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CMS RVU26D · Effective 2026-10-01

67028 in Redding

Office / nonfacility

$119.45

Base rate per service

Facility setting

$76.98

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 procedure

About 67028: Intravitreal injection of medication

Intravitreal medication injection through the pars plana is reported for a treated eye, commonly for neovascular macular degeneration, diabetic macular edema, or retinal vein occlusion.

A retina specialist or ophthalmologist injects medication through the pars plana into the vitreous cavity after ocular anesthesia and antiseptic preparation, often using a lid speculum. Intravitreal anti-VEGF treatment is common for neovascular age-related macular degeneration, diabetic macular edema, and macular edema from retinal vein occlusion; steroids and antibiotics are other possible agents. Injections occur primarily in the office but may also take place in an outpatient facility. The procedure code captures the injection; the medication supplied is reported separately under its applicable HCPCS drug code.

Document laterality, medication and dose, indication, and injection technique. For one treated eye, report one unit with RT or LT; for both eyes in the same session, report one unit with modifier 50, paid at 150% of the unilateral amount. CMS assigns a 0-day global period, including same-day preoperative and postoperative care; a separately identifiable E/M requires modifier 25. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 67028

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.40 · 41%
  • Practice expense (office) RVU1.91 · 56%
  • Malpractice RVU0.11 · 3%

3.6M

Medicare services in 2024 · #53 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.

67028 compared with similar codes

Office rates for Redding, from the same CMS release.

67027

Drug implant

Surgically implanted system

No office rate

67027 is surgical implantation of a drug delivery system that releases medication over time; 67028 is a needle injection of medication into the vitreous cavity.

67025

Vitreous exchange

Pars plana or limbal approach

$781.31

67025 addresses injection of a vitreous substitute, such as gas or fluid, to replace vitreous; 67028 applies to medication injected into the vitreous cavity.

66030

Eye injection

Anterior chamber medication

$188.62

66030 delivers medication into the anterior chamber; 67028 delivers it into the vitreous cavity.

67515

Eye injection

Tenon's capsule

$53.69

67515 injects medication into Tenon's capsule outside the globe, such as a sub-Tenon steroid; 67028 delivers medication into the vitreous cavity.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 67028 is $119.81—$0.36 higher than the $119.45 rate in Redding. Both use the same code, release and participation basis.

67028 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $119.45

  2. Bakersfield

    $119.81

    $0.36 higher than Redding

  3. Chico

    $119.45

    The same base rate than Redding

  4. El Centro

    $119.46

    $0.01 higher than Redding

  5. Fresno

    $119.45

    The same base rate than Redding

  6. Hanford-Corcoran

    $119.45

    The same base rate than Redding

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

    $126.59

    $7.14 higher than Redding

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, 67028 ranges from $103.45 in Arkansas to $145.87 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 · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Merced

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Modesto

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Napa

    California · 67028

    Office

    $135.66

    Facility

    $84.59

    $16.21 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67028

    Office

    $125.77

    Facility

    $79.97

    $6.32 higher than Redding for the office setting.

  • Rest Of California

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67028

    Office

    $120.66

    Facility

    $78.19

    $1.21 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67028

    Office

    $124.61

    Facility

    $79.55

    $5.16 higher than Redding for the office setting.

  • Salinas

    California · 67028

    Office

    $124.12

    Facility

    $79.21

    $4.67 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67028

    Office

    $126.46

    Facility

    $80.12

    $7.01 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67028

    Office

    $142.84

    Facility

    $88.21

    $23.39 higher than Redding for the office setting.

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

    California · 67028

    Office

    $142.72

    Facility

    $88.09

    $23.27 higher than Redding for the office setting.

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

    California · 67028

    Office

    $145.87

    Facility

    $90.00

    $26.42 higher than Redding for the office setting.

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

    California · 67028

    Office

    $145.36

    Facility

    $89.49

    $25.91 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67028

    Office

    $122.19

    Facility

    $78.06

    $2.74 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 67028

    Office

    $127.22

    Facility

    $80.15

    $7.77 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 67028

    Office

    $124.43

    Facility

    $79.25

    $4.98 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 67028

    Office

    $128.47

    Facility

    $80.90

    $9.02 higher than Redding for the office setting.

  • Stockton

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 67028

    Office

    $135.48

    Facility

    $84.41

    $16.03 higher than Redding for the office setting.

  • Visalia

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 67028

    Office

    $119.45

    Facility

    $76.98

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67028

    Office

    $128.53

    Facility

    $82.89

    $9.08 higher than Redding for the office setting.

  • Miami

    Florida · 67028

    Office

    $122.46

    Facility

    $82.13

    $3.01 higher than Redding for the office setting.

  • Chicago

    Illinois · 67028

    Office

    $119.64

    Facility

    $80.70

    $0.19 higher than Redding for the office setting.

  • Manhattan

    New York · 67028

    Office

    $129.71

    Facility

    $84.69

    $10.26 higher than Redding for the office setting.

  • Alaska*

    Alaska · 67028

    Office

    $140.11

    Facility

    $98.85

    $20.66 higher than Redding for the office setting.

  • Alabama

    Alabama · 67028

    Office

    $104.66

    Facility

    $70.76

    $14.79 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 67028

    Office

    $103.45

    Facility

    $70.17

    $16.00 lower than Redding for the office setting.

  • Arizona

    Arizona · 67028

    Office

    $111.72

    Facility

    $74.18

    $7.73 lower than Redding for the office setting.

  • Colorado

    Colorado · 67028

    Office

    $118.07

    Facility

    $76.85

    $1.38 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 67028

    Office

    $120.85

    Facility

    $79.12

    $1.40 higher than Redding for the office setting.

  • Delaware

    Delaware · 67028

    Office

    $113.33

    Facility

    $75.05

    $6.12 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 67028

    Office

    $118.03

    Facility

    $78.78

    $1.42 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 67028

    Office

    $113.27

    Facility

    $76.23

    $6.18 lower than Redding for the office setting.

  • Atlanta

    Georgia · 67028

    Office

    $116.13

    Facility

    $76.77

    $3.32 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 67028

    Office

    $108.05

    Facility

    $73.49

    $11.40 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 67028

    Office

    $121.42

    Facility

    $77.37

    $1.97 higher than Redding for the office setting.

  • Iowa

    Iowa · 67028

    Office

    $106.59

    Facility

    $71.14

    $12.86 lower than Redding for the office setting.

  • Idaho

    Idaho · 67028

    Office

    $107.19

    Facility

    $71.55

    $12.26 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 67028

    Office

    $112.85

    Facility

    $77.21

    $6.60 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 67028

    Office

    $110.75

    Facility

    $75.38

    $8.70 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 67028

    Office

    $119.12

    Facility

    $79.33

    $0.33 lower than Redding for the office setting.

  • Indiana

    Indiana · 67028

    Office

    $107.69

    Facility

    $71.77

    $11.76 lower than Redding for the office setting.

  • Kansas

    Kansas · 67028

    Office

    $106.28

    Facility

    $71.26

    $13.17 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 67028

    Office

    $106.84

    Facility

    $72.39

    $12.61 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 67028

    Office

    $110.97

    Facility

    $74.51

    $8.48 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 67028

    Office

    $106.74

    Facility

    $72.45

    $12.71 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 67028

    Office

    $128.12

    Facility

    $81.86

    $8.67 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67028

    Office

    $117.61

    Facility

    $76.82

    $1.84 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67028

    Office

    $120.51

    Facility

    $78.93

    $1.06 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 67028

    Office

    $115.16

    Facility

    $75.95

    $4.29 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 67028

    Office

    $107.74

    Facility

    $72.09

    $11.71 lower than Redding for the office setting.

  • Southern Maine

    Maine · 67028

    Office

    $112.30

    Facility

    $73.90

    $7.15 lower than Redding for the office setting.

  • Detroit

    Michigan · 67028

    Office

    $114.52

    Facility

    $77.13

    $4.93 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 67028

    Office

    $109.15

    Facility

    $73.78

    $10.30 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 67028

    Office

    $113.49

    Facility

    $73.63

    $5.96 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 67028

    Office

    $110.26

    Facility

    $73.87

    $9.19 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 67028

    Office

    $111.18

    Facility

    $74.29

    $8.27 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 67028

    Office

    $105.33

    Facility

    $71.93

    $14.12 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 67028

    Office

    $104.40

    Facility

    $71.05

    $15.05 lower than Redding for the office setting.

  • Montana**

    Montana · 67028

    Office

    $114.22

    Facility

    $75.48

    $5.23 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 67028

    Office

    $108.63

    Facility

    $72.48

    $10.82 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 67028

    Office

    $112.05

    Facility

    $73.30

    $7.40 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 67028

    Office

    $107.03

    Facility

    $71.27

    $12.42 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 67028

    Office

    $116.39

    Facility

    $76.05

    $3.06 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 67028

    Office

    $127.63

    Facility

    $82.69

    $8.18 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 67028

    Office

    $122.33

    Facility

    $80.02

    $2.88 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 67028

    Office

    $109.67

    Facility

    $74.15

    $9.78 lower than Redding for the office setting.

  • Nevada**

    Nevada · 67028

    Office

    $113.68

    Facility

    $74.90

    $5.77 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67028

    Office

    $132.43

    Facility

    $86.36

    $12.98 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67028

    Office

    $123.17

    Facility

    $80.74

    $3.72 higher than Redding for the office setting.

  • Queens

    New York · 67028

    Office

    $130.46

    Facility

    $84.66

    $11.01 higher than Redding for the office setting.

  • Rest Of New York

    New York · 67028

    Office

    $109.95

    Facility

    $73.14

    $9.50 lower than Redding for the office setting.

  • Ohio

    Ohio · 67028

    Office

    $108.71

    Facility

    $73.34

    $10.74 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 67028

    Office

    $106.59

    Facility

    $71.99

    $12.86 lower than Redding for the office setting.

  • Portland

    Oregon · 67028

    Office

    $121.12

    Facility

    $78.07

    $1.67 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 67028

    Office

    $112.88

    Facility

    $74.29

    $6.57 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67028

    Office

    $118.40

    Facility

    $78.06

    $1.05 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67028

    Office

    $108.80

    Facility

    $73.23

    $10.65 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 67028

    Office

    $114.88

    Facility

    $75.71

    $4.57 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 67028

    Office

    $116.83

    Facility

    $76.80

    $2.62 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 67028

    Office

    $108.83

    Facility

    $73.03

    $10.62 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 67028

    Office

    $111.79

    Facility

    $73.05

    $7.66 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 67028

    Office

    $106.72

    Facility

    $71.51

    $12.73 lower than Redding for the office setting.

  • Austin

    Texas · 67028

    Office

    $117.61

    Facility

    $76.61

    $1.84 lower than Redding for the office setting.

  • Beaumont

    Texas · 67028

    Office

    $108.23

    Facility

    $72.97

    $11.22 lower than Redding for the office setting.

  • Brazoria

    Texas · 67028

    Office

    $113.22

    Facility

    $74.83

    $6.23 lower than Redding for the office setting.

  • Dallas

    Texas · 67028

    Office

    $113.88

    Facility

    $75.28

    $5.57 lower than Redding for the office setting.

  • Fort Worth

    Texas · 67028

    Office

    $113.28

    Facility

    $75.08

    $6.17 lower than Redding for the office setting.

  • Galveston

    Texas · 67028

    Office

    $113.53

    Facility

    $75.05

    $5.92 lower than Redding for the office setting.

  • Houston

    Texas · 67028

    Office

    $115.54

    Facility

    $77.07

    $3.91 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 67028

    Office

    $110.62

    Facility

    $73.85

    $8.83 lower than Redding for the office setting.

  • Utah

    Utah · 67028

    Office

    $110.03

    Facility

    $73.61

    $9.42 lower than Redding for the office setting.

  • Virginia

    Virginia · 67028

    Office

    $112.07

    Facility

    $73.98

    $7.38 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67028

    Office

    $114.88

    Facility

    $75.71

    $4.57 lower than Redding for the office setting.

  • Vermont

    Vermont · 67028

    Office

    $111.78

    Facility

    $73.42

    $7.67 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 67028

    Office

    $117.34

    Facility

    $76.54

    $2.11 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 67028

    Office

    $130.38

    Facility

    $82.84

    $10.93 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 67028

    Office

    $109.01

    Facility

    $71.89

    $10.44 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 67028

    Office

    $107.46

    Facility

    $73.79

    $11.99 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 67028

    Office

    $113.28

    Facility

    $74.53

    $6.17 lower than Redding for the office setting.

See how rates vary across the country

67028 · 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.

$103.45

$140.11

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$140.111
AL$104.661
AR$103.451
AZ$111.721
CA$119.45–$145.8729
CO$118.071
CT$120.851
DC$128.531
DE$113.331
FL$113.27–$122.463
GA$108.05–$116.132
GU$121.421
HI$121.421
IA$106.591
ID$107.191
IL$110.75–$119.644
IN$107.691
KS$106.281
KY$106.841
LA$106.74–$110.972
MA$117.61–$128.122
MD$115.16–$128.533
ME$107.74–$112.302
MI$109.15–$114.522
MN$113.491
MO$105.33–$111.183
MS$104.401
MT$114.221
NC$108.631
ND$112.051
NE$107.031
NH$116.391
NJ$122.33–$127.632
NM$109.671
NV$113.681
NY$109.95–$132.435
OH$108.711
OK$106.591
OR$112.88–$121.122
PA$108.80–$118.402
PR$114.881
RI$116.831
SC$108.831
SD$111.791
TN$106.721
TX$108.23–$117.618
UT$110.031
VA$112.07–$128.532
VI$114.881
VT$111.781
WA$117.34–$130.382
WI$109.011
WV$107.461
WY$113.281

Explore 67028 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 67028 in Redding, the physician’s office rate is $119.45 and the facility-setting rate is $76.98: a difference of $42.47.

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 67028 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$131.40

$119.45 × 110% = $131.40

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 67028 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,421

Code
67028
Physician work
1.40
Practice expense
1.91
Malpractice
0.11

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67028 in Redding
ComponentRVULocality factorAdjusted
Physician work1.40× 1.0171.4238
Practice expense1.91× 1.0962.0934
Malpractice0.11× 0.5360.0590
Total RVUs3.5761
Conversion factor× 33.4009

Office / nonfacility rate, Redding$119.45

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

Open 67028 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.41.017
Practice expense1.911.096
Malpractice0.110.536

(1.4 × 1.017 + 1.91 × 1.096 + 0.11 × 0.536) × $33.4009 = $119.45

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.41.017
Practice expense0.751.096
Malpractice0.110.536

(1.4 × 1.017 + 0.75 × 1.096 + 0.11 × 0.536) × $33.4009 = $76.98

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

67028 · Office / nonfacility

$119.45

Effective 2026-10-01

The base rate is $6.05 higher than on 2025-10-01, moving from $113.40 to $119.45 (5.3%).

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

    $113.40changed to$119.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.44 changed to 1.40
    • Practice expense RVU 1.81 changed to 1.91
    • Malpractice RVU 0.12 changed to 0.11
    • 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: $113.40

    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$119.45$76.98RVU26D
2026-07-01$119.45$76.98RVU26C
2026-04-01$119.45$76.98RVU26B
2026-01-01$119.45$76.98RVU26A
2025-10-01$113.40$91.12RVU25D
2025-07-01$113.40$91.12RVU25C
2025-04-01$113.40$91.12RVU25B
2025-01-01$113.40$91.12RVU25A

67028 billing questions

Is the drug included in this code?

No. The code covers the injection procedure. Bill the medication separately using its applicable HCPCS code, such as J0178 for aflibercept or J2778 for ranibizumab, with units based on the dose supplied.

How are injections in both eyes in the same session billed to Medicare?

Report one procedure unit with modifier 50, which CMS pays at 150% of the unilateral amount. Report drug units based on the dose supplied for both eyes.

Can an office visit be billed on the injection day?

Yes, if the documentation supports a significant, separately identifiable E/M service beyond routine injection-related assessment and care; append modifier 25 to the E/M code. A planned injection visit with only brief pre-injection assessment is included in the 0-day global period.

Can retinal OCT be billed on an injection day?

Retinal OCT (92134) may be reported on the same date when it is medically necessary to assess the retina and its interpretation is documented.

Should this code be reported for a drug injected during vitrectomy?

An injection integral to a vitrectomy in the same eye is not reported separately as 67028. Use 67028 for a distinct intravitreal injection service.

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 67028PPRRVU2026_Oct_nonQPP.csv, line 7,421 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet