$632.24
Select 67208 for retinal lesion destruction using cryotherapy or diathermy. Select 67218 when radiation is the treatment method.
On this page
CMS RVU26D · Effective 2026-10-01
67218 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1183.95
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 67218: Retinal lesion radiation treatment
Reports radiation-based treatment of a localized retinal lesion, such as a tumor, when the ophthalmic surgeon treats the lesion with radiation rather than laser or cryotherapy.
This service treats a localized retinal lesion with radiation, commonly through plaque brachytherapy for an intraocular tumor. An ophthalmic surgeon performs the procedure in an operating-room setting, positioning the radiation source to deliver treatment to the targeted area. The exact approach depends on the lesion and treatment plan; this code distinguishes radiation treatment from retinal lesion treatment by photocoagulation or cryotherapy.
Report the code when the treated target is in the retina and radiation is the treatment method. The operative record should identify the lesion and its location, the radiation approach, and the treatment performed. The code covers one or more treatment sessions. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67218
- 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 RVU19.85 · 57%
- Practice expense (office) RVU13.15 · 38%
- Malpractice RVU1.58 · 5%
560
Medicare services in 2024 · #3457 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.
67218 compared with similar codes
Office rates for Modesto, from the same CMS release.
$541.52
Select 67210 for retinal lesion treatment by photocoagulation. Radiation-based retinal treatment is reported with 67218.
$557.82
67220 concerns a localized lesion of the choroid. Use 67218 for a retinal target treated with radiation.
The same code, a different location
How does Modesto compare?
67218 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Merced
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Napa
California · 67218
Office
Unavailable
Facility
$1310.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67218
Office
Unavailable
Facility
$1233.61
No comparable office rate is available.
Redding
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Rest Of California
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67218
Office
Unavailable
Facility
$1201.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67218
Office
Unavailable
Facility
$1225.98
No comparable office rate is available.
Salinas
California · 67218
Office
Unavailable
Facility
$1220.91
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67218
Office
Unavailable
Facility
$1236.81
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67218
Office
Unavailable
Facility
$1369.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67218
Office
Unavailable
Facility
$1367.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67218
Office
Unavailable
Facility
$1397.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67218
Office
Unavailable
Facility
$1390.25
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67218
Office
Unavailable
Facility
$1202.84
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67218
Office
Unavailable
Facility
$1238.87
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67218
Office
Unavailable
Facility
$1221.99
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67218
Office
Unavailable
Facility
$1250.55
No comparable office rate is available.
Stockton
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Vallejo
California · 67218
Office
Unavailable
Facility
$1307.89
No comparable office rate is available.
Visalia
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Yuba City
California · 67218
Office
Unavailable
Facility
$1183.95
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 67218
Office
Unavailable
Facility
$1274.95
No comparable office rate is available.
Miami
Florida · 67218
Office
Unavailable
Facility
$1253.70
No comparable office rate is available.
Chicago
Illinois · 67218
Office
Unavailable
Facility
$1230.18
No comparable office rate is available.
Manhattan
New York · 67218
Office
Unavailable
Facility
$1299.51
No comparable office rate is available.
Alaska*
Alaska · 67218
Office
Unavailable
Facility
$1491.36
No comparable office rate is available.
Alabama
Alabama · 67218
Office
Unavailable
Facility
$1077.20
No comparable office rate is available.
Arkansas
Arkansas · 67218
Office
Unavailable
Facility
$1067.48
No comparable office rate is available.
Arizona
Arizona · 67218
Office
Unavailable
Facility
$1133.79
No comparable office rate is available.
Colorado
Colorado · 67218
Office
Unavailable
Facility
$1179.51
No comparable office rate is available.
Connecticut
Connecticut · 67218
Office
Unavailable
Facility
$1213.17
No comparable office rate is available.
Delaware
Delaware · 67218
Office
Unavailable
Facility
$1147.72
No comparable office rate is available.
Fort Lauderdale
Florida · 67218
Office
Unavailable
Facility
$1203.35
No comparable office rate is available.
Rest Of Florida
Florida · 67218
Office
Unavailable
Facility
$1162.22
No comparable office rate is available.
Atlanta
Georgia · 67218
Office
Unavailable
Facility
$1174.63
No comparable office rate is available.
Rest Of Georgia
Georgia · 67218
Office
Unavailable
Facility
$1117.70
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67218
Office
Unavailable
Facility
$1192.96
No comparable office rate is available.
Iowa
Iowa · 67218
Office
Unavailable
Facility
$1085.85
No comparable office rate is available.
Idaho
Idaho · 67218
Office
Unavailable
Facility
$1092.05
No comparable office rate is available.
East St. Louis
Illinois · 67218
Office
Unavailable
Facility
$1173.38
No comparable office rate is available.
Rest Of Illinois
Illinois · 67218
Office
Unavailable
Facility
$1146.50
No comparable office rate is available.
Suburban Chicago
Illinois · 67218
Office
Unavailable
Facility
$1212.24
No comparable office rate is available.
Indiana
Indiana · 67218
Office
Unavailable
Facility
$1095.81
No comparable office rate is available.
Kansas
Kansas · 67218
Office
Unavailable
Facility
$1086.66
No comparable office rate is available.
Kentucky
Kentucky · 67218
Office
Unavailable
Facility
$1101.76
No comparable office rate is available.
New Orleans
Louisiana · 67218
Office
Unavailable
Facility
$1136.27
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67218
Office
Unavailable
Facility
$1102.28
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67218
Office
Unavailable
Facility
$1261.59
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67218
Office
Unavailable
Facility
$1178.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67218
Office
Unavailable
Facility
$1210.18
No comparable office rate is available.
Rest Of Maryland
Maryland · 67218
Office
Unavailable
Facility
$1162.58
No comparable office rate is available.
Rest Of Maine
Maine · 67218
Office
Unavailable
Facility
$1099.92
No comparable office rate is available.
Southern Maine
Maine · 67218
Office
Unavailable
Facility
$1131.58
No comparable office rate is available.
Detroit
Michigan · 67218
Office
Unavailable
Facility
$1175.83
No comparable office rate is available.
Rest Of Michigan
Michigan · 67218
Office
Unavailable
Facility
$1123.60
No comparable office rate is available.
Minnesota
Minnesota · 67218
Office
Unavailable
Facility
$1130.59
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67218
Office
Unavailable
Facility
$1127.00
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67218
Office
Unavailable
Facility
$1134.03
No comparable office rate is available.
Rest Of Missouri
Missouri · 67218
Office
Unavailable
Facility
$1093.02
No comparable office rate is available.
Mississippi
Mississippi · 67218
Office
Unavailable
Facility
$1080.18
No comparable office rate is available.
Montana**
Montana · 67218
Office
Unavailable
Facility
$1154.90
No comparable office rate is available.
North Carolina
North Carolina · 67218
Office
Unavailable
Facility
$1106.52
No comparable office rate is available.
North Dakota**
North Dakota · 67218
Office
Unavailable
Facility
$1123.66
No comparable office rate is available.
Nebraska
Nebraska · 67218
Office
Unavailable
Facility
$1088.36
No comparable office rate is available.
New Hampshire
New Hampshire · 67218
Office
Unavailable
Facility
$1166.41
No comparable office rate is available.
Northern Nj
New Jersey · 67218
Office
Unavailable
Facility
$1270.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67218
Office
Unavailable
Facility
$1227.05
No comparable office rate is available.
New Mexico
New Mexico · 67218
Office
Unavailable
Facility
$1129.16
No comparable office rate is available.
Nevada**
Nevada · 67218
Office
Unavailable
Facility
$1146.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 67218
Office
Unavailable
Facility
$1325.68
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 67218
Office
Unavailable
Facility
$1237.65
No comparable office rate is available.
Queens
New York · 67218
Office
Unavailable
Facility
$1300.70
No comparable office rate is available.
Rest Of New York
New York · 67218
Office
Unavailable
Facility
$1117.37
No comparable office rate is available.
Ohio
Ohio · 67218
Office
Unavailable
Facility
$1117.21
No comparable office rate is available.
Oklahoma
Oklahoma · 67218
Office
Unavailable
Facility
$1096.24
No comparable office rate is available.
Portland
Oregon · 67218
Office
Unavailable
Facility
$1200.85
No comparable office rate is available.
Rest Of Oregon
Oregon · 67218
Office
Unavailable
Facility
$1137.57
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67218
Office
Unavailable
Facility
$1195.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67218
Office
Unavailable
Facility
$1116.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67218
Office
Unavailable
Facility
$1159.04
No comparable office rate is available.
Rhode Island
Rhode Island · 67218
Office
Unavailable
Facility
$1176.40
No comparable office rate is available.
South Carolina
South Carolina · 67218
Office
Unavailable
Facility
$1113.71
No comparable office rate is available.
South Dakota**
South Dakota · 67218
Office
Unavailable
Facility
$1119.96
No comparable office rate is available.
Tennessee
Tennessee · 67218
Office
Unavailable
Facility
$1090.60
No comparable office rate is available.
Austin
Texas · 67218
Office
Unavailable
Facility
$1175.79
No comparable office rate is available.
Beaumont
Texas · 67218
Office
Unavailable
Facility
$1111.73
No comparable office rate is available.
Brazoria
Texas · 67218
Office
Unavailable
Facility
$1144.74
No comparable office rate is available.
Dallas
Texas · 67218
Office
Unavailable
Facility
$1151.72
No comparable office rate is available.
Fort Worth
Texas · 67218
Office
Unavailable
Facility
$1148.01
No comparable office rate is available.
Galveston
Texas · 67218
Office
Unavailable
Facility
$1148.16
No comparable office rate is available.
Houston
Texas · 67218
Office
Unavailable
Facility
$1177.08
No comparable office rate is available.
Rest Of Texas
Texas · 67218
Office
Unavailable
Facility
$1127.48
No comparable office rate is available.
Utah
Utah · 67218
Office
Unavailable
Facility
$1123.27
No comparable office rate is available.
Virginia
Virginia · 67218
Office
Unavailable
Facility
$1132.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67218
Office
Unavailable
Facility
$1159.04
No comparable office rate is available.
Vermont
Vermont · 67218
Office
Unavailable
Facility
$1124.54
No comparable office rate is available.
Rest Of Washington
Washington · 67218
Office
Unavailable
Facility
$1174.29
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67218
Office
Unavailable
Facility
$1278.20
No comparable office rate is available.
Wisconsin
Wisconsin · 67218
Office
Unavailable
Facility
$1100.04
No comparable office rate is available.
West Virginia
West Virginia · 67218
Office
Unavailable
Facility
$1120.21
No comparable office rate is available.
Wyoming**
Wyoming · 67218
Office
Unavailable
Facility
$1141.28
No comparable office rate is available.
See how rates vary across the country
67218 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67218 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1302.35
$1183.95 × 110% = $1302.35
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 67218 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,443
- Code
- 67218
- Physician work
- 19.85
- Practice expense
- 13.15
- Malpractice
- 1.58
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.85 | × 1.017 | 20.1874 |
| Practice expense | 13.15 | × 1.096 | 14.4124 |
| Malpractice | 1.58 | × 0.536 | 0.8469 |
| Total RVUs | 35.4467 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1183.95
Open 67218 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.85 | 1.017 |
| Practice expense | 13.15 | 1.096 |
| Malpractice | 1.58 | 0.536 |
(19.85 × 1.017 + 13.15 × 1.096 + 1.58 × 0.536) × $33.4009 = $1183.95
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
67218 · 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 | $1183.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $1183.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $1183.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $1183.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $1372.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $1372.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $1372.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $1372.75 | RVU25A |
67218 billing questions
How does this differ from 67208 or 67210?
Use 67218 when radiation is used to treat the retinal lesion. Codes 67208 and 67210 distinguish treatment using cryotherapy or diathermy and photocoagulation, respectively.
Does the code include multiple treatment sessions?
Yes. The code covers one or more sessions for the retinal lesion; do not report another unit solely because treatment involves more than one session.
What documentation supports reporting 67218?
Document the retinal lesion and its location, the radiation method, and the treatment performed. The record should support that radiation, rather than laser or cryotherapy, was used.
Can modifier 50 be used for bilateral treatment?
CMS identifies this as a bilateral procedure. When reported bilaterally with modifier 50, it is paid at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this procedure?
CMS restricts assistant-at-surgery payment 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.
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
7,44267210,,Treatment of retinal lesion,A,,6.20,8.80,,6.13,,0.49,15.49,12.82,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44367218,,Treatment of retinal lesion,A,,19.85,13.15,NA,13.15,,1.58,34.58,34.58,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44467220,,Treatment of choroid lesion,A,,6.20,9.25,,6.13,,0.48,15.93,12.81,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44567221,,Ocular photodynamic ther,R,,3.36,4.89,,1.42,,0.26,8.51,5.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44667225,,Eye photodynamic ther add-on,A,,0.46,0.37,,0.16,,0.04,0.87,0.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536