CPT code 67229: Retinopathy treatment, preterm infant, general anesthesia2026 Medicare rate & RVUs in Missouri
Treatment of extensive or progressive retinopathy in a preterm infant under general anesthesia, including care such as retinal ablation for retinopathy of prematurity.
CMS doesn’t publish an office rate for 67229 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $944.78 |
| Metropolitan St. Louis, MO | Unavailable | $951.00 |
| Rest of Missouri | Unavailable | $914.10 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share 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.
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).
67229 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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