CPT code 67515: Eye injection, tenon's capsule2026 Medicare rate & RVUs
Reports therapeutic medication delivered into Tenon's capsule, such as periocular corticosteroid treatment for selected cases of ocular inflammation or macular edema.
Medicare pays $51.77 for 67515 nationally in the office and $38.41 in a hospital or facility. Local office rates run $47.22–$64.74.
Medicare rate · 67515
Eye injection, tenon's capsule
- Work RVUs
- 0.73
- Total RVUs
- 1.55
- Global days
- 000
National rate · 2026
$51.77
Office setting, before claim adjustments.
See every locality for 67515 →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 67515 covers
An ophthalmologist delivers medication into the sub-Tenon space, beneath the conjunctiva and around the eye. A common use is periocular corticosteroid treatment for conditions such as uveitis or cystoid macular edema when this route is selected. The service may be performed in an office or facility, and is distinct from medication placed into the retrobulbar or suprachoroidal space.
Report the injection when documentation identifies the therapeutic agent, Tenon's-capsule route, treated eye, and clinical indication. The medication may be separately reportable when applicable; the injection code represents the delivery service. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting with modifier 50, Medicare pays 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; 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 67515 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
$47.22 to $64.74
109 of 109 payment localities
67515 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$47.22
$64.71
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 | $64.71 | 1 |
| AL | $47.73 | 1 |
| AR | $47.22 | 1 |
| AZ | $50.70 | 1 |
| CA | $53.69–$64.74 | 29 |
| CO | $53.25 | 1 |
| CT | $54.63 | 1 |
| DC | $57.83 | 1 |
| DE | $51.39 | 1 |
| FL | $51.66–$55.88 | 3 |
| GA | $49.41–$52.65 | 2 |
| GU | $54.41 | 1 |
| HI | $54.41 | 1 |
| IA | $48.41 | 1 |
| ID | $48.68 | 1 |
| IL | $50.69–$54.66 | 4 |
| IN | $48.89 | 1 |
| KS | $48.34 | 1 |
| KY | $48.78 | 1 |
| LA | $48.77–$50.55 | 2 |
| MA | $53.10–$57.48 | 2 |
| MD | $52.16–$57.83 | 3 |
| ME | $48.98–$50.80 | 2 |
| MI | $49.82–$52.26 | 2 |
| MN | $51.10 | 1 |
| MO | $48.22–$50.56 | 3 |
| MS | $47.72 | 1 |
| MT | $51.77 | 1 |
| NC | $49.35 | 1 |
| ND | $50.58 | 1 |
| NE | $48.57 | 1 |
| NH | $52.56 | 1 |
| NJ | $55.28–$57.51 | 2 |
| NM | $50.07 | 1 |
| NV | $51.46 | 1 |
| NY | $49.91–$59.85 | 5 |
| OH | $49.58 | 1 |
| OK | $48.61 | 1 |
| OR | $51.07–$54.47 | 2 |
| PA | $49.58–$53.64 | 2 |
| PR | $52.02 | 1 |
| RI | $52.86 | 1 |
| SC | $49.54 | 1 |
| SD | $50.44 | 1 |
| TN | $48.53 | 1 |
| TX | $49.34–$53.06 | 8 |
| UT | $50.04 | 1 |
| VA | $50.75–$57.83 | 2 |
| VI | $52.02 | 1 |
| VT | $50.53 | 1 |
| WA | $52.95–$58.39 | 2 |
| WI | $49.32 | 1 |
| WV | $49.31 | 1 |
| WY | $51.25 | 1 |
How the 67515 rate is calculated
Each of 67515’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 · 67515
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense0.76
0.76 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.5500
Conversion factor
$33.4009
Medicare rate
$51.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67515
The CMS indicators that decide how 67515 is paid alongside other services.
CMS payment indicators · 67515
Eye injection, tenon's capsule
| 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
67515 without 50 · national office
$51.77
Eye injection, tenon's capsule
67515-50 · Bilateral: 150%
$77.66
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).
67515 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67500Eye injectionRetrobulbar medication
- Choose 67515 for medication delivered into Tenon's capsule; choose 67500 when the documented injection is retrobulbar.
- 67505Orbital injectionTherapeutic agent, retrobulbar
- Code 67505 describes retrobulbar injection of alcohol. It is not the Tenon's-capsule medication route reported with 67515.
- 67516Eye injectionSuprachoroidal route
- Code 67516 is for delivery into the suprachoroidal space; 67515 identifies delivery into Tenon's capsule.
67515 billing questions
How does this differ from 67500?
Code 67515 is for medication delivered into Tenon's capsule. Code 67500 describes a retrobulbar injection, a different anatomic route.
Can the medication be billed separately?
The code reports the injection service. The medication may be separately reportable when it is eligible for separate reporting and the record supports the drug and amount used.
What documentation supports this code?
Document the therapeutic agent, the Tenon's-capsule route, the treated eye, and the condition prompting treatment.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50. Medicare pays 150% under the bilateral rule.
Does a same-day evaluation or follow-up add to the procedure?
Same-day preoperative and postoperative care is included in the 0-day global period. A separate service requires documentation supporting a distinct, separately reportable service.
What happens when another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and other procedures at 50%. An assistant at surgery is not paid, and 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
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