treatment, cryotherapy or diathermyRetinal retinopathy treatment using cryotherapy rather than this preterm-infant treatment code.$267.85–$382.02
67228Retinal laser, extensive or progressive retinopathyRetinopathy treatment by photocoagulation; distinguishes treatment without this code’s preterm-infant qualifier.$309.07–$433.70
67210Retinal laser, localized lesion photocoagulationPhotocoagulation for extensive or progressive retinopathy in other clinical circumstances.$468.00–$662.48

67229 billing questions

How does this code differ from 67228?

This code is for treatment of a preterm infant under general anesthesia. Code 67228 describes photocoagulation treatment of extensive or progressive retinopathy without that specific patient-and-anesthesia distinction.

Can both eyes be treated under this code?

Yes. For bilateral treatment, report modifier 50; CMS prices the bilateral procedure at 150%.

Are multiple treatment sessions or laser applications reported as separate units?

The code describes one or more sessions. Document the sessions and treatment performed; do not equate individual laser applications with separate sessions.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.

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 67229PPRRVU2026_Oct_nonQPP.csv, line 7,449 (RVU26D)

Open CMS sourceHow we calculate rates

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