Billing code 67208: Retinal treatmentMedicare rate & RVUs
An ophthalmologist uses cryotherapy to treat a localized retinal lesion, such as a retinal tear, when freezing is the selected treatment method.
Medicare pays $604.89 for 67208 nationally in the office and $491.66 in a hospital or facility. Local office rates run $547.95–$771.67.
Medicare rate · 67208
Retinal treatment
Swap in your local Medicare rate.
- Work RVUs
- 7.46
- Total RVUs
- 18.11
- Global days
- 090
National rate · 2026
$604.89
Office setting, before claim adjustments.
See every locality for 67208 → · 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
What 67208 covers
An ophthalmologist, often a retina specialist, applies a cryoprobe to a focal retinal site to create a chorioretinal adhesion around a break or other localized lesion. Common situations include sealing a retinal tear or treating a discrete retinal tumor. The procedure may be performed in an office procedure room or operating room. The target is a localized retinal lesion, not diffuse retinopathy or an established retinal detachment requiring repair.
Report 67208 when cryotherapy is used for the localized retinal lesion; the code covers one or more treatment sessions. Documentation should identify the lesion, its retinal location and laterality, the clinical indication, and the cryotherapy performed. CMS classifies the service as major surgery with a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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 67208 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
$547.95 to $771.67
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $554.34 | $455.26 |
| Alaska* | $742.47 | $621.88 |
| Arizona | $591.64 | $481.92 |
| Arkansas | $547.95 | $450.69 |
| Atlanta | $614.98 | $499.93 |
| Austin | $622.63 | $502.83 |
| Bakersfield | $634.18 | $510.08 |
| Baltimore/Surr. Cntys | $638.08 | $516.58 |
| Beaumont | $573.25 | $470.21 |
| Brazoria | $599.52 | $487.31 |
| Chicago | $633.83 | $520.04 |
| Chico | $632.24 | $508.14 |
| Colorado | $625.07 | $504.59 |
| Connecticut | $639.89 | $517.94 |
| Dallas | $602.99 | $490.21 |
| Dc + Md/Va Suburbs | $680.38 | $547.00 |
| Delaware | $600.11 | $488.24 |
| Detroit | $606.65 | $497.38 |
| East St. Louis | $597.99 | $493.82 |
| El Centro | $632.34 | $508.24 |
| Fort Lauderdale | $625.18 | $510.48 |
| Fort Worth | $599.89 | $488.24 |
| Fresno | $632.24 | $508.14 |
| Galveston | $601.14 | $488.71 |
| Hanford-Corcoran | $632.24 | $508.14 |
| Hawaii, Guam | $642.63 | $513.89 |
| Houston | $611.94 | $499.50 |
| Idaho | $567.62 | $463.45 |
| Indiana | $570.23 | $465.27 |
| Iowa | $564.45 | $460.84 |
| Kansas | $562.86 | $460.50 |
| Kentucky | $565.92 | $465.26 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $669.98 | $536.03 |
| Madera | $632.24 | $508.14 |
| Manhattan | $686.82 | $555.25 |
| Merced | $632.24 | $508.14 |
| Metropolitan Boston | $678.13 | $542.93 |
| Metropolitan Kansas City | $583.94 | $477.62 |
| Metropolitan Philadelphia | $626.96 | $509.08 |
| Metropolitan St. Louis | $588.80 | $481.01 |
| Miami | $648.80 | $530.93 |
| Minnesota | $600.76 | $484.25 |
| Mississippi | $553.04 | $455.55 |
| Modesto | $632.24 | $508.14 |
| Montana** | $604.85 | $491.62 |
| Napa | $717.74 | $568.51 |
| Nebraska | $566.76 | $462.25 |
| Nevada** | $601.94 | $488.59 |
| New Hampshire | $616.20 | $498.33 |
| New Mexico | $580.96 | $477.13 |
| New Orleans | $587.75 | $481.20 |
| North Carolina | $575.26 | $469.62 |
| North Dakota** | $593.18 | $479.96 |
| Northern Nj | $675.69 | $544.34 |
| Nyc Suburbs/Long Island | $701.23 | $566.60 |
| Ohio | $575.81 | $472.44 |
| Oklahoma | $564.54 | $463.43 |
| Oxnard-Thousand Oaks-Ventura | $665.59 | $531.76 |
| Portland | $641.13 | $515.33 |
| Poughkpsie/N Nyc Suburbs | $652.16 | $528.18 |
| Puerto Rico | $608.29 | $493.82 |
| Queens | $690.70 | $556.87 |
| Redding | $632.24 | $508.14 |
| Rest Of California | $632.24 | $508.14 |
| Rest Of Florida | $600.02 | $491.77 |
| Rest Of Georgia | $572.38 | $471.38 |
| Rest Of Illinois | $586.75 | $483.37 |
| Rest Of Louisiana | $565.42 | $465.21 |
| Rest Of Maine | $570.56 | $466.39 |
| Rest Of Maryland | $609.80 | $495.21 |
| Rest Of Massachusetts | $622.69 | $503.46 |
| Rest Of Michigan | $578.20 | $474.82 |
| Rest Of Missouri | $558.01 | $460.40 |
| Rest Of New Jersey | $647.68 | $524.04 |
| Rest Of New York | $582.24 | $474.67 |
| Rest Of Oregon | $597.69 | $484.92 |
| Rest Of Pennsylvania | $576.25 | $472.31 |
| Rest Of Texas | $585.84 | $478.39 |
| Rest Of Washington | $621.23 | $502.00 |
| Rhode Island | $618.58 | $501.62 |
| Riverside-San Bernardino-Ontario | $638.74 | $514.64 |
| Sacramento-Roseville-Folsom | $659.49 | $527.80 |
| Salinas | $656.90 | $525.66 |
| San Diego-Chula Vista-Carlsbad | $669.20 | $533.78 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $755.67 | $596.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $755.00 | $595.34 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $771.67 | $608.40 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $768.93 | $605.66 |
| San Luis Obispo-Paso Robles | $646.69 | $517.72 |
| Santa Cruz-Watsonville | $673.22 | $535.65 |
| Santa Maria-Santa Barbara | $658.50 | $526.48 |
| Santa Rosa-Petaluma | $679.83 | $540.79 |
| Seattle (King Cnty) | $690.02 | $551.09 |
| South Carolina | $576.40 | $471.77 |
| South Dakota** | $591.81 | $478.58 |
| Southern Maine | $594.59 | $482.38 |
| Stockton | $632.24 | $508.14 |
| Suburban Chicago | $630.92 | $514.63 |
| Tennessee | $565.19 | $462.26 |
| Utah | $582.72 | $476.28 |
| Vallejo | $716.78 | $567.54 |
| Vermont | $591.80 | $479.70 |
| Virgin Islands | $608.29 | $493.82 |
| Virginia | $593.38 | $482.08 |
| Visalia | $632.24 | $508.14 |
| West Virginia | $569.37 | $470.97 |
| Wisconsin | $577.14 | $468.67 |
| Wyoming** | $599.77 | $486.54 |
| Yuba City | $632.24 | $508.14 |
67208 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.
$547.95
$742.47
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 | $742.47 | 1 |
| AL | $554.34 | 1 |
| AR | $547.95 | 1 |
| AZ | $591.64 | 1 |
| CA | $632.24–$771.67 | 29 |
| CO | $625.07 | 1 |
| CT | $639.89 | 1 |
| DC | $680.38 | 1 |
| DE | $600.11 | 1 |
| FL | $600.02–$648.80 | 3 |
| GA | $572.38–$614.98 | 2 |
| GU | $642.63 | 1 |
| HI | $642.63 | 1 |
| IA | $564.45 | 1 |
| ID | $567.62 | 1 |
| IL | $586.75–$633.83 | 4 |
| IN | $570.23 | 1 |
| KS | $562.86 | 1 |
| KY | $565.92 | 1 |
| LA | $565.42–$587.75 | 2 |
| MA | $622.69–$678.13 | 2 |
| MD | $609.80–$680.38 | 3 |
| ME | $570.56–$594.59 | 2 |
| MI | $578.20–$606.65 | 2 |
| MN | $600.76 | 1 |
| MO | $558.01–$588.80 | 3 |
| MS | $553.04 | 1 |
| MT | $604.85 | 1 |
| NC | $575.26 | 1 |
| ND | $593.18 | 1 |
| NE | $566.76 | 1 |
| NH | $616.20 | 1 |
| NJ | $647.68–$675.69 | 2 |
| NM | $580.96 | 1 |
| NV | $601.94 | 1 |
| NY | $582.24–$701.23 | 5 |
| OH | $575.81 | 1 |
| OK | $564.54 | 1 |
| OR | $597.69–$641.13 | 2 |
| PA | $576.25–$626.96 | 2 |
| PR | $608.29 | 1 |
| RI | $618.58 | 1 |
| SC | $576.40 | 1 |
| SD | $591.81 | 1 |
| TN | $565.19 | 1 |
| TX | $573.25–$622.63 | 8 |
| UT | $582.72 | 1 |
| VA | $593.38–$680.38 | 2 |
| VI | $608.29 | 1 |
| VT | $591.80 | 1 |
| WA | $621.23–$690.02 | 2 |
| WI | $577.14 | 1 |
| WV | $569.37 | 1 |
| WY | $599.77 | 1 |
How the 67208 rate is calculated
Each of 67208’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 · 67208
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.46Practice expense 10.06Malpractice 0.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67208
67208 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67208
Retinal treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67208
Retinal treatment
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67208 without 50 · national office
$604.89
Retinal treatment
67208-50 · Bilateral: 150%
$907.34
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).
67208 compared with similar codes
Compare codes
67208 vs 67210 vs 67218 vs 67101 vs 67220: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67210Retinal laser
- Choose 67208 for cryotherapy of a localized retinal lesion and 67210 when photocoagulation is used.
- 67218Retinal treatment
- 67218 is the diathermy approach to a localized retinal lesion; 67208 is the cryotherapy approach.
- 67101Retinal repair
- 67208 treats a localized retinal lesion, such as a tear. 67101 is for repair of a retinal detachment using cryotherapy or diathermy.
- 67220Choroidal lesion treatment
- 67208 addresses a retinal lesion; 67220 addresses a lesion in the choroid.
67208 billing questions
How does 67208 differ from 67210?
67208 is for cryotherapy of a localized retinal lesion. Use 67210 when photocoagulation is the treatment method.
When is 67218 more appropriate?
67218 describes treatment of a localized retinal lesion by diathermy. Distinguish it from 67208 by the method documented: diathermy versus cryotherapy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
How is bilateral treatment reported?
For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. 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
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