Billing code 67500: Eye injectionMedicare rate & RVUs
Reports medication injected into the retrobulbar space behind the eye when treatment is delivered by this route rather than another periocular approach.
Medicare pays $78.83 for 67500 nationally in the office and $55.11 in a hospital or facility. Local office rates run $72.21–$99.29.
Medicare rate · 67500
Eye injection
Swap in your local Medicare rate.
- Work RVUs
- 1.15
- Total RVUs
- 2.36
- Global days
- 000
National rate · 2026
$78.83
Office setting, before claim adjustments.
See every locality for 67500 → · 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 67500 covers
An ophthalmologist or other qualified eye-care physician uses this service to deliver medication into the retrobulbar space behind the globe. The route distinguishes it from an injection under the conjunctiva or into the suprachoroidal space. It may be performed in an office or facility when treatment calls for medication to be placed in this specific location; the service is not the anesthetic-agent injection represented by a neighboring code.
Report the injection when documentation identifies the retrobulbar route, the medication administered, and the treated eye. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral services, 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 a 50% reduction. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting 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 67500 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
$72.21 to $99.29
109 of 109 payment localities
67500 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.
$72.21
$99.29
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 | $99.29 | 1 |
| AL | $72.95 | 1 |
| AR | $72.21 | 1 |
| AZ | $77.27 | 1 |
| CA | $81.86–$98.49 | 29 |
| CO | $81.12 | 1 |
| CT | $83.06 | 1 |
| DC | $87.92 | 1 |
| DE | $78.30 | 1 |
| FL | $78.51–$84.46 | 3 |
| GA | $75.26–$80.08 | 2 |
| GU | $82.87 | 1 |
| HI | $82.87 | 1 |
| IA | $74.01 | 1 |
| ID | $74.40 | 1 |
| IL | $77.05–$82.74 | 4 |
| IN | $74.70 | 1 |
| KS | $73.88 | 1 |
| KY | $74.41 | 1 |
| LA | $74.37–$76.96 | 2 |
| MA | $80.90–$87.43 | 2 |
| MD | $79.44–$87.92 | 3 |
| ME | $74.80–$77.50 | 2 |
| MI | $75.89–$79.34 | 2 |
| MN | $78.04 | 1 |
| MO | $73.55–$77.02 | 3 |
| MS | $72.88 | 1 |
| MT | $78.82 | 1 |
| NC | $75.33 | 1 |
| ND | $77.24 | 1 |
| NE | $74.26 | 1 |
| NH | $80.04 | 1 |
| NJ | $84.09–$87.47 | 2 |
| NM | $76.23 | 1 |
| NV | $78.42 | 1 |
| NY | $76.15–$90.71 | 5 |
| OH | $75.56 | 1 |
| OK | $74.19 | 1 |
| OR | $77.88–$82.95 | 2 |
| PA | $75.58–$81.58 | 2 |
| PR | $79.20 | 1 |
| RI | $80.51 | 1 |
| SC | $75.56 | 1 |
| SD | $77.05 | 1 |
| TN | $74.15 | 1 |
| TX | $75.24–$80.79 | 8 |
| UT | $76.29 | 1 |
| VA | $77.40–$87.92 | 2 |
| VI | $79.20 | 1 |
| VT | $77.13 | 1 |
| WA | $80.69–$88.83 | 2 |
| WI | $75.39 | 1 |
| WV | $75.03 | 1 |
| WY | $78.13 | 1 |
How the 67500 rate is calculated
Each of 67500’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 · 67500
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.15Practice expense 1.13Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67500
The CMS indicators that decide how 67500 is paid alongside other services.
CMS payment indicators · 67500
Eye injection
| 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
67500 without 50 · national office
$78.83
Eye injection
67500-50 · Bilateral: 150%
$118.25
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).
67500 compared with similar codes
Compare codes
67500 vs 67505 vs 67515 vs 67516: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67505Orbital injection
- Use 67500 for a retrobulbar medication injection; 67505 identifies a retrobulbar injection of an anesthetic agent.
- 67515Eye injection
- This code is for medication placed behind the globe in the retrobulbar space. Code 67515 describes a periocular injection by the subconjunctival route.
- 67516Eye injection
- This code describes a retrobulbar injection. Code 67516 is for delivery into the suprachoroidal space.
67500 billing questions
How is this code distinguished from 67505?
This code reports a retrobulbar medication injection. Code 67505 is for a retrobulbar injection of an anesthetic agent.
What documentation supports reporting this service?
Document the medication, the eye treated, and that the medication was injected into the retrobulbar space. The route helps distinguish this service from other periocular injection codes.
Can both eyes be reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid. Co-surgeons and team surgery are not permitted for this code.
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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