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CPT code 67500: Eye injection, retrobulbar medication2026 Medicare rate & RVUs in Washington, DC area

Reports medication injected into the retrobulbar space behind the eye when treatment is delivered by this route rather than another periocular approach.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Washington, DC area, Medicare pays $87.92 for 67500 in the office and $59.98 when it’s performed in a hospital or facility.

$87.92Office (non-facility)
$59.98Hospital or facility
+11.5%vs the national office rate ($78.83)

Check a contract rate as a % of Medicare · 67500 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 67500 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 67500 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 67500 covers

An ophthalmologist or other qualified eye-care physician uses this service to deliver medication into the retrobulbar space behind the globe. The route distinguishes it from an injection under the conjunctiva or into the suprachoroidal space. It may be performed in an office or facility when treatment calls for medication to be placed in this specific location; the service is not the anesthetic-agent injection represented by a neighboring code.

Report the injection when documentation identifies the retrobulbar route, the medication administered, and the treated eye. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral services, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting 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 Washington, DC area compares for 67500

Across 109 of 109 payment localities, the office rate for 67500 runs from $72.21 in Arkansas to $99.29 in Alaska. Washington, DC area pays $87.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

67500 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$87.92
  2. Los Angeles, CA · California$86.41−$1.51
  3. Miami, FL · Florida$84.46−$3.46
  4. Chicago, IL · Illinois$82.74−$5.18
  5. Manhattan, NY · New York$88.96+$1.04
  6. Alaska · Alaska$99.29+$11.37
  7. Alabama · Alabama$72.95−$14.97

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

67500 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$72.21$51.84
ArizonaArizona$77.27$54.29
Bakersfield, CACalifornia$82.13$56.14
Chico, CACalifornia$81.86$55.87
El Centro, CACalifornia$81.88$55.88
Fresno, CACalifornia$81.86$55.87
Hanford, CACalifornia$81.86$55.87
Madera, CACalifornia$81.86$55.87

67500 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.

$72.21

$99.29

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

View every state and territory as a table
67500 office rate range by state
State / territoryOffice rate rangeLocalities
AK$99.291
AL$72.951
AR$72.211
AZ$77.271
CA$81.86–$98.4929
CO$81.121
CT$83.061
DC$87.921
DE$78.301
FL$78.51–$84.463
GA$75.26–$80.082
GU$82.871
HI$82.871
IA$74.011
ID$74.401
IL$77.05–$82.744
IN$74.701
KS$73.881
KY$74.411
LA$74.37–$76.962
MA$80.90–$87.432
MD$79.44–$87.923
ME$74.80–$77.502
MI$75.89–$79.342
MN$78.041
MO$73.55–$77.023
MS$72.881
MT$78.821
NC$75.331
ND$77.241
NE$74.261
NH$80.041
NJ$84.09–$87.472
NM$76.231
NV$78.421
NY$76.15–$90.715
OH$75.561
OK$74.191
OR$77.88–$82.952
PA$75.58–$81.582
PR$79.201
RI$80.511
SC$75.561
SD$77.051
TN$74.151
TX$75.24–$80.798
UT$76.291
VA$77.40–$87.922
VI$79.201
VT$77.131
WA$80.69–$88.832
WI$75.391
WV$75.031
WY$78.131

See 67500 in every payment locality

How the 67500 rate is calculated

Each of 67500’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 · 67500

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.15

1.15 RVUs× 1.000 GPCI

Practice expense1.13

1.13 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

2.3600

Conversion factor

$33.4009

Medicare rate

$78.83

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,479

Code
67500
Physician work
1.15
Practice expense
1.13
Malpractice
0.08

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 67500 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.15× 1.0541.2121
Practice expense1.13× 1.1781.3311
Malpractice0.08× 1.1130.0890
Total RVUs2.6323
Conversion factor× 33.4009

Office rate, Washington, DC area$87.92

Office: (1.15 × 1.054 + 1.13 × 1.178 + 0.08 × 1.113) × $33.4009 = $87.92

Facility: (1.15 × 1.054 + 0.42 × 1.178 + 0.08 × 1.113) × $33.4009 = $59.98

Open 67500 in the RVU calculator

Payment rules and modifiers for 67500

The CMS indicators that decide how 67500 is paid alongside other services.

CMS payment indicators · 67500

Eye injection, retrobulbar medication

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67500 without 50 · national office

$78.83

Eye injection, retrobulbar medication

67500-50 · Bilateral: 150%

$118.25

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 67500

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

Codes related to 67500
CodeHow it relatesOffice range, Washington, DC area
Used instead
67505Orbital injection, therapeutic agent, retrobulbarUsed for a retrobulbar injection when the injected agent is an anesthetic.$95.00
67515Eye injection, tenon's capsuleReports a periocular injection by a subconjunctival route rather than a retrobulbar route.$57.83
67516Eye injection, suprachoroidal routeReports drug delivery into the suprachoroidal space, a different injection route.$136.40

How 67500 has changed in Washington, DC area

67500 · Office / nonfacility

$87.92

Effective 2026-10-01

The base rate is $4.47 higher than on 2025-10-01, moving from $83.45 to $87.92 (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

    $83.45changed to$87.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.18 changed to 1.15
    • Practice expense RVU 1.02 changed to 1.13
    • Malpractice RVU 0.10 changed to 0.08
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $86.28changed to$83.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.03 changed to 1.02

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $84.87changed to$86.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $87.13changed to$84.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.99 changed to 1.03
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $87.71changed to$87.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.95 changed to 0.99
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $86.71changed to$87.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.91 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $84.07changed to$86.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.80 changed to 0.91
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.10changed to$84.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.75 changed to 0.80
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $90.40changed to$81.10

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 1.44 changed to 1.18
    • Practice expense RVU 0.72 changed to 0.75
    • Malpractice RVU 0.11 changed to 0.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $88.15changed to$90.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.67 changed to 0.72
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $88.14changed to$88.15

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $88.45changed to$88.14

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $88.01changed to$88.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.19changed to$88.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.68 changed to 0.67
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $87.82changed to$88.19

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.79 changed to 0.68
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $87.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$87.92$59.98RVU26D
2026-07-01$87.92$59.98RVU26C
2026-04-01$87.92$59.98RVU26B
2026-01-01$87.92$59.98RVU26A
2025-10-01$83.45$69.18RVU25D
2025-07-01$83.45$69.18RVU25C
2025-04-01$83.45$69.18RVU25B
2025-01-01$83.45$69.18RVU25A
2024-10-01$86.28$70.40RVU24D
2024-07-01$86.28$70.40RVU24C
2024-04-01$86.28$70.40RVU24B
2024-03-09$86.28$70.40RVU24AR
2024-01-01$84.87$69.25RVU24A
2023-10-01$87.13$71.08RVU23D
2023-07-01$87.13$71.08RVU23C
2023-04-01$87.13$71.08RVU23B
2023-01-01$87.13$71.08RVU23A
2022-10-01$87.71$70.60RVU22D
2022-07-01$87.71$70.60RVU22C
2022-04-01$87.71$70.60RVU22B
2022-01-01$87.71$70.60RVU22A
2021-10-01$86.71$69.89RVU21D
2021-07-01$86.71$69.89RVU21C
2021-04-01$86.71$69.89RVU21B
2021-01-01$86.71$69.89RVU21A
2020-10-01$84.07$69.53RVU20D
2020-07-01$84.07$69.53RVU20C
2020-04-01$84.07$69.53RVU20B
2020-01-01$84.07$69.53RVU20A
2019-10-01$81.10$68.51RVU19D
2019-07-01$81.10$68.51RVU19C
2019-04-01$81.10$68.51RVU19B
2019-01-01$81.10$68.51RVU19A
2018-10-01$90.40$83.02RVU18D
2018-07-01$90.40$83.02RVU18C
2018-04-01$90.40$83.02RVU18B
2018-01-01$90.40$83.02RVU18AR1
2017-10-01$88.15$80.37RVU17D
2017-07-01$88.15$80.37RVU17C
2017-04-01$88.15$80.37RVU17B
2017-01-01$88.15$80.37RVU17A
2016-10-01$88.14$80.80RVU16D
2016-07-01$88.14$80.80RVU16C
2016-04-01$88.14$80.80RVU16B
2016-01-01$88.14$80.80RVU16A
2015-10-01$88.45$81.09RVU15D
2015-07-01$88.45$81.09RVU15C
2015-04-01$88.01$80.69RVU15B
2015-01-01$88.01$80.69RVU15A
2014-10-01$88.19$80.87RVU14D
2014-07-01$88.19$80.87RVU14C
2014-04-01$88.19$80.87RVU14B
2014-01-01$88.19$80.87RVU14A
2013-10-01$87.82$79.67RVU13D
2013-07-01$87.82$79.67RVU13C
2013-04-01$87.82$79.67RVU13B
2013-01-01$87.82$79.67RVU13AR

Price 67500 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

67500 billing questions

How is this code distinguished from 67505?

This code reports a retrobulbar medication injection. Code 67505 is for a retrobulbar injection of an anesthetic agent.

What documentation supports reporting this service?

Document the medication, the eye treated, and that the medication was injected into the retrobulbar space. The route helps distinguish this service from other periocular injection codes.

Can both eyes be reported?

For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure.

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

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

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery services are not paid. Co-surgeons and team surgery are not permitted for this code.

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 67500PPRRVU2026_Oct_nonQPP.csv, line 7,479 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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