CPT code 67505: Orbital injection, therapeutic agent, retrobulbar2026 Medicare rate & RVUs
Report this service when an ophthalmologist places therapeutic medication into the retrobulbar space to treat an ocular or orbital condition.
Medicare pays $84.84 for 67505 nationally in the office and $58.12 in a hospital or facility. Local office rates run $77.37–$107.16.
Medicare rate · 67505
Orbital injection, therapeutic agent, retrobulbar
- Work RVUs
- 1.15
- Total RVUs
- 2.54
- Global days
- 000
National rate · 2026
$84.84
Office setting, before claim adjustments.
See every locality for 67505 →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.
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On this page 10 sections
What 67505 covers
An ophthalmologist or other qualified eye-care physician uses this service to deliver medication into the retrobulbar space behind the globe. A typical clinical use is a therapeutic corticosteroid injection for orbital inflammation. The injection is distinct from placing medication beneath the conjunctiva or into the suprachoroidal space, and from an injection performed solely to provide anesthesia. It may be performed in an office or facility setting when the retrobulbar route is clinically selected.
Select this code based on the therapeutic purpose and retrobulbar injection site, not simply because medication was given near the eye. Documentation should identify the medication, treatment indication, route and site, and the eye treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, 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 the standard 50% reduction. 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 67505 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$77.37 to $107.16
109 of 109 payment localities
67505 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$77.37
$105.69
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $105.69 | 1 |
| AL | $78.21 | 1 |
| AR | $77.37 | 1 |
| AZ | $83.10 | 1 |
| CA | $88.45–$107.16 | 29 |
| CO | $87.51 | 1 |
| CT | $89.54 | 1 |
| DC | $95.00 | 1 |
| DE | $84.24 | 1 |
| FL | $84.26–$90.72 | 3 |
| GA | $80.63–$86.19 | 2 |
| GU | $89.71 | 1 |
| HI | $89.71 | 1 |
| IA | $79.51 | 1 |
| ID | $79.93 | 1 |
| IL | $82.54–$88.79 | 4 |
| IN | $80.27 | 1 |
| KS | $79.31 | 1 |
| KY | $79.75 | 1 |
| LA | $79.69–$82.62 | 2 |
| MA | $87.23–$94.61 | 2 |
| MD | $85.53–$95.00 | 3 |
| ME | $80.33–$83.46 | 2 |
| MI | $81.38–$85.14 | 2 |
| MN | $84.23 | 1 |
| MO | $78.73–$82.74 | 3 |
| MS | $78.06 | 1 |
| MT | $84.83 | 1 |
| NC | $80.94 | 1 |
| ND | $83.25 | 1 |
| NE | $79.81 | 1 |
| NH | $86.30 | 1 |
| NJ | $90.66–$94.44 | 2 |
| NM | $81.74 | 1 |
| NV | $84.44 | 1 |
| NY | $81.86–$97.86 | 5 |
| OH | $81.05 | 1 |
| OK | $79.56 | 1 |
| OR | $83.87–$89.63 | 2 |
| PA | $81.10–$87.84 | 2 |
| PR | $85.28 | 1 |
| RI | $86.72 | 1 |
| SC | $81.11 | 1 |
| SD | $83.06 | 1 |
| TN | $79.62 | 1 |
| TX | $80.71–$87.15 | 8 |
| UT | $81.94 | 1 |
| VA | $83.31–$95.00 | 2 |
| VI | $85.28 | 1 |
| VT | $83.08 | 1 |
| WA | $87.02–$96.20 | 2 |
| WI | $81.15 | 1 |
| WV | $80.26 | 1 |
| WY | $84.14 | 1 |
How the 67505 rate is calculated
Each of 67505’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 · 67505
RVUs × geographic indexes × conversion factor
Work1.15
1.15 RVUs× 1.000 GPCI
Practice expense1.31
1.31 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
2.5400
Conversion factor
$33.4009
Medicare rate
$84.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67505
The CMS indicators that decide how 67505 is paid alongside other services.
CMS payment indicators · 67505
Orbital injection, therapeutic agent, retrobulbar
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67505 without 50 · national office
$84.84
Orbital injection, therapeutic agent, retrobulbar
67505-50 · Bilateral: 150%
$127.26
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).
67505 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67500Eye injectionRetrobulbar medication
- Both use the retrobulbar route, but 67505 is for therapeutic medication and 67500 is for an anesthetic agent.
- 67515Eye injectionTenon's capsule
- Both describe therapeutic medication injections near the eye. Choose 67505 for the retrobulbar space and 67515 for the subconjunctival site.
- 67516Eye injectionSuprachoroidal route
- 67516 identifies medication delivery into the suprachoroidal space; 67505 identifies a retrobulbar injection.
67505 billing questions
How is 67505 different from 67500?
67505 is for therapeutic medication injected retrobulbarly. 67500 describes a retrobulbar injection of anesthetic agent.
When should 67515 be reported instead?
Use 67515 when the therapeutic medication is injected beneath the conjunctiva. The injection site, not just the medication, distinguishes it from the retrobulbar route in 67505.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How is bilateral treatment paid?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%.
Can 67505 be reported with another procedure in the same session?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
What documentation supports 67505?
Document the therapeutic purpose, medication, retrobulbar route and site, and the eye treated. The record should distinguish treatment from an anesthetic injection or medication delivered at another site.
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
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