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CPT code 67515: Eye injection, tenon's capsule2026 Medicare rate & RVUs in Queens, NY

Reports therapeutic medication delivered into Tenon's capsule, such as periocular corticosteroid treatment for selected cases of ocular inflammation or macular edema.

CMS RVU26DEffective Oct 1, 2026One payment locality17.1K Medicare services in 2024

In Queens, NY, Medicare pays $58.84 for 67515 in the office and $43.05 when it’s performed in a hospital or facility.

$58.84Office (non-facility)
$43.05Hospital or facility
+13.7%vs the national office rate ($51.77)

Check a contract rate as a % of Medicare · 67515 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 67515 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 67515 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 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.

How Queens, NY compares for 67515

Across 109 of 109 payment localities, the office rate for 67515 runs from $47.22 in Arkansas to $64.74 in San Benito County, CA. Queens, NY pays $58.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

67515 in Queens, NY vs other payment areas
  1. Queens, NY · this page$58.84
  2. Manhattan, NY · New York$58.62−$0.22
  3. NYC suburbs and Long Island, NY · New York$59.85+$1.01
  4. Poughkeepsie and northern NYC suburbs, NY · New York$55.70−$3.14
  5. Rest of New York · New York$49.91−$8.93
  6. Los Angeles, CA · California$56.74−$2.10
  7. Washington, DC area · District of Columbia$57.83−$1.01

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

Every other payment area

67515 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$55.88$41.97
Chicago, ILIllinois$54.66$41.24
AlaskaAlaska$64.71$50.48
AlabamaAlabama$47.73$36.04
ArkansasArkansas$47.22$35.74
ArizonaArizona$50.70$37.75
Bakersfield, CACalifornia$53.89$39.25
Chico, CACalifornia$53.69$39.05

67515 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.

$47.22

$64.71

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

View every state and territory as a table
67515 office rate range by state
State / territoryOffice rate rangeLocalities
AK$64.711
AL$47.731
AR$47.221
AZ$50.701
CA$53.69–$64.7429
CO$53.251
CT$54.631
DC$57.831
DE$51.391
FL$51.66–$55.883
GA$49.41–$52.652
GU$54.411
HI$54.411
IA$48.411
ID$48.681
IL$50.69–$54.664
IN$48.891
KS$48.341
KY$48.781
LA$48.77–$50.552
MA$53.10–$57.482
MD$52.16–$57.833
ME$48.98–$50.802
MI$49.82–$52.262
MN$51.101
MO$48.22–$50.563
MS$47.721
MT$51.771
NC$49.351
ND$50.581
NE$48.571
NH$52.561
NJ$55.28–$57.512
NM$50.071
NV$51.461
NY$49.91–$59.855
OH$49.581
OK$48.611
OR$51.07–$54.472
PA$49.58–$53.642
PR$52.021
RI$52.861
SC$49.541
SD$50.441
TN$48.531
TX$49.34–$53.068
UT$50.041
VA$50.75–$57.832
VI$52.021
VT$50.531
WA$52.95–$58.392
WI$49.321
WV$49.311
WY$51.251

See 67515 in every payment locality

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

Office or facility?

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.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,481

Code
67515
Physician work
0.73
Practice expense
0.76
Malpractice
0.06

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 67515 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0640.7767
Practice expense0.76× 1.1820.8983
Malpractice0.06× 1.4420.0865
Total RVUs1.7616
Conversion factor× 33.4009

Office rate, Queens, NY$58.84

Office: (0.73 × 1.064 + 0.76 × 1.182 + 0.06 × 1.442) × $33.4009 = $58.84

Facility: (0.73 × 1.064 + 0.36 × 1.182 + 0.06 × 1.442) × $33.4009 = $43.05

Open 67515 in the RVU calculator

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

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

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).

When to use modifier 50

Codes related to 67515

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

Codes related to 67515
CodeHow it relatesOffice range, Queens, NY
Used instead
67500Eye injection, retrobulbar medicationUsed when therapeutic medication is delivered by the retrobulbar route rather than into Tenon's capsule.$89.33
67516Eye injection, suprachoroidal routeReports medication delivery into the suprachoroidal space, a different ocular route.$138.48
67599Unlisted orbit procedure, no dedicated CPT codeUnlisted orbit procedure code for an orbital service without a specific code describing the technique.No office rate

How 67515 has changed in Queens, NY

67515 · Office / nonfacility

$58.84

Effective 2026-10-01

The base rate is $2.81 higher than on 2025-10-01, moving from $56.03 to $58.84 (5.0%).

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

    $56.03changed to$58.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 0.72 changed to 0.76
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $58.15changed to$56.03

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $57.20changed to$58.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $60.73changed to$57.20

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $63.60changed to$60.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.70 changed to 0.72
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $61.84changed to$63.60

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.69 changed to 0.70
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $77.52changed to$61.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.00 changed to 0.69
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $94.53changed to$77.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.44 changed to 1.00
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $115.09changed to$94.53

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 1.40 changed to 0.75
    • Practice expense RVU 1.26 changed to 1.44
    • Malpractice RVU 0.10 changed to 0.05

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $114.41changed to$115.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.25 changed to 1.26
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $113.77changed to$114.41

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.24 changed to 1.25
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $114.18changed to$113.77

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $113.62changed to$114.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $123.05changed to$113.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.25 changed to 1.24
    • Malpractice RVU 0.25 changed to 0.10
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $118.66changed to$123.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.35 changed to 1.25
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $118.66

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$58.84$43.05RVU26D
2026-07-01$58.84$43.05RVU26C
2026-04-01$58.84$43.05RVU26B
2026-01-01$58.84$43.05RVU26A
2025-10-01$56.03$51.01RVU25D
2025-07-01$56.03$51.01RVU25C
2025-04-01$56.03$51.01RVU25B
2025-01-01$56.03$51.01RVU25A
2024-10-01$58.15$52.58RVU24D
2024-07-01$58.15$52.58RVU24C
2024-04-01$58.15$52.58RVU24B
2024-03-09$58.15$52.58RVU24AR
2024-01-01$57.20$51.72RVU24A
2023-10-01$60.73$54.98RVU23D
2023-07-01$60.73$54.98RVU23C
2023-04-01$60.73$54.98RVU23B
2023-01-01$60.73$54.98RVU23A
2022-10-01$63.60$57.23RVU22D
2022-07-01$63.60$57.23RVU22C
2022-04-01$63.60$57.23RVU22B
2022-01-01$63.60$57.23RVU22A
2021-10-01$61.84$56.27RVU21D
2021-07-01$61.84$56.27RVU21C
2021-04-01$61.84$56.27RVU21B
2021-01-01$61.84$56.27RVU21A
2020-10-01$77.52$71.39RVU20D
2020-07-01$77.52$71.39RVU20C
2020-04-01$77.52$71.39RVU20B
2020-01-01$77.52$71.39RVU20A
2019-10-01$94.53$86.75RVU19D
2019-07-01$94.53$86.75RVU19C
2019-04-01$94.53$86.75RVU19B
2019-01-01$94.53$86.75RVU19A
2018-10-01$115.09$105.58RVU18D
2018-07-01$115.09$105.58RVU18C
2018-04-01$115.09$105.58RVU18B
2018-01-01$115.09$105.58RVU18AR1
2017-10-01$114.41$105.37RVU17D
2017-07-01$114.41$105.37RVU17C
2017-04-01$114.41$105.37RVU17B
2017-01-01$114.41$105.37RVU17A
2016-10-01$113.77$104.76RVU16D
2016-07-01$113.77$104.76RVU16C
2016-04-01$113.77$104.76RVU16B
2016-01-01$113.77$104.76RVU16A
2015-10-01$114.18$105.14RVU15D
2015-07-01$114.18$105.14RVU15C
2015-04-01$113.62$104.61RVU15B
2015-01-01$113.62$104.61RVU15A
2014-10-01$123.05$114.05RVU14D
2014-07-01$123.05$114.05RVU14C
2014-04-01$123.05$114.05RVU14B
2014-01-01$123.05$114.05RVU14A
2013-10-01$118.66$108.90RVU13D
2013-07-01$118.66$108.90RVU13C
2013-04-01$118.66$108.90RVU13B
2013-01-01$118.66$108.90RVU13AR

Price 67515 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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

Show the CMS file lines behind this rate
RVUs for 67515PPRRVU2026_Oct_nonQPP.csv, line 7,481 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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