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CMS RVU26D · Effective 2026-10-01

67210 in Madera

Office / nonfacility

$541.52

Base rate per service

Facility setting

$443.78

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 procedure

About 67210: Retinal lesion photocoagulation treatment

Reports ophthalmic photocoagulation to destroy a localized retinal lesion, such as macular edema or a retinal tumor, in one or more sessions.

CPT 67210 covers laser photocoagulation directed at a localized retinal lesion, including treatment for macular edema or a retinal tumor. An ophthalmologist, often a retina specialist, applies laser energy to the affected retinal area in an office or surgical setting. The code is specific to retinal tissue and photocoagulation; it is not the code for cryotherapy or treatment of a choroidal lesion.

Report the service based on the documented lesion, treated eye, and photocoagulation performed. The code encompasses one or more treatment sessions; document the clinical indication and treated retinal area. CMS assigns a 90-day major-surgery 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 67210

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.20 · 40%
  • Practice expense (office) RVU8.80 · 57%
  • Malpractice RVU0.49 · 3%

31K

Medicare services in 2024 · #963 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.

67210 compared with similar codes

Office rates for Madera, from the same CMS release.

67208

Retinal treatment

Cryotherapy

$632.24

Choose 67210 for photocoagulation of a localized retinal lesion. Choose 67208 when the lesion is treated by cryotherapy or diathermy.

67218

Retinal treatment

Radiation method

No office rate

Both address localized retinal lesions, but 67218 is for treatment by radiation therapy rather than photocoagulation.

67220

Choroidal lesion treatment

Laser photocoagulation

$557.82

67210 treats a localized retinal lesion with photocoagulation; 67220 is for a localized lesion in the choroid.

67228

Retinal laser

Extensive or progressive retinopathy

$355.92

67210 is for a localized retinal lesion. 67228 is used for photocoagulation of extensive retinopathy.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 67210 is $543.13—$1.61 higher than the $541.52 rate in Madera. Both use the same code, release and participation basis.

67210 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $541.52

  2. Bakersfield

    $543.13

    $1.61 higher than Madera

  3. Chico

    $541.52

    The same base rate than Madera

  4. El Centro

    $541.61

    $0.09 higher than Madera

  5. Fresno

    $541.52

    The same base rate than Madera

  6. Hanford-Corcoran

    $541.52

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $574.16

    $32.64 higher than Madera

Other payment areas listed in California 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, 67210 ranges from $468.00 in Arkansas to $662.48 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

  • Merced

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Modesto

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Napa

    California · 67210

    Office

    $615.84

    Facility

    $498.30

    $74.32 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67210

    Office

    $570.50

    Facility

    $465.09

    $28.98 higher than Madera for the office setting.

  • Redding

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67210

    Office

    $546.92

    Facility

    $449.18

    $5.40 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67210

    Office

    $565.15

    Facility

    $461.43

    $23.63 higher than Madera for the office setting.

  • Salinas

    California · 67210

    Office

    $562.94

    Facility

    $459.58

    $21.42 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67210

    Office

    $573.71

    Facility

    $467.05

    $32.19 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67210

    Office

    $648.71

    Facility

    $522.96

    $107.19 higher than Madera for the office setting.

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

    California · 67210

    Office

    $648.15

    Facility

    $522.41

    $106.63 higher than Madera for the office setting.

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

    California · 67210

    Office

    $662.48

    Facility

    $533.88

    $120.96 higher than Madera for the office setting.

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

    California · 67210

    Office

    $660.21

    Facility

    $531.61

    $118.69 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67210

    Office

    $554.16

    Facility

    $452.59

    $12.64 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 67210

    Office

    $577.33

    Facility

    $468.98

    $35.81 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 67210

    Office

    $564.38

    Facility

    $460.39

    $22.86 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 67210

    Office

    $583.01

    Facility

    $473.50

    $41.49 higher than Madera for the office setting.

  • Stockton

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 67210

    Office

    $615.04

    Facility

    $497.50

    $73.52 higher than Madera for the office setting.

  • Visalia

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 67210

    Office

    $541.52

    Facility

    $443.78

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67210

    Office

    $582.73

    Facility

    $477.68

    $41.21 higher than Madera for the office setting.

  • Miami

    Florida · 67210

    Office

    $554.46

    Facility

    $461.62

    $12.94 higher than Madera for the office setting.

  • Chicago

    Illinois · 67210

    Office

    $541.49

    Facility

    $451.87

    $0.03 lower than Madera for the office setting.

  • Manhattan

    New York · 67210

    Office

    $587.84

    Facility

    $484.21

    $46.32 higher than Madera for the office setting.

  • Alaska*

    Alaska · 67210

    Office

    $632.68

    Facility

    $537.70

    $91.16 higher than Madera for the office setting.

  • Alabama

    Alabama · 67210

    Office

    $473.54

    Facility

    $395.50

    $67.98 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 67210

    Office

    $468.00

    Facility

    $391.39

    $73.52 lower than Madera for the office setting.

  • Arizona

    Arizona · 67210

    Office

    $505.91

    Facility

    $419.50

    $35.61 lower than Madera for the office setting.

  • Colorado

    Colorado · 67210

    Office

    $535.09

    Facility

    $440.20

    $6.43 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 67210

    Office

    $547.59

    Facility

    $451.54

    $6.07 higher than Madera for the office setting.

  • Delaware

    Delaware · 67210

    Office

    $513.24

    Facility

    $425.12

    $28.28 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 67210

    Office

    $534.43

    Facility

    $444.09

    $7.09 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 67210

    Office

    $512.68

    Facility

    $427.42

    $28.84 lower than Madera for the office setting.

  • Atlanta

    Georgia · 67210

    Office

    $525.99

    Facility

    $435.39

    $15.53 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 67210

    Office

    $488.78

    Facility

    $409.23

    $52.74 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 67210

    Office

    $550.76

    Facility

    $449.36

    $9.24 higher than Madera for the office setting.

  • Iowa

    Iowa · 67210

    Office

    $482.53

    Facility

    $400.93

    $58.99 lower than Madera for the office setting.

  • Idaho

    Idaho · 67210

    Office

    $485.24

    Facility

    $403.19

    $56.28 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 67210

    Office

    $510.46

    Facility

    $428.42

    $31.06 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 67210

    Office

    $501.02

    Facility

    $419.60

    $40.50 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 67210

    Office

    $539.40

    Facility

    $447.81

    $2.12 lower than Madera for the office setting.

  • Indiana

    Indiana · 67210

    Office

    $487.51

    Facility

    $404.84

    $54.01 lower than Madera for the office setting.

  • Kansas

    Kansas · 67210

    Office

    $481.05

    Facility

    $400.43

    $60.47 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 67210

    Office

    $483.36

    Facility

    $404.08

    $58.16 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 67210

    Office

    $502.26

    Facility

    $418.35

    $39.26 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 67210

    Office

    $482.89

    Facility

    $403.97

    $58.63 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 67210

    Office

    $581.09

    Facility

    $474.61

    $39.57 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67210

    Office

    $532.95

    Facility

    $439.04

    $8.57 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67210

    Office

    $546.03

    Facility

    $450.34

    $4.51 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 67210

    Office

    $521.64

    Facility

    $431.39

    $19.88 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 67210

    Office

    $487.68

    Facility

    $405.63

    $53.84 lower than Madera for the office setting.

  • Southern Maine

    Maine · 67210

    Office

    $508.70

    Facility

    $420.32

    $32.82 lower than Madera for the office setting.

  • Detroit

    Michigan · 67210

    Office

    $518.32

    Facility

    $432.26

    $23.20 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 67210

    Office

    $493.92

    Facility

    $412.50

    $47.60 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 67210

    Office

    $514.38

    Facility

    $422.62

    $27.14 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 67210

    Office

    $499.07

    Facility

    $415.33

    $42.45 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 67210

    Office

    $503.30

    Facility

    $418.40

    $38.22 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 67210

    Office

    $476.39

    Facility

    $399.52

    $65.13 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 67210

    Office

    $472.25

    Facility

    $395.47

    $69.27 lower than Madera for the office setting.

  • Montana**

    Montana · 67210

    Office

    $517.35

    Facility

    $428.17

    $24.17 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 67210

    Office

    $491.78

    Facility

    $408.57

    $49.74 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 67210

    Office

    $507.66

    Facility

    $418.48

    $33.86 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 67210

    Office

    $484.57

    Facility

    $402.25

    $56.95 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 67210

    Office

    $527.39

    Facility

    $434.55

    $14.13 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 67210

    Office

    $578.57

    Facility

    $475.12

    $37.05 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 67210

    Office

    $554.29

    Facility

    $456.91

    $12.77 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 67210

    Office

    $496.27

    Facility

    $414.50

    $45.25 lower than Madera for the office setting.

  • Nevada**

    Nevada · 67210

    Office

    $514.94

    Facility

    $425.67

    $26.58 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67210

    Office

    $600.21

    Facility

    $494.18

    $58.69 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67210

    Office

    $558.06

    Facility

    $460.41

    $16.54 higher than Madera for the office setting.

  • Queens

    New York · 67210

    Office

    $591.36

    Facility

    $485.95

    $49.84 higher than Madera for the office setting.

  • Rest Of New York

    New York · 67210

    Office

    $497.82

    Facility

    $413.10

    $43.70 lower than Madera for the office setting.

  • Ohio

    Ohio · 67210

    Office

    $491.94

    Facility

    $410.52

    $49.58 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 67210

    Office

    $482.28

    Facility

    $402.64

    $59.24 lower than Madera for the office setting.

  • Portland

    Oregon · 67210

    Office

    $549.13

    Facility

    $450.05

    $7.61 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 67210

    Office

    $511.34

    Facility

    $422.52

    $30.18 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67210

    Office

    $536.32

    Facility

    $443.48

    $5.20 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67210

    Office

    $492.38

    Facility

    $410.51

    $49.14 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 67210

    Office

    $520.37

    Facility

    $430.21

    $21.15 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 67210

    Office

    $529.25

    Facility

    $437.12

    $12.27 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 67210

    Office

    $492.59

    Facility

    $410.18

    $48.93 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 67210

    Office

    $506.51

    Facility

    $417.33

    $35.01 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 67210

    Office

    $483.05

    Facility

    $401.99

    $58.47 lower than Madera for the office setting.

  • Austin

    Texas · 67210

    Office

    $532.98

    Facility

    $438.62

    $8.54 lower than Madera for the office setting.

  • Beaumont

    Texas · 67210

    Office

    $489.76

    Facility

    $408.61

    $51.76 lower than Madera for the office setting.

  • Brazoria

    Texas · 67210

    Office

    $512.79

    Facility

    $424.41

    $28.73 lower than Madera for the office setting.

  • Dallas

    Texas · 67210

    Office

    $515.74

    Facility

    $426.92

    $25.78 lower than Madera for the office setting.

  • Fort Worth

    Texas · 67210

    Office

    $513.02

    Facility

    $425.09

    $28.50 lower than Madera for the office setting.

  • Galveston

    Texas · 67210

    Office

    $514.16

    Facility

    $425.61

    $27.36 lower than Madera for the office setting.

  • Houston

    Texas · 67210

    Office

    $523.13

    Facility

    $434.58

    $18.39 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 67210

    Office

    $500.80

    Facility

    $416.17

    $40.72 lower than Madera for the office setting.

  • Utah

    Utah · 67210

    Office

    $498.07

    Facility

    $414.25

    $43.45 lower than Madera for the office setting.

  • Virginia

    Virginia · 67210

    Office

    $507.57

    Facility

    $419.91

    $33.95 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67210

    Office

    $520.37

    Facility

    $430.21

    $21.15 lower than Madera for the office setting.

  • Vermont

    Vermont · 67210

    Office

    $506.36

    Facility

    $418.07

    $35.16 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 67210

    Office

    $531.74

    Facility

    $437.83

    $9.78 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 67210

    Office

    $591.46

    Facility

    $482.04

    $49.94 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 67210

    Office

    $493.71

    Facility

    $408.27

    $47.81 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 67210

    Office

    $485.93

    Facility

    $408.43

    $55.59 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 67210

    Office

    $513.12

    Facility

    $423.94

    $28.40 lower than Madera for the office setting.

See how rates vary across the country

67210 · 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.

$468.00

$632.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$632.681
AL$473.541
AR$468.001
AZ$505.911
CA$541.52–$662.4829
CO$535.091
CT$547.591
DC$582.731
DE$513.241
FL$512.68–$554.463
GA$488.78–$525.992
GU$550.761
HI$550.761
IA$482.531
ID$485.241
IL$501.02–$541.494
IN$487.511
KS$481.051
KY$483.361
LA$482.89–$502.262
MA$532.95–$581.092
MD$521.64–$582.733
ME$487.68–$508.702
MI$493.92–$518.322
MN$514.381
MO$476.39–$503.303
MS$472.251
MT$517.351
NC$491.781
ND$507.661
NE$484.571
NH$527.391
NJ$554.29–$578.572
NM$496.271
NV$514.941
NY$497.82–$600.215
OH$491.941
OK$482.281
OR$511.34–$549.132
PA$492.38–$536.322
PR$520.371
RI$529.251
SC$492.591
SD$506.511
TN$483.051
TX$489.76–$532.988
UT$498.071
VA$507.57–$582.732
VI$520.371
VT$506.361
WA$531.74–$591.462
WI$493.711
WV$485.931
WY$513.121

Explore 67210 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 67210 in Madera, the physician’s office rate is $541.52 and the facility-setting rate is $443.78: a difference of $97.74.

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 67210 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$595.67

$541.52 × 110% = $595.67

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 67210 in Madera.

PPRRVU2026_Oct_nonQPP.csv

7,442

Code
67210
Physician work
6.20
Practice expense
8.80
Malpractice
0.49

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67210 in Madera
ComponentRVULocality factorAdjusted
Physician work6.20× 1.0176.3054
Practice expense8.80× 1.0969.6448
Malpractice0.49× 0.5360.2626
Total RVUs16.2128
Conversion factor× 33.4009

Office / nonfacility rate, Madera$541.52

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

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.21.017
Practice expense8.81.096
Malpractice0.490.536

(6.2 × 1.017 + 8.8 × 1.096 + 0.49 × 0.536) × $33.4009 = $541.52

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.21.017
Practice expense6.131.096
Malpractice0.490.536

(6.2 × 1.017 + 6.13 × 1.096 + 0.49 × 0.536) × $33.4009 = $443.78

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

67210 · Office / nonfacility

$541.52

Effective 2026-10-01

The base rate is $26.34 higher than on 2025-10-01, moving from $515.18 to $541.52 (5.1%).

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

    $515.18changed to$541.52

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.36 changed to 6.20
    • Practice expense RVU 8.41 changed to 8.80
    • Malpractice RVU 0.51 changed to 0.49
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $515.18

    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$541.52$443.78RVU26D
2026-07-01$541.52$443.78RVU26C
2026-04-01$541.52$443.78RVU26B
2026-01-01$541.52$443.78RVU26A
2025-10-01$515.18$497.85RVU25D
2025-07-01$515.18$497.85RVU25C
2025-04-01$515.18$497.85RVU25B
2025-01-01$515.18$497.85RVU25A

67210 billing questions

How does 67210 differ from 67208?

67210 is for photocoagulation of a localized retinal lesion. 67208 is used when the retinal lesion is treated with cryotherapy or diathermy.

Does 67210 include multiple laser spots or sessions?

The code covers one or more treatment sessions for the localized lesion. Document the treated area and service rather than reporting each laser spot as a separate unit.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment reported under the CMS payment rule?

When the service is performed bilaterally and reported with modifier 50, CMS pays 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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 67210PPRRVU2026_Oct_nonQPP.csv, line 7,442 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet