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Billing code 67108: Retinal detachment repairMedicare rate & RVUs

Reports vitrectomy-based surgery to reattach a detached retina, with adjunctive laser, cryotherapy, fluid drainage, or gas tamponade when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities26.4K Medicare services in 2024

Medicare pays $992.01 for 67108 nationally in a facility.

Medicare rate · 67108

Retinal detachment repair

Swap in your local Medicare rate.

Work RVUs
16.7
Total RVUs
29.70
Global days
090

National rate · 2026

$992.01

Facility setting, before claim adjustments.

See every locality for 67108 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 67108 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67108 covers

An ophthalmic surgeon uses vitrectomy to address vitreous traction and repair an established retinal detachment. The operation may include internal laser or cryotherapy, drainage of subretinal fluid, and air or gas tamponade as needed. It is typically performed in an operating room when the surgeon uses an intraocular approach to reattach the retina. Select this code for the vitrectomy-based repair rather than for preventive treatment of a retinal break or a repair performed without vitrectomy.

The operative report should support an established detachment and document the vitrectomy-based repair and any adjuncts performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 67108 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67108 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$924.00
Alaska*Unavailable$1,276.29
ArizonaUnavailable$973.53
ArkansasUnavailable$915.50
AtlantaUnavailable$1,008.85
AustinUnavailable$1,010.67
BakersfieldUnavailable$1,022.66
Baltimore/Surr. CntysUnavailable$1,039.91
BeaumontUnavailable$953.77
BrazoriaUnavailable$983.19

67108 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.

View every state and territory as a table
67108 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67108 rate is calculated

Each of 67108’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 · 67108

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 16.70Practice expense 11.67Malpractice 1.33

29.7000 adjusted RVUs×$33.4009 conversion factor=$992.01

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67108

67108 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67108

Retinal detachment repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67108

Retinal detachment repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67108 without 50 · national facility

$992.01

Retinal detachment repair

67108-50 · Bilateral: 150%

$1,488.02

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

67108 compared with similar codes

Compare codes

67108 vs 67107 vs 67113 vs 67110 vs 67101: national Medicare rates

Swap in your local Medicare rate.

  • 67108
    Retinal detachment repair · 16.7 wRVU
    —
  • 67107
    Retinal detachment repair · 15.6 wRVU
    —
  • 67113
    Retinal repair · 18.53 wRVU
    —
  • 67110
    Retinal detachment repair · 9.99 wRVU
    $891.47
  • 67101
    Retinal repair · 3.41 wRVU
    $335.35

How to choose

67107Retinal detachment repair
Use 67108 when the repair uses vitrectomy. Use 67107 for a repair using scleral buckling without vitrectomy.
67113Retinal repair
67113 is for complex retinal detachment repair with vitrectomy; 67108 is for the non-complex vitrectomy-based repair.
67110Retinal detachment repair
67110 describes pneumatic retinopexy using an intraocular gas injection; 67108 is the vitrectomy-based repair.
67101Retinal repair
67101 is repair by cryotherapy. It does not describe a vitrectomy-based retinal detachment repair.

Codes related to 67108

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

Codes related to 67108
CodeHow it relatesNational office range
Used instead
67107Retinal detachment repairRetinal detachment repair generally uses scleral buckling without vitrectomy.No office rate
67110Retinal detachment repairRepair by pneumatic retinopexy rather than vitrectomy-based repair.$803.63–$1,150.51
67101Retinal repairRetinal detachment repair by cryotherapy.$301.13–$437.89
67105Retinal detachment repairRetinal detachment repair by photocoagulation.$269.22–$386.32
Same family
67113Retinal repairFor complex retinal detachment repair involving vitrectomy.No office rate

67108 billing questions

How does 67108 differ from 67107?

67108 is for a retinal detachment repair using vitrectomy. 67107 is generally selected for repair using scleral buckling without vitrectomy.

When is 67113 considered instead?

67113 is the code for a complex retinal detachment repair with vitrectomy. Choose between the codes based on the documented operative procedure and complexity.

Are laser, cryotherapy, fluid drainage, or gas tamponade separately reported?

When performed as part of the 67108 repair, these are included elements of the service rather than separate procedures under this code.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care. CMS treats 67108 as major surgery.

How is bilateral surgery reported?

CMS lists 67108 as a bilateral procedure; modifier 50 is paid at 150%.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is 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 67108PPRRVU2026_Oct_nonQPP.csv, line 7,433 (RVU26D)

Open CMS sourceHow we calculate rates

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