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

In South Carolina, Medicare pays $933.44 for 67229 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67229 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 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.

How South Carolina compares for 67229

Across 109 of 109 payment localities, the facility rate for 67229 runs from $893.44 in Arkansas to $1,242.08 in Alaska. South Carolina pays $933.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67229 rates by state

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

See 67229 in every payment locality

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.

Payment rules and modifiers for 67229

67229 has a 90-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 67229

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

How 67229 has changed in South Carolina

Price 67229 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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