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CPT code 67505: Orbital injection, therapeutic agent, retrobulbar2026 Medicare rate & RVUs in Delaware

Report this service when an ophthalmologist places therapeutic medication into the retrobulbar space to treat an ocular or orbital condition.

CMS RVU26DEffective Oct 1, 2026One payment locality61 Medicare services in 2024

In Delaware, Medicare pays $84.24 for 67505 in the office and $57.84 when it’s performed in a hospital or facility.

$84.24Office (non-facility)
$57.84Hospital or facility
−0.7%vs the national office rate ($84.84)

Check a contract rate as a % of Medicare · 67505 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 67505 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 67505 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 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.

How Delaware compares for 67505

Across 109 of 109 payment localities, the office rate for 67505 runs from $77.37 in Arkansas to $107.16 in San Benito County, CA. Delaware pays $84.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

67505 in Delaware vs other payment areas
  1. Delaware · this page$84.24
  2. Los Angeles, CA · California$93.52+$9.28
  3. Washington, DC area · District of Columbia$95.00+$10.76
  4. Miami, FL · Florida$90.72+$6.48
  5. Chicago, IL · Illinois$88.79+$4.55
  6. Manhattan, NY · New York$95.95+$11.71
  7. Alaska · Alaska$105.69+$21.45

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

67505 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$78.21$54.83
ArkansasArkansas$77.37$54.42
ArizonaArizona$83.10$57.20
Bakersfield, CACalifornia$88.72$59.44
Chico, CACalifornia$88.45$59.17
El Centro, CACalifornia$88.47$59.18
Fresno, CACalifornia$88.45$59.17
Hanford, CACalifornia$88.45$59.17

67505 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.

$77.37

$105.69

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

View every state and territory as a table
67505 office rate range by state
State / territoryOffice rate rangeLocalities
AK$105.691
AL$78.211
AR$77.371
AZ$83.101
CA$88.45–$107.1629
CO$87.511
CT$89.541
DC$95.001
DE$84.241
FL$84.26–$90.723
GA$80.63–$86.192
GU$89.711
HI$89.711
IA$79.511
ID$79.931
IL$82.54–$88.794
IN$80.271
KS$79.311
KY$79.751
LA$79.69–$82.622
MA$87.23–$94.612
MD$85.53–$95.003
ME$80.33–$83.462
MI$81.38–$85.142
MN$84.231
MO$78.73–$82.743
MS$78.061
MT$84.831
NC$80.941
ND$83.251
NE$79.811
NH$86.301
NJ$90.66–$94.442
NM$81.741
NV$84.441
NY$81.86–$97.865
OH$81.051
OK$79.561
OR$83.87–$89.632
PA$81.10–$87.842
PR$85.281
RI$86.721
SC$81.111
SD$83.061
TN$79.621
TX$80.71–$87.158
UT$81.941
VA$83.31–$95.002
VI$85.281
VT$83.081
WA$87.02–$96.202
WI$81.151
WV$80.261
WY$84.141

See 67505 in every payment locality

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

Office or facility?

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,480

Code
67505
Physician work
1.15
Practice expense
1.31
Malpractice
0.08

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 67505 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.15× 1.0051.1557
Practice expense1.31× 0.9881.2943
Malpractice0.08× 0.8990.0719
Total RVUs2.5219
Conversion factor× 33.4009

Office rate, Delaware$84.24

Office: (1.15 × 1.005 + 1.31 × 0.988 + 0.08 × 0.899) × $33.4009 = $84.24

Facility: (1.15 × 1.005 + 0.51 × 0.988 + 0.08 × 0.899) × $33.4009 = $57.84

Open 67505 in the RVU calculator

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

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

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).

When to use modifier 50

Codes related to 67505

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

Codes related to 67505
CodeHow it relatesOffice range, Delaware
Used instead
67500Eye injection, retrobulbar medicationRetrobulbar route with anesthetic agent rather than therapeutic medication.$78.30
67515Eye injection, tenon's capsuleTherapeutic medication is delivered subconjunctivally rather than retrobulbarly.$51.39
67516Eye injection, suprachoroidal routeTherapeutic medication is delivered into the suprachoroidal space.$120.28
67599Unlisted orbit procedure, no dedicated CPT codeUnlisted orbit procedure for an orbital service without a specific listed code.No office rate

How 67505 has changed in Delaware

67505 · Office / nonfacility

$84.24

Effective 2026-10-01

The base rate is $2.52 higher than on 2025-10-01, moving from $81.72 to $84.24 (3.1%).

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

    $81.72changed to$84.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.18 changed to 1.15
    • Practice expense RVU 1.27 changed to 1.31
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $85.07changed to$81.72

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.29 changed to 1.27
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $83.68changed to$85.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $87.12changed to$83.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.28 changed to 1.29
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $88.49changed to$87.12

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.26 changed to 1.28
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $89.22changed to$88.49

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $85.96changed to$89.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.08 changed to 1.26
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $87.22changed to$85.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.11 changed to 1.08
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.12changed to$87.22

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 1.27 changed to 1.18
    • Practice expense RVU 1.13 changed to 1.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $91.89changed to$91.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.15 changed to 1.13
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $92.33changed to$91.89

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.16 changed to 1.15
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $92.66changed to$92.33

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $92.20changed to$92.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $97.41changed to$92.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.17 changed to 1.16
    • Malpractice RVU 0.25 changed to 0.09
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $94.43changed to$97.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.26 changed to 1.17
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $94.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$84.24$57.84RVU26D
2026-07-01$84.24$57.84RVU26C
2026-04-01$84.24$57.84RVU26B
2026-01-01$84.24$57.84RVU26A
2025-10-01$81.72$68.88RVU25D
2025-07-01$81.72$68.88RVU25C
2025-04-01$81.72$68.88RVU25B
2025-01-01$81.72$68.88RVU25A
2024-10-01$85.07$70.87RVU24D
2024-07-01$85.07$70.87RVU24C
2024-04-01$85.07$70.87RVU24B
2024-03-09$85.07$70.87RVU24AR
2024-01-01$83.68$69.72RVU24A
2023-10-01$87.12$72.45RVU23D
2023-07-01$87.12$72.45RVU23C
2023-04-01$87.12$72.45RVU23B
2023-01-01$87.12$72.45RVU23A
2022-10-01$88.49$72.93RVU22D
2022-07-01$88.49$72.93RVU22C
2022-04-01$88.49$72.93RVU22B
2022-01-01$88.49$72.93RVU22A
2021-10-01$89.22$73.53RVU21D
2021-07-01$89.22$73.53RVU21C
2021-04-01$89.22$73.53RVU21B
2021-01-01$89.22$73.53RVU21A
2020-10-01$85.96$72.33RVU20D
2020-07-01$85.96$72.33RVU20C
2020-04-01$85.96$72.33RVU20B
2020-01-01$85.96$72.33RVU20A
2019-10-01$87.22$74.36RVU19D
2019-07-01$87.22$74.36RVU19C
2019-04-01$87.22$74.36RVU19B
2019-01-01$87.22$74.36RVU19A
2018-10-01$91.12$83.41RVU18D
2018-07-01$91.12$83.41RVU18C
2018-04-01$91.12$83.41RVU18B
2018-01-01$91.12$83.41RVU18AR1
2017-10-01$91.89$84.17RVU17D
2017-07-01$91.89$84.17RVU17C
2017-04-01$91.89$84.17RVU17B
2017-01-01$91.89$84.17RVU17A
2016-10-01$92.33$84.58RVU16D
2016-07-01$92.33$84.58RVU16C
2016-04-01$92.33$84.58RVU16B
2016-01-01$92.33$84.58RVU16A
2015-10-01$92.66$84.88RVU15D
2015-07-01$92.66$84.88RVU15C
2015-04-01$92.20$84.46RVU15B
2015-01-01$92.20$84.46RVU15A
2014-10-01$97.41$89.60RVU14D
2014-07-01$97.41$89.60RVU14C
2014-04-01$97.41$89.60RVU14B
2014-01-01$97.41$89.60RVU14A
2013-10-01$94.43$85.90RVU13D
2013-07-01$94.43$85.90RVU13C
2013-04-01$94.43$85.90RVU13B
2013-01-01$94.43$85.90RVU13AR

Price 67505 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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

Show the CMS file lines behind this rate
RVUs for 67505PPRRVU2026_Oct_nonQPP.csv, line 7,480 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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