67108 reports retinal detachment repair with vitrectomy when the case is not complex. 67113 is for complex repair involving vitrectomy and membrane peeling.
On this page
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.
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 is a cryotherapy-based repair for a less complex detachment situation; 67113 is for complex repair requiring vitrectomy and membrane peeling.
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
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
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 / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
- 67113 in Austin
Multiple payment areas
- 67113 in Barton Creek
- 67113 in Bee Cave
- 67113 in Briarcliff
- 67113 in Cedar Park
Multiple payment areas
- 67113 in Creedmoor
Multiple payment areas
- 67113 in Elgin
Multiple payment areas
- 67113 in Garfield
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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.53 | × 1.002 | 18.5671 |
| Practice expense | 13.24 | × 1.058 | 14.0079 |
| Malpractice | 1.47 | × 0.886 | 1.3024 |
| Total RVUs | 33.8774 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1131.54
Open 67113 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.53 | 1.002 |
| Practice expense | 13.24 | 1.058 |
| Malpractice | 1.47 | 0.886 |
(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.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1131.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $1131.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $1131.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $1131.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $1294.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $1294.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $1294.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $1294.13 | RVU25A |
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.
