$630.86
Use 67120 for implanted material in the anterior segment. Use 67121 when the material is in the posterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
67121 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$732.24
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 67121: Posterior segment implant material removal
Removal of previously placed intraocular material from the eye’s posterior segment, such as silicone oil used as retinal tamponade.
An ophthalmic surgeon, often a vitreoretinal specialist, uses this code to remove material previously placed inside the posterior segment of the eye. A familiar example is removing silicone oil used to support the retina after retinal detachment surgery. The procedure is generally performed in an operating room or other surgical setting; the operative record should identify the material, its location, and the work performed to remove it. Material in the anterior segment belongs to a different code, and an external encircling buckle is not intraocular material.
Report 67121 for the posterior-segment material removal itself, documenting the indication and the relevant operative findings. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 67121
- 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 RVU11.94 · 52%
- Practice expense (office) RVU9.99 · 44%
- Malpractice RVU0.96 · 4%
4.1K
Medicare services in 2024 · #1986 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.
67121 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
67115 concerns release of external encircling material, such as a scleral buckle; 67121 concerns material located inside the posterior segment.
No office rate
67036 addresses pars plana removal of vitreous. 67121 addresses removal of implanted material from the posterior segment; identify the specific target of the surgery.
No office rate
67108 is for retinal detachment repair. Report 67121 when posterior-segment implanted material is removed; detachment repair is a distinct operative objective.
The same code, a different location
How does Beaumont compare?
67121 across payment areas
Same release and payment basis · bars start at $0
Beaumont · 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 · 67121
Office
Unavailable
Facility
$744.42
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 67121
Office
Unavailable
Facility
$831.19
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67121
Office
Unavailable
Facility
$849.10
No comparable office rate is available.
Miami
Florida · 67121
Office
Unavailable
Facility
$827.25
No comparable office rate is available.
Chicago
Illinois · 67121
Office
Unavailable
Facility
$810.53
No comparable office rate is available.
Manhattan
New York · 67121
Office
Unavailable
Facility
$862.92
No comparable office rate is available.
Alaska*
Alaska · 67121
Office
Unavailable
Facility
$971.24
No comparable office rate is available.
Alabama
Alabama · 67121
Office
Unavailable
Facility
$708.92
No comparable office rate is available.
Arkansas
Arkansas · 67121
Office
Unavailable
Facility
$701.95
No comparable office rate is available.
Arizona
Arizona · 67121
Office
Unavailable
Facility
$749.59
No comparable office rate is available.
Bakersfield
California · 67121
Office
Unavailable
Facility
$791.62
No comparable office rate is available.
Chico
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
El Centro
California · 67121
Office
Unavailable
Facility
$788.64
No comparable office rate is available.
Fresno
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Hanford-Corcoran
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Madera
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Merced
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Modesto
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Napa
California · 67121
Office
Unavailable
Facility
$880.00
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67121
Office
Unavailable
Facility
$824.35
No comparable office rate is available.
Redding
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Rest Of California
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67121
Office
Unavailable
Facility
$799.04
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67121
Office
Unavailable
Facility
$818.41
No comparable office rate is available.
Salinas
California · 67121
Office
Unavailable
Facility
$815.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67121
Office
Unavailable
Facility
$827.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67121
Office
Unavailable
Facility
$921.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67121
Office
Unavailable
Facility
$920.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67121
Office
Unavailable
Facility
$941.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67121
Office
Unavailable
Facility
$936.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67121
Office
Unavailable
Facility
$802.83
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67121
Office
Unavailable
Facility
$829.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67121
Office
Unavailable
Facility
$816.23
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67121
Office
Unavailable
Facility
$837.71
No comparable office rate is available.
Stockton
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Vallejo
California · 67121
Office
Unavailable
Facility
$878.43
No comparable office rate is available.
Visalia
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Yuba City
California · 67121
Office
Unavailable
Facility
$788.48
No comparable office rate is available.
Colorado
Colorado · 67121
Office
Unavailable
Facility
$783.67
No comparable office rate is available.
Connecticut
Connecticut · 67121
Office
Unavailable
Facility
$804.95
No comparable office rate is available.
Delaware
Delaware · 67121
Office
Unavailable
Facility
$759.30
No comparable office rate is available.
Fort Lauderdale
Florida · 67121
Office
Unavailable
Facility
$794.79
No comparable office rate is available.
Rest Of Florida
Florida · 67121
Office
Unavailable
Facility
$765.99
No comparable office rate is available.
Atlanta
Georgia · 67121
Office
Unavailable
Facility
$777.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 67121
Office
Unavailable
Facility
$734.67
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67121
Office
Unavailable
Facility
$796.76
No comparable office rate is available.
Iowa
Iowa · 67121
Office
Unavailable
Facility
$716.85
No comparable office rate is available.
Idaho
Idaho · 67121
Office
Unavailable
Facility
$720.95
No comparable office rate is available.
East St. Louis
Illinois · 67121
Office
Unavailable
Facility
$770.37
No comparable office rate is available.
Rest Of Illinois
Illinois · 67121
Office
Unavailable
Facility
$753.57
No comparable office rate is available.
Suburban Chicago
Illinois · 67121
Office
Unavailable
Facility
$801.10
No comparable office rate is available.
Indiana
Indiana · 67121
Office
Unavailable
Facility
$723.71
No comparable office rate is available.
Kansas
Kansas · 67121
Office
Unavailable
Facility
$716.61
No comparable office rate is available.
Kentucky
Kentucky · 67121
Office
Unavailable
Facility
$724.78
No comparable office rate is available.
New Orleans
Louisiana · 67121
Office
Unavailable
Facility
$749.22
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67121
Office
Unavailable
Facility
$724.83
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67121
Office
Unavailable
Facility
$842.10
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67121
Office
Unavailable
Facility
$782.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67121
Office
Unavailable
Facility
$802.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 67121
Office
Unavailable
Facility
$769.91
No comparable office rate is available.
Rest Of Maine
Maine · 67121
Office
Unavailable
Facility
$725.73
No comparable office rate is available.
Southern Maine
Maine · 67121
Office
Unavailable
Facility
$749.71
No comparable office rate is available.
Detroit
Michigan · 67121
Office
Unavailable
Facility
$774.86
No comparable office rate is available.
Rest Of Michigan
Michigan · 67121
Office
Unavailable
Facility
$739.65
No comparable office rate is available.
Minnesota
Minnesota · 67121
Office
Unavailable
Facility
$751.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67121
Office
Unavailable
Facility
$743.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67121
Office
Unavailable
Facility
$748.59
No comparable office rate is available.
Rest Of Missouri
Missouri · 67121
Office
Unavailable
Facility
$717.67
No comparable office rate is available.
Mississippi
Mississippi · 67121
Office
Unavailable
Facility
$709.80
No comparable office rate is available.
Montana**
Montana · 67121
Office
Unavailable
Facility
$764.48
No comparable office rate is available.
North Carolina
North Carolina · 67121
Office
Unavailable
Facility
$730.61
No comparable office rate is available.
North Dakota**
North Dakota · 67121
Office
Unavailable
Facility
$745.50
No comparable office rate is available.
Nebraska
Nebraska · 67121
Office
Unavailable
Facility
$718.91
No comparable office rate is available.
New Hampshire
New Hampshire · 67121
Office
Unavailable
Facility
$774.22
No comparable office rate is available.
Northern Nj
New Jersey · 67121
Office
Unavailable
Facility
$845.24
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67121
Office
Unavailable
Facility
$814.31
No comparable office rate is available.
New Mexico
New Mexico · 67121
Office
Unavailable
Facility
$743.30
No comparable office rate is available.
Nevada**
Nevada · 67121
Office
Unavailable
Facility
$759.53
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67121
Office
Unavailable
Facility
$880.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67121
Office
Unavailable
Facility
$820.93
No comparable office rate is available.
Queens
New York · 67121
Office
Unavailable
Facility
$864.97
No comparable office rate is available.
Rest Of New York
New York · 67121
Office
Unavailable
Facility
$738.34
No comparable office rate is available.
Ohio
Ohio · 67121
Office
Unavailable
Facility
$735.77
No comparable office rate is available.
Oklahoma
Oklahoma · 67121
Office
Unavailable
Facility
$721.69
No comparable office rate is available.
Portland
Oregon · 67121
Office
Unavailable
Facility
$799.76
No comparable office rate is available.
Rest Of Oregon
Oregon · 67121
Office
Unavailable
Facility
$753.69
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67121
Office
Unavailable
Facility
$791.59
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67121
Office
Unavailable
Facility
$735.42
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67121
Office
Unavailable
Facility
$767.74
No comparable office rate is available.
Rhode Island
Rhode Island · 67121
Office
Unavailable
Facility
$779.67
No comparable office rate is available.
South Carolina
South Carolina · 67121
Office
Unavailable
Facility
$734.38
No comparable office rate is available.
South Dakota**
South Dakota · 67121
Office
Unavailable
Facility
$743.26
No comparable office rate is available.
Tennessee
Tennessee · 67121
Office
Unavailable
Facility
$719.34
No comparable office rate is available.
Utah
Utah · 67121
Office
Unavailable
Facility
$741.26
No comparable office rate is available.
Virginia
Virginia · 67121
Office
Unavailable
Facility
$749.45
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67121
Office
Unavailable
Facility
$767.74
No comparable office rate is available.
Vermont
Vermont · 67121
Office
Unavailable
Facility
$745.37
No comparable office rate is available.
Rest Of Washington
Washington · 67121
Office
Unavailable
Facility
$779.75
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67121
Office
Unavailable
Facility
$854.36
No comparable office rate is available.
Wisconsin
Wisconsin · 67121
Office
Unavailable
Facility
$728.34
No comparable office rate is available.
West Virginia
West Virginia · 67121
Office
Unavailable
Facility
$734.66
No comparable office rate is available.
Wyoming**
Wyoming · 67121
Office
Unavailable
Facility
$756.21
No comparable office rate is available.
See how rates vary across the country
67121 · 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?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 67121 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$805.46
$732.24 × 110% = $805.46
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 67121 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
7,438
- Code
- 67121
- Physician work
- 11.94
- Practice expense
- 9.99
- Malpractice
- 0.96
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.94 | × 1.000 | 11.9400 |
| Practice expense | 9.99 | × 0.910 | 9.0909 |
| Malpractice | 0.96 | × 0.929 | 0.8918 |
| Total RVUs | 21.9227 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$732.24
Open 67121 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.94 | 1 |
| Practice expense | 9.99 | 0.91 |
| Malpractice | 0.96 | 0.929 |
(11.94 × 1 + 9.99 × 0.91 + 0.96 × 0.929) × $33.4009 = $732.24
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
67121 · 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 | $732.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $732.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $732.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $732.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $821.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $821.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $821.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $821.13 | RVU25A |
67121 billing questions
How does 67121 differ from 67120?
67121 is for implanted material inside the posterior segment; 67120 is for implanted material in the anterior segment. The operative documentation should establish where the material was located.
Can 67121 be used for removal of a scleral buckle?
No. A buckle is external encircling material, not an intraocular posterior-segment implant; 67115 addresses release of encircling material.
What documentation supports 67121?
Document the material removed, its posterior-segment location, the reason for removal, and the operative work. For silicone oil, identify its prior use as retinal tamponade when relevant.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
7,43567113,,Repair retinal detach cplx,A,,18.53,13.24,NA,13.24,,1.47,33.24,33.24,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43667115,,Release encircling material,A,,5.96,6.51,NA,6.51,,0.47,12.94,12.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43767120,,Remove eye implant material,A,,6.92,12.60,,6.79,,0.54,20.06,14.25,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43867121,,Remove eye implant material,A,,11.94,9.99,NA,9.99,,0.96,22.89,22.89,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43967141,,Proph rta dtchmnt crtx dthrm,A,,2.47,5.42,,2.98,,0.20,8.09,5.65,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44067145,,Proph rta dtchmnt pc,A,,2.47,4.68,,2.98,,0.20,7.35,5.65,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44167208,,Treatment of retinal lesion,A,,7.46,10.06,,6.67,,0.59,18.11,14.72,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871