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CMS RVU26D · Effective 2026-10-01

67101 in Merced

Office / nonfacility

$353.68

Base rate per service

Facility setting

$255.57

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.

Retina surgery

About 67101: Retinal detachment repair with cryotherapy

Reports cryotherapy-based repair of an established retinal detachment, including drainage of subretinal fluid when performed.

An ophthalmologist, often a retina specialist, applies transscleral cryotherapy to retinal breaks associated with an established detachment, creating an adhesion intended to seal the break. Drainage of subretinal fluid is included when performed. This approach differs from treating an isolated retinal tear before detachment and from repairs using a scleral buckle, vitrectomy, or injected gas. It may be performed in an office or surgical facility, depending on the case and setting.

Report 67101 when the documented repair uses cryotherapy. The operative note should establish the detachment, identify the treated break or breaks, and describe the cryotherapy and any fluid drainage. Related postoperative visits during the 10-day global period are included. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and the others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 67101

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU3.41 · 34%
  • Practice expense (office) RVU6.37 · 63%
  • Malpractice RVU0.26 · 3%

263

Medicare services in 2024 · #4096 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.

67101 compared with similar codes

Office rates for Merced, from the same CMS release.

67105

Retinal detachment repair

Photocoagulation method

$313.86

Choose 67101 when cryotherapy is the repair method; choose 67105 when the detachment repair uses photocoagulation.

67107

Retinal detachment repair

Scleral buckle without vitrectomy

No office rate

67107 describes repair using a scleral buckle. 67101 is the cryotherapy-based repair approach.

67110

Retinal detachment repair

Gas injection technique

$935.73

67110 is for pneumatic retinopexy using injected gas. 67101 reports cryotherapy-based repair.

67141

Retinal prophylaxis

Cryotherapy or diathermy

$285.90

67141 treats a retinal break prophylactically before detachment; 67101 repairs an established detachment.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 67101 is $354.54—$0.86 higher than the $353.68 rate in Merced. Both use the same code, release and participation basis.

67101 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $353.68

  2. Bakersfield

    $354.54

    $0.86 higher than Merced

  3. Chico

    $353.68

    The same base rate than Merced

  4. El Centro

    $353.72

    $0.04 higher than Merced

  5. Fresno

    $353.68

    The same base rate than Merced

  6. Hanford-Corcoran

    $353.68

    The same base rate than Merced

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

    $376.03

    $22.35 higher than Merced

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, 67101 ranges from $301.13 in Arkansas to $437.89 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

  • Madera

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Modesto

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Napa

    California · 67101

    Office

    $405.91

    Facility

    $287.93

    $52.23 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67101

    Office

    $373.98

    Facility

    $268.18

    $20.30 higher than Merced for the office setting.

  • Redding

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67101

    Office

    $356.54

    Facility

    $258.44

    $2.86 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67101

    Office

    $370.10

    Facility

    $265.99

    $16.42 higher than Merced for the office setting.

  • Salinas

    California · 67101

    Office

    $368.68

    Facility

    $264.93

    $15.00 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67101

    Office

    $376.49

    Facility

    $269.43

    $22.81 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67101

    Office

    $428.70

    Facility

    $302.48

    $75.02 higher than Merced for the office setting.

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

    California · 67101

    Office

    $428.40

    Facility

    $302.19

    $74.72 higher than Merced for the office setting.

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

    California · 67101

    Office

    $437.89

    Facility

    $308.81

    $84.21 higher than Merced for the office setting.

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

    California · 67101

    Office

    $436.68

    Facility

    $307.60

    $83.00 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67101

    Office

    $362.83

    Facility

    $260.87

    $9.15 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 67101

    Office

    $379.45

    Facility

    $270.69

    $25.77 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 67101

    Office

    $369.82

    Facility

    $265.45

    $16.14 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 67101

    Office

    $383.24

    Facility

    $273.32

    $29.56 higher than Merced for the office setting.

  • Stockton

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 67101

    Office

    $405.48

    Facility

    $287.50

    $51.80 higher than Merced for the office setting.

  • Visalia

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 67101

    Office

    $353.68

    Facility

    $255.57

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67101

    Office

    $380.35

    Facility

    $274.90

    $26.67 higher than Merced for the office setting.

  • Miami

    Florida · 67101

    Office

    $357.35

    Facility

    $264.16

    $3.67 higher than Merced for the office setting.

  • Chicago

    Illinois · 67101

    Office

    $348.45

    Facility

    $258.49

    $5.23 lower than Merced for the office setting.

  • Manhattan

    New York · 67101

    Office

    $382.19

    Facility

    $278.18

    $28.51 higher than Merced for the office setting.

  • Alaska*

    Alaska · 67101

    Office

    $402.22

    Facility

    $306.89

    $48.54 higher than Merced for the office setting.

  • Alabama

    Alabama · 67101

    Office

    $304.98

    Facility

    $226.66

    $48.70 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 67101

    Office

    $301.13

    Facility

    $224.24

    $52.55 lower than Merced for the office setting.

  • Arizona

    Arizona · 67101

    Office

    $327.50

    Facility

    $240.76

    $26.18 lower than Merced for the office setting.

  • Colorado

    Colorado · 67101

    Office

    $348.43

    Facility

    $253.18

    $5.25 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 67101

    Office

    $355.83

    Facility

    $259.42

    $2.15 higher than Merced for the office setting.

  • Delaware

    Delaware · 67101

    Office

    $332.48

    Facility

    $244.04

    $21.20 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 67101

    Office

    $345.13

    Facility

    $254.45

    $8.55 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 67101

    Office

    $330.35

    Facility

    $244.78

    $23.33 lower than Merced for the office setting.

  • Atlanta

    Georgia · 67101

    Office

    $340.84

    Facility

    $249.89

    $12.84 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 67101

    Office

    $314.03

    Facility

    $234.19

    $39.65 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 67101

    Office

    $360.84

    Facility

    $259.06

    $7.16 higher than Merced for the office setting.

  • Iowa

    Iowa · 67101

    Office

    $312.02

    Facility

    $230.12

    $41.66 lower than Merced for the office setting.

  • Idaho

    Idaho · 67101

    Office

    $313.75

    Facility

    $231.39

    $39.93 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 67101

    Office

    $327.13

    Facility

    $244.78

    $26.55 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 67101

    Office

    $321.72

    Facility

    $240.00

    $31.96 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 67101

    Office

    $348.59

    Facility

    $256.66

    $5.09 lower than Merced for the office setting.

  • Indiana

    Indiana · 67101

    Office

    $315.35

    Facility

    $232.37

    $38.33 lower than Merced for the office setting.

  • Kansas

    Kansas · 67101

    Office

    $310.61

    Facility

    $229.69

    $43.07 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 67101

    Office

    $310.99

    Facility

    $231.41

    $42.69 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 67101

    Office

    $323.97

    Facility

    $239.74

    $29.71 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 67101

    Office

    $310.51

    Facility

    $231.29

    $43.17 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 67101

    Office

    $380.34

    Facility

    $273.46

    $26.66 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67101

    Office

    $346.68

    Facility

    $252.42

    $7.00 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67101

    Office

    $354.76

    Facility

    $258.71

    $1.08 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 67101

    Office

    $338.33

    Facility

    $247.74

    $15.35 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 67101

    Office

    $315.04

    Facility

    $232.69

    $38.64 lower than Merced for the office setting.

  • Southern Maine

    Maine · 67101

    Office

    $330.23

    Facility

    $241.52

    $23.45 lower than Merced for the office setting.

  • Detroit

    Michigan · 67101

    Office

    $333.86

    Facility

    $247.47

    $19.82 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 67101

    Office

    $317.95

    Facility

    $236.23

    $35.73 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 67101

    Office

    $335.40

    Facility

    $243.29

    $18.28 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 67101

    Office

    $322.17

    Facility

    $238.11

    $31.51 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 67101

    Office

    $325.15

    Facility

    $239.93

    $28.53 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 67101

    Office

    $305.76

    Facility

    $228.60

    $47.92 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 67101

    Office

    $303.50

    Facility

    $226.43

    $50.18 lower than Merced for the office setting.

  • Montana**

    Montana · 67101

    Office

    $335.33

    Facility

    $245.81

    $18.35 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 67101

    Office

    $317.95

    Facility

    $234.44

    $35.73 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 67101

    Office

    $330.19

    Facility

    $240.67

    $23.49 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 67101

    Office

    $313.56

    Facility

    $230.94

    $40.12 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 67101

    Office

    $342.98

    Facility

    $249.80

    $10.70 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 67101

    Office

    $377.15

    Facility

    $273.32

    $23.47 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 67101

    Office

    $360.32

    Facility

    $262.57

    $6.64 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 67101

    Office

    $319.43

    Facility

    $237.35

    $34.25 lower than Merced for the office setting.

  • Nevada**

    Nevada · 67101

    Office

    $334.11

    Facility

    $244.50

    $19.57 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67101

    Office

    $390.29

    Facility

    $283.86

    $36.61 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67101

    Office

    $362.51

    Facility

    $264.49

    $8.83 higher than Merced for the office setting.

  • Queens

    New York · 67101

    Office

    $385.20

    Facility

    $279.39

    $31.52 higher than Merced for the office setting.

  • Rest Of New York

    New York · 67101

    Office

    $322.13

    Facility

    $237.09

    $31.55 lower than Merced for the office setting.

  • Ohio

    Ohio · 67101

    Office

    $316.90

    Facility

    $235.18

    $36.78 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 67101

    Office

    $310.64

    Facility

    $230.71

    $43.04 lower than Merced for the office setting.

  • Portland

    Oregon · 67101

    Office

    $358.56

    Facility

    $259.11

    $4.88 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 67101

    Office

    $331.91

    Facility

    $242.76

    $21.77 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67101

    Office

    $347.79

    Facility

    $254.61

    $5.89 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67101

    Office

    $317.42

    Facility

    $235.25

    $36.26 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 67101

    Office

    $337.56

    Facility

    $247.06

    $16.12 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 67101

    Office

    $343.59

    Facility

    $251.12

    $10.09 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 67101

    Office

    $317.87

    Facility

    $235.16

    $35.81 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 67101

    Office

    $329.58

    Facility

    $240.06

    $24.10 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 67101

    Office

    $311.96

    Facility

    $230.59

    $41.72 lower than Merced for the office setting.

  • Austin

    Texas · 67101

    Office

    $346.92

    Facility

    $252.22

    $6.76 lower than Merced for the office setting.

  • Beaumont

    Texas · 67101

    Office

    $315.58

    Facility

    $234.12

    $38.10 lower than Merced for the office setting.

  • Brazoria

    Texas · 67101

    Office

    $332.43

    Facility

    $243.72

    $21.25 lower than Merced for the office setting.

  • Dallas

    Texas · 67101

    Office

    $334.29

    Facility

    $245.13

    $19.39 lower than Merced for the office setting.

  • Fort Worth

    Texas · 67101

    Office

    $332.27

    Facility

    $244.01

    $21.41 lower than Merced for the office setting.

  • Galveston

    Texas · 67101

    Office

    $333.27

    Facility

    $244.39

    $20.41 lower than Merced for the office setting.

  • Houston

    Texas · 67101

    Office

    $338.03

    Facility

    $249.14

    $15.65 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 67101

    Office

    $323.65

    Facility

    $238.70

    $30.03 lower than Merced for the office setting.

  • Utah

    Utah · 67101

    Office

    $321.69

    Facility

    $237.55

    $31.99 lower than Merced for the office setting.

  • Virginia

    Virginia · 67101

    Office

    $329.17

    Facility

    $241.18

    $24.51 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67101

    Office

    $337.56

    Facility

    $247.06

    $16.12 lower than Merced for the office setting.

  • Vermont

    Vermont · 67101

    Office

    $328.93

    Facility

    $240.31

    $24.75 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 67101

    Office

    $346.03

    Facility

    $251.77

    $7.65 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 67101

    Office

    $387.75

    Facility

    $277.91

    $34.07 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 67101

    Office

    $320.40

    Facility

    $234.64

    $33.28 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 67101

    Office

    $311.22

    Facility

    $233.43

    $42.46 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 67101

    Office

    $333.09

    Facility

    $243.57

    $20.59 lower than Merced for the office setting.

See how rates vary across the country

67101 · 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.

$301.13

$402.22

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$402.221
AL$304.981
AR$301.131
AZ$327.501
CA$353.68–$437.8929
CO$348.431
CT$355.831
DC$380.351
DE$332.481
FL$330.35–$357.353
GA$314.03–$340.842
GU$360.841
HI$360.841
IA$312.021
ID$313.751
IL$321.72–$348.594
IN$315.351
KS$310.611
KY$310.991
LA$310.51–$323.972
MA$346.68–$380.342
MD$338.33–$380.353
ME$315.04–$330.232
MI$317.95–$333.862
MN$335.401
MO$305.76–$325.153
MS$303.501
MT$335.331
NC$317.951
ND$330.191
NE$313.561
NH$342.981
NJ$360.32–$377.152
NM$319.431
NV$334.111
NY$322.13–$390.295
OH$316.901
OK$310.641
OR$331.91–$358.562
PA$317.42–$347.792
PR$337.561
RI$343.591
SC$317.871
SD$329.581
TN$311.961
TX$315.58–$346.928
UT$321.691
VA$329.17–$380.352
VI$337.561
VT$328.931
WA$346.03–$387.752
WI$320.401
WV$311.221
WY$333.091

Explore 67101 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 67101 in Merced, the physician’s office rate is $353.68 and the facility-setting rate is $255.57: a difference of $98.11.

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 67101 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$389.05

$353.68 × 110% = $389.05

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 67101 in Merced.

PPRRVU2026_Oct_nonQPP.csv

7,430

Code
67101
Physician work
3.41
Practice expense
6.37
Malpractice
0.26

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67101 in Merced
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0173.4680
Practice expense6.37× 1.0966.9815
Malpractice0.26× 0.5360.1394
Total RVUs10.5889
Conversion factor× 33.4009

Office / nonfacility rate, Merced$353.68

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

Open 67101 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense6.371.096
Malpractice0.260.536

(3.41 × 1.017 + 6.37 × 1.096 + 0.26 × 0.536) × $33.4009 = $353.68

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense3.691.096
Malpractice0.260.536

(3.41 × 1.017 + 3.69 × 1.096 + 0.26 × 0.536) × $33.4009 = $255.57

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

67101 · Office / nonfacility

$353.68

Effective 2026-10-01

The base rate is $16.03 higher than on 2025-10-01, moving from $337.65 to $353.68 (4.7%).

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

    $337.65changed to$353.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 6.16 changed to 6.37
    • Malpractice RVU 0.28 changed to 0.26
    • 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: $337.65

    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$353.68$255.57RVU26D
2026-07-01$353.68$255.57RVU26C
2026-04-01$353.68$255.57RVU26B
2026-01-01$353.68$255.57RVU26A
2025-10-01$337.65$285.33RVU25D
2025-07-01$337.65$285.33RVU25C
2025-04-01$337.65$285.33RVU25B
2025-01-01$337.65$285.33RVU25A

67101 billing questions

How does 67101 differ from 67105?

Both address an established retinal detachment, but 67101 uses cryotherapy and 67105 uses photocoagulation. The documentation should support the repair method performed.

Can subretinal fluid drainage be billed separately?

No. Drainage of subretinal fluid is included in 67101 when performed.

When is 67101 preferable to 67141?

67101 is for repair of an established retinal detachment. 67141 is used for prophylactic treatment of a retinal break when the goal is to prevent detachment.

How are bilateral services and multiple 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 at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Are postoperative visits included?

Related postoperative visits for 10 days are included in the minor-procedure global period.

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 67101PPRRVU2026_Oct_nonQPP.csv, line 7,430 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet