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CMS RVU26D · Effective 2026-10-01

67025 in Austin

Office / nonfacility

$767.21

Base rate per service

Facility setting

$553.06

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmology surgery

About 67025: Vitreous substitute fluid-gas exchange

Reports aspiration of vitreous followed by placement of a vitreous substitute, commonly for a retinal condition requiring fluid-gas exchange.

An ophthalmologist, often a retina surgeon, performs this procedure through a pars plana or limbal approach. The surgeon aspirates vitreous and introduces a substitute, such as gas, to exchange the eye’s internal fluid. It may be used in retinal care when an exchange is needed, including in selected retinal detachment cases. The service is generally performed in an operating room or ambulatory surgery setting.

Report the procedure when the operative work includes both vitreous aspiration and replacement with a substitute; aspiration or release alone and mechanical vitrectomy are distinct services. The operative note should identify the indication, eye, approach, aspiration, and substitute placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted by statute; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 67025

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.91 · 36%
  • Practice expense (office) RVU13.70 · 62%
  • Malpractice RVU0.62 · 3%

518

Medicare services in 2024 · #3534 by national volume

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.

67025 compared with similar codes

Office rates for Austin, from the same CMS release.

67015

Choroidal drainage

Posterior sclerotomy

No office rate

67015 describes aspiration or release of vitreous. Choose 67025 when the procedure also introduces a vitreous substitute.

67036

Vitrectomy

Pars plana approach

No office rate

67036 is mechanical pars plana vitrectomy. Choose 67025 for aspiration with substitute placement rather than mechanical vitreous removal as the principal service.

67028

Intravitreal injection

Medication delivered into vitreous cavity

$117.61

67028 reports an intravitreal pharmacologic injection. It does not describe exchanging vitreous with a substitute.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 67025 is $699.85—$67.36 lower than the $767.21 rate in Austin. Both use the same code, release and participation basis.

67025 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $767.21

  2. Beaumont

    $699.85

    $67.36 lower than Austin

  3. Brazoria

    $735.94

    $31.27 lower than Austin

  4. Dallas

    $740.11

    $27.10 lower than Austin

  5. Fort Worth

    $735.80

    $31.41 lower than Austin

  6. Galveston

    $737.85

    $29.36 lower than Austin

  7. Houston

    $749.20

    $18.01 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 67025 ranges from $667.94 in Arkansas to $964.21 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 67025

    Office

    $717.16

    Facility

    $525.07

    $50.05 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 67025

    Office

    $830.12

    Facility

    $590.67

    $62.91 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67025

    Office

    $840.56

    Facility

    $602.12

    $73.35 higher than Austin for the office setting.

  • Miami

    Florida · 67025

    Office

    $792.93

    Facility

    $582.22

    $25.72 higher than Austin for the office setting.

  • Chicago

    Illinois · 67025

    Office

    $773.46

    Facility

    $570.04

    $6.25 higher than Austin for the office setting.

  • Manhattan

    New York · 67025

    Office

    $845.68

    Facility

    $610.48

    $78.47 higher than Austin for the office setting.

  • Alaska*

    Alaska · 67025

    Office

    $895.05

    Facility

    $679.48

    $127.84 higher than Austin for the office setting.

  • Alabama

    Alabama · 67025

    Office

    $676.32

    Facility

    $499.21

    $90.89 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 67025

    Office

    $667.94

    Facility

    $494.07

    $99.27 lower than Austin for the office setting.

  • Arizona

    Arizona · 67025

    Office

    $725.33

    Facility

    $529.20

    $41.88 lower than Austin for the office setting.

  • Bakersfield

    California · 67025

    Office

    $783.35

    Facility

    $561.51

    $16.14 higher than Austin for the office setting.

  • Chico

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • El Centro

    California · 67025

    Office

    $781.42

    Facility

    $559.58

    $14.21 higher than Austin for the office setting.

  • Fresno

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Madera

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Merced

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Modesto

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Napa

    California · 67025

    Office

    $894.47

    Facility

    $627.70

    $127.26 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67025

    Office

    $825.37

    Facility

    $586.13

    $58.16 higher than Austin for the office setting.

  • Redding

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Rest Of California

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67025

    Office

    $788.14

    Facility

    $566.30

    $20.93 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67025

    Office

    $816.99

    Facility

    $581.59

    $49.78 higher than Austin for the office setting.

  • Salinas

    California · 67025

    Office

    $813.84

    Facility

    $579.25

    $46.63 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67025

    Office

    $830.63

    Facility

    $588.55

    $63.42 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67025

    Office

    $944.01

    Facility

    $658.61

    $176.80 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 67025

    Office

    $943.31

    Facility

    $657.91

    $176.10 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 67025

    Office

    $964.21

    Facility

    $672.34

    $197.00 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 67025

    Office

    $961.33

    Facility

    $669.46

    $194.12 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67025

    Office

    $800.99

    Facility

    $570.45

    $33.78 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 67025

    Office

    $836.82

    Facility

    $590.90

    $69.61 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 67025

    Office

    $816.25

    Facility

    $580.24

    $49.04 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 67025

    Office

    $845.15

    Facility

    $596.59

    $77.94 higher than Austin for the office setting.

  • Stockton

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Vallejo

    California · 67025

    Office

    $893.46

    Facility

    $626.68

    $126.25 higher than Austin for the office setting.

  • Visalia

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Yuba City

    California · 67025

    Office

    $781.31

    Facility

    $559.47

    $14.10 higher than Austin for the office setting.

  • Colorado

    Colorado · 67025

    Office

    $770.42

    Facility

    $555.06

    $3.21 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 67025

    Office

    $787.37

    Facility

    $569.37

    $20.16 higher than Austin for the office setting.

  • Delaware

    Delaware · 67025

    Office

    $736.24

    Facility

    $536.26

    $30.97 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 67025

    Office

    $765.18

    Facility

    $560.14

    $2.03 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 67025

    Office

    $732.78

    Facility

    $539.28

    $34.43 lower than Austin for the office setting.

  • Atlanta

    Georgia · 67025

    Office

    $754.78

    Facility

    $549.13

    $12.43 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 67025

    Office

    $697.06

    Facility

    $516.51

    $70.15 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 67025

    Office

    $796.47

    Facility

    $566.33

    $29.26 higher than Austin for the office setting.

  • Iowa

    Iowa · 67025

    Office

    $691.12

    Facility

    $505.91

    $76.09 lower than Austin for the office setting.

  • Idaho

    Idaho · 67025

    Office

    $694.98

    Facility

    $508.76

    $72.23 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 67025

    Office

    $726.89

    Facility

    $540.68

    $40.32 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 67025

    Office

    $714.35

    Facility

    $529.55

    $52.86 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 67025

    Office

    $772.69

    Facility

    $564.82

    $5.48 higher than Austin for the office setting.

  • Indiana

    Indiana · 67025

    Office

    $698.45

    Facility

    $510.82

    $68.76 lower than Austin for the office setting.

  • Kansas

    Kansas · 67025

    Office

    $688.30

    Facility

    $505.32

    $78.91 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 67025

    Office

    $689.95

    Facility

    $510.01

    $77.26 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 67025

    Office

    $718.32

    Facility

    $527.85

    $48.89 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 67025

    Office

    $689.01

    Facility

    $509.88

    $78.20 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 67025

    Office

    $839.83

    Facility

    $598.15

    $72.62 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67025

    Office

    $766.78

    Facility

    $553.64

    $0.43 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67025

    Office

    $785.04

    Facility

    $567.86

    $17.83 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 67025

    Office

    $748.94

    Facility

    $544.10

    $18.27 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 67025

    Office

    $698.07

    Facility

    $511.85

    $69.14 lower than Austin for the office setting.

  • Southern Maine

    Maine · 67025

    Office

    $730.74

    Facility

    $530.15

    $36.47 lower than Austin for the office setting.

  • Detroit

    Michigan · 67025

    Office

    $740.69

    Facility

    $545.37

    $26.52 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 67025

    Office

    $705.36

    Facility

    $520.56

    $61.85 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 67025

    Office

    $741.19

    Facility

    $532.91

    $26.02 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 67025

    Office

    $714.11

    Facility

    $524.05

    $53.10 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 67025

    Office

    $720.58

    Facility

    $527.89

    $46.63 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 67025

    Office

    $678.82

    Facility

    $504.34

    $88.39 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 67025

    Office

    $673.49

    Facility

    $499.22

    $93.72 lower than Austin for the office setting.

  • Montana**

    Montana · 67025

    Office

    $742.46

    Facility

    $540.05

    $24.75 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 67025

    Office

    $704.37

    Facility

    $515.52

    $62.84 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 67025

    Office

    $730.20

    Facility

    $527.79

    $37.01 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 67025

    Office

    $694.39

    Facility

    $507.56

    $72.82 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 67025

    Office

    $758.67

    Facility

    $547.97

    $8.54 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 67025

    Office

    $833.77

    Facility

    $598.97

    $66.56 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 67025

    Office

    $797.18

    Facility

    $576.15

    $29.97 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 67025

    Office

    $708.68

    Facility

    $523.07

    $58.53 lower than Austin for the office setting.

  • Nevada**

    Nevada · 67025

    Office

    $739.50

    Facility

    $536.89

    $27.71 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67025

    Office

    $863.64

    Facility

    $622.98

    $96.43 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67025

    Office

    $802.21

    Facility

    $580.57

    $35.00 higher than Austin for the office setting.

  • Queens

    New York · 67025

    Office

    $851.85

    Facility

    $612.60

    $84.64 higher than Austin for the office setting.

  • Rest Of New York

    New York · 67025

    Office

    $713.47

    Facility

    $521.18

    $53.74 lower than Austin for the office setting.

  • Ohio

    Ohio · 67025

    Office

    $702.86

    Facility

    $518.06

    $64.35 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 67025

    Office

    $688.92

    Facility

    $508.17

    $78.29 lower than Austin for the office setting.

  • Portland

    Oregon · 67025

    Office

    $792.22

    Facility

    $567.34

    $25.01 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 67025

    Office

    $734.52

    Facility

    $532.92

    $32.69 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67025

    Office

    $770.02

    Facility

    $559.31

    $2.81 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67025

    Office

    $703.84

    Facility

    $518.03

    $63.37 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 67025

    Office

    $747.22

    Facility

    $542.59

    $19.99 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 67025

    Office

    $760.39

    Facility

    $551.30

    $6.82 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 67025

    Office

    $704.62

    Facility

    $517.59

    $62.59 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 67025

    Office

    $728.75

    Facility

    $526.34

    $38.46 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 67025

    Office

    $691.27

    Facility

    $507.28

    $75.94 lower than Austin for the office setting.

  • Utah

    Utah · 67025

    Office

    $712.93

    Facility

    $522.67

    $54.28 lower than Austin for the office setting.

  • Virginia

    Virginia · 67025

    Office

    $728.63

    Facility

    $529.67

    $38.58 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67025

    Office

    $747.22

    Facility

    $542.59

    $19.99 lower than Austin for the office setting.

  • Vermont

    Vermont · 67025

    Office

    $727.70

    Facility

    $527.31

    $39.51 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 67025

    Office

    $765.24

    Facility

    $552.10

    $1.97 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 67025

    Office

    $855.80

    Facility

    $607.44

    $88.59 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 67025

    Office

    $708.95

    Facility

    $515.04

    $58.26 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 67025

    Office

    $691.48

    Facility

    $515.59

    $75.73 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 67025

    Office

    $737.12

    Facility

    $534.71

    $30.09 lower than Austin for the office setting.

See how rates vary across the country

67025 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$667.94

$895.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$895.051
AL$676.321
AR$667.941
AZ$725.331
CA$781.31–$964.2129
CO$770.421
CT$787.371
DC$840.561
DE$736.241
FL$732.78–$792.933
GA$697.06–$754.782
GU$796.471
HI$796.471
IA$691.121
ID$694.981
IL$714.35–$773.464
IN$698.451
KS$688.301
KY$689.951
LA$689.01–$718.322
MA$766.78–$839.832
MD$748.94–$840.563
ME$698.07–$730.742
MI$705.36–$740.692
MN$741.191
MO$678.82–$720.583
MS$673.491
MT$742.461
NC$704.371
ND$730.201
NE$694.391
NH$758.671
NJ$797.18–$833.772
NM$708.681
NV$739.501
NY$713.47–$863.645
OH$702.861
OK$688.921
OR$734.52–$792.222
PA$703.84–$770.022
PR$747.221
RI$760.391
SC$704.621
SD$728.751
TN$691.271
TX$699.85–$767.218
UT$712.931
VA$728.63–$840.562
VI$747.221
VT$727.701
WA$765.24–$855.802
WI$708.951
WV$691.481
WY$737.121

Explore 67025 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 67025 in Austin, the physician’s office rate is $767.21 and the facility-setting rate is $553.06: a difference of $214.15.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67025 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$843.93

$767.21 × 110% = $843.93

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67025 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,419

Code
67025
Physician work
7.91
Practice expense
13.70
Malpractice
0.62

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 67025 in Austin
ComponentRVULocality factorAdjusted
Physician work7.91× 1.0027.9258
Practice expense13.70× 1.05814.4946
Malpractice0.62× 0.8860.5493
Total RVUs22.9697
Conversion factor× 33.4009

Office / nonfacility rate, Austin$767.21

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 67025 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.911.002
Practice expense13.71.058
Malpractice0.620.886

(7.91 × 1.002 + 13.7 × 1.058 + 0.62 × 0.886) × $33.4009 = $767.21

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.911.002
Practice expense7.641.058
Malpractice0.620.886

(7.91 × 1.002 + 7.64 × 1.058 + 0.62 × 0.886) × $33.4009 = $553.06

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

67025 · Office / nonfacility

$767.21

Effective 2026-10-01

The base rate is $42.01 higher than on 2025-10-01, moving from $725.20 to $767.21 (5.8%).

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

    $725.20changed to$767.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 8.11 changed to 7.91
    • Practice expense RVU 13.13 changed to 13.70
    • Malpractice RVU 0.63 changed to 0.62
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $725.20

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$767.21$553.06RVU26D
2026-07-01$767.21$553.06RVU26C
2026-04-01$767.21$553.06RVU26B
2026-01-01$767.21$553.06RVU26A
2025-10-01$725.20$618.29RVU25D
2025-07-01$725.20$618.29RVU25C
2025-04-01$725.20$618.29RVU25B
2025-01-01$725.20$618.29RVU25A

67025 billing questions

When should this be reported instead of 67015?

Report 67025 when the surgeon aspirates vitreous and replaces it with a vitreous substitute. Code 67015 describes aspiration or release without that replacement.

Is vitreous aspiration included in this service?

Yes. Aspiration is part of the vitreous exchange service; do not separately report aspiration for the same work.

How does this differ from 67036?

67025 centers on vitreous aspiration and substitute placement. Use 67036 when the documented service is mechanical pars plana vitrectomy.

What documentation supports reporting this code?

The operative report should establish the indication, treated eye, pars plana or limbal approach, vitreous aspiration, and placement of a substitute.

How is bilateral surgery handled?

CMS pays bilateral reporting with modifier 50 at 150%. The code also has a 90-day global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted by statute. Co-surgeons are paid only when supporting documentation is provided; 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 67025PPRRVU2026_Oct_nonQPP.csv, line 7,419 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet