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CMS RVU26D · Effective 2026-10-01

67113 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$1131.54

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.

Retinal surgery

About 67113: Complex retinal detachment repair with vitrectomy

Reports vitrectomy-based repair of a complex retinal detachment, such as one involving proliferative vitreoretinopathy or diabetic traction.

A vitreoretinal surgeon uses this code for complex retinal detachment repair involving vitrectomy and membrane peeling. Cases may involve proliferative vitreoretinopathy or traction from diabetic retinopathy. Depending on the operative findings, repair may also include draining subretinal fluid, laser or cryotherapy, a scleral buckle, and gas or oil tamponade. These procedures are typically performed in an operating room, most often in a facility setting.

Choose this code when the documented detachment and operative work support a complex repair, rather than a less complex detachment procedure. The operative report should establish the retinal pathology and describe the vitrectomy, membrane work, and other repair steps performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 67113

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU18.53 · 56%
  • Practice expense (office) RVU13.24 · 40%
  • Malpractice RVU1.47 · 4%

16K

Medicare services in 2024 · #1236 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.

67113 compared with similar codes

Office rates for Austin, from the same CMS release.

67108

Retinal detachment repair

Vitrectomy-based repair

No office rate

67108 reports retinal detachment repair with vitrectomy when the case is not complex. 67113 is for complex repair involving vitrectomy and membrane peeling.

67107

Retinal detachment repair

Scleral buckle without vitrectomy

No office rate

67107 describes detachment repair by an approach distinct from the complex vitrectomy-based repair reported with 67113. Select based on the operative method and case complexity.

67101

Retinal repair

Cryotherapy

$346.92

67101 is a cryotherapy-based repair for a less complex detachment situation; 67113 is for complex repair requiring vitrectomy and membrane peeling.

67105

Retinal detachment repair

Photocoagulation method

$308.30

67105 is a photocoagulation-based repair for a less complex detachment situation; 67113 reports complex vitrectomy-based repair.

The same code, a different location

How does Austin compare?

67113 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    Unavailable

    No comparable rate is available in this setting.

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

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 · 67113

    Office

    Unavailable

    Facility

    $1082.93

    No comparable office rate is available.

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

    California · 67113

    Office

    Unavailable

    Facility

    $1200.05

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 67113

    Office

    Unavailable

    Facility

    $1227.93

    No comparable office rate is available.

  • Miami

    Florida · 67113

    Office

    Unavailable

    Facility

    $1203.45

    No comparable office rate is available.

  • Chicago

    Illinois · 67113

    Office

    Unavailable

    Facility

    $1180.37

    No comparable office rate is available.

  • Manhattan

    New York · 67113

    Office

    Unavailable

    Facility

    $1250.27

    No comparable office rate is available.

  • Alaska*

    Alaska · 67113

    Office

    Unavailable

    Facility

    $1426.40

    No comparable office rate is available.

  • Alabama

    Alabama · 67113

    Office

    Unavailable

    Facility

    $1033.66

    No comparable office rate is available.

  • Arkansas

    Arkansas · 67113

    Office

    Unavailable

    Facility

    $1024.08

    No comparable office rate is available.

  • Arizona

    Arizona · 67113

    Office

    Unavailable

    Facility

    $1089.47

    No comparable office rate is available.

  • Bakersfield

    California · 67113

    Office

    Unavailable

    Facility

    $1145.26

    No comparable office rate is available.

  • Chico

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • El Centro

    California · 67113

    Office

    Unavailable

    Facility

    $1140.68

    No comparable office rate is available.

  • Fresno

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Madera

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Merced

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Modesto

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Napa

    California · 67113

    Office

    Unavailable

    Facility

    $1265.71

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 67113

    Office

    Unavailable

    Facility

    $1189.55

    No comparable office rate is available.

  • Redding

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Rest Of California

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 67113

    Office

    Unavailable

    Facility

    $1156.62

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 67113

    Office

    Unavailable

    Facility

    $1181.83

    No comparable office rate is available.

  • Salinas

    California · 67113

    Office

    Unavailable

    Facility

    $1176.96

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 67113

    Office

    Unavailable

    Facility

    $1193.00

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67113

    Office

    Unavailable

    Facility

    $1323.79

    No comparable office rate is available.

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

    California · 67113

    Office

    Unavailable

    Facility

    $1322.12

    No comparable office rate is available.

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

    California · 67113

    Office

    Unavailable

    Facility

    $1351.01

    No comparable office rate is available.

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

    California · 67113

    Office

    Unavailable

    Facility

    $1344.18

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 67113

    Office

    Unavailable

    Facility

    $1159.46

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 67113

    Office

    Unavailable

    Facility

    $1195.54

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 67113

    Office

    Unavailable

    Facility

    $1178.20

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 67113

    Office

    Unavailable

    Facility

    $1206.86

    No comparable office rate is available.

  • Stockton

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Vallejo

    California · 67113

    Office

    Unavailable

    Facility

    $1263.30

    No comparable office rate is available.

  • Visalia

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Yuba City

    California · 67113

    Office

    Unavailable

    Facility

    $1140.44

    No comparable office rate is available.

  • Colorado

    Colorado · 67113

    Office

    Unavailable

    Facility

    $1135.22

    No comparable office rate is available.

  • Connecticut

    Connecticut · 67113

    Office

    Unavailable

    Facility

    $1166.99

    No comparable office rate is available.

  • Delaware

    Delaware · 67113

    Office

    Unavailable

    Facility

    $1103.07

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 67113

    Office

    Unavailable

    Facility

    $1155.67

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 67113

    Office

    Unavailable

    Facility

    $1115.48

    No comparable office rate is available.

  • Atlanta

    Georgia · 67113

    Office

    Unavailable

    Facility

    $1129.05

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 67113

    Office

    Unavailable

    Facility

    $1071.91

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 67113

    Office

    Unavailable

    Facility

    $1150.16

    No comparable office rate is available.

  • Iowa

    Iowa · 67113

    Office

    Unavailable

    Facility

    $1043.05

    No comparable office rate is available.

  • Idaho

    Idaho · 67113

    Office

    Unavailable

    Facility

    $1048.99

    No comparable office rate is available.

  • East St. Louis

    Illinois · 67113

    Office

    Unavailable

    Facility

    $1124.65

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 67113

    Office

    Unavailable

    Facility

    $1099.42

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 67113

    Office

    Unavailable

    Facility

    $1164.42

    No comparable office rate is available.

  • Indiana

    Indiana · 67113

    Office

    Unavailable

    Facility

    $1052.73

    No comparable office rate is available.

  • Kansas

    Kansas · 67113

    Office

    Unavailable

    Facility

    $1043.44

    No comparable office rate is available.

  • Kentucky

    Kentucky · 67113

    Office

    Unavailable

    Facility

    $1056.99

    No comparable office rate is available.

  • New Orleans

    Louisiana · 67113

    Office

    Unavailable

    Facility

    $1090.83

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 67113

    Office

    Unavailable

    Facility

    $1057.33

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 67113

    Office

    Unavailable

    Facility

    $1216.01

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 67113

    Office

    Unavailable

    Facility

    $1133.62

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 67113

    Office

    Unavailable

    Facility

    $1164.07

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 67113

    Office

    Unavailable

    Facility

    $1117.72

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 67113

    Office

    Unavailable

    Facility

    $1056.31

    No comparable office rate is available.

  • Southern Maine

    Maine · 67113

    Office

    Unavailable

    Facility

    $1088.15

    No comparable office rate is available.

  • Detroit

    Michigan · 67113

    Office

    Unavailable

    Facility

    $1128.45

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 67113

    Office

    Unavailable

    Facility

    $1078.11

    No comparable office rate is available.

  • Minnesota

    Minnesota · 67113

    Office

    Unavailable

    Facility

    $1088.50

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 67113

    Office

    Unavailable

    Facility

    $1082.14

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 67113

    Office

    Unavailable

    Facility

    $1089.12

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 67113

    Office

    Unavailable

    Facility

    $1047.94

    No comparable office rate is available.

  • Mississippi

    Mississippi · 67113

    Office

    Unavailable

    Facility

    $1035.96

    No comparable office rate is available.

  • Montana**

    Montana · 67113

    Office

    Unavailable

    Facility

    $1110.15

    No comparable office rate is available.

  • North Carolina

    North Carolina · 67113

    Office

    Unavailable

    Facility

    $1062.89

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 67113

    Office

    Unavailable

    Facility

    $1081.08

    No comparable office rate is available.

  • Nebraska

    Nebraska · 67113

    Office

    Unavailable

    Facility

    $1045.65

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 67113

    Office

    Unavailable

    Facility

    $1122.24

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 67113

    Office

    Unavailable

    Facility

    $1223.33

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 67113

    Office

    Unavailable

    Facility

    $1180.45

    No comparable office rate is available.

  • New Mexico

    New Mexico · 67113

    Office

    Unavailable

    Facility

    $1083.41

    No comparable office rate is available.

  • Nevada**

    Nevada · 67113

    Office

    Unavailable

    Facility

    $1102.49

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 67113

    Office

    Unavailable

    Facility

    $1275.52

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 67113

    Office

    Unavailable

    Facility

    $1190.42

    No comparable office rate is available.

  • Queens

    New York · 67113

    Office

    Unavailable

    Facility

    $1252.04

    No comparable office rate is available.

  • Rest Of New York

    New York · 67113

    Office

    Unavailable

    Facility

    $1073.55

    No comparable office rate is available.

  • Ohio

    Ohio · 67113

    Office

    Unavailable

    Facility

    $1072.16

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 67113

    Office

    Unavailable

    Facility

    $1051.98

    No comparable office rate is available.

  • Portland

    Oregon · 67113

    Office

    Unavailable

    Facility

    $1156.67

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 67113

    Office

    Unavailable

    Facility

    $1093.89

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 67113

    Office

    Unavailable

    Facility

    $1148.99

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 67113

    Office

    Unavailable

    Facility

    $1071.28

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 67113

    Office

    Unavailable

    Facility

    $1114.37

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 67113

    Office

    Unavailable

    Facility

    $1131.30

    No comparable office rate is available.

  • South Carolina

    South Carolina · 67113

    Office

    Unavailable

    Facility

    $1069.27

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 67113

    Office

    Unavailable

    Facility

    $1077.64

    No comparable office rate is available.

  • Tennessee

    Tennessee · 67113

    Office

    Unavailable

    Facility

    $1047.27

    No comparable office rate is available.

  • Utah

    Utah · 67113

    Office

    Unavailable

    Facility

    $1078.70

    No comparable office rate is available.

  • Virginia

    Virginia · 67113

    Office

    Unavailable

    Facility

    $1088.29

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 67113

    Office

    Unavailable

    Facility

    $1114.37

    No comparable office rate is available.

  • Vermont

    Vermont · 67113

    Office

    Unavailable

    Facility

    $1081.57

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 67113

    Office

    Unavailable

    Facility

    $1130.00

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 67113

    Office

    Unavailable

    Facility

    $1232.59

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 67113

    Office

    Unavailable

    Facility

    $1057.70

    No comparable office rate is available.

  • West Virginia

    West Virginia · 67113

    Office

    Unavailable

    Facility

    $1073.48

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 67113

    Office

    Unavailable

    Facility

    $1097.48

    No comparable office rate is available.

See how rates vary across the country

67113 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

View all state and territory rates as a table
State / territoryRate 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

Explore 67113 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67113 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1244.69

$1131.54 × 110% = $1244.69

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.

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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 67113 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,435

Code
67113
Physician work
18.53
Practice expense
13.24
Malpractice
1.47

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 67113 in Austin
ComponentRVULocality factorAdjusted
Physician work18.53× 1.00218.5671
Practice expense13.24× 1.05814.0079
Malpractice1.47× 0.8861.3024
Total RVUs33.8774
Conversion factor× 33.4009

Facility rate, Austin$1131.54

Open 67113 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work18.531.002
Practice expense13.241.058
Malpractice1.470.886

(18.53 × 1.002 + 13.24 × 1.058 + 1.47 × 0.886) × $33.4009 = $1131.54

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

67113 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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

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
2026-10-01Not available in this setting$1131.54RVU26D
2026-07-01Not available in this setting$1131.54RVU26C
2026-04-01Not available in this setting$1131.54RVU26B
2026-01-01Not available in this setting$1131.54RVU26A
2025-10-01Not available in this setting$1294.13RVU25D
2025-07-01Not available in this setting$1294.13RVU25C
2025-04-01Not available in this setting$1294.13RVU25B
2025-01-01Not available in this setting$1294.13RVU25A

67113 billing questions

When should 67113 be chosen over 67108?

Use 67113 when the detachment is complex and the operative work supports vitrectomy with membrane peeling. Use 67108 for a detachment repair with vitrectomy when the case does not meet the complex-repair criteria.

What operative details support 67113?

Document the pathology establishing complexity, such as proliferative vitreoretinopathy or diabetic traction, and the vitrectomy and membrane work performed. Include other repair steps, such as drainage, laser, buckle, or tamponade, when performed.

Are gas or oil tamponade and laser separately reported as part of the repair?

These may be steps in the retinal repair represented by 67113. The operative report should describe the steps performed as part of the complex repair.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period for 67113.

How are bilateral repairs and multiple same-session procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

Can an assistant or co-surgeon be reported for 67113?

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 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 67113PPRRVU2026_Oct_nonQPP.csv, line 7,435 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)