$664.31
This code describes removal of extraocular implanted material. Choose 67115 when the encircling material is released rather than removed.
On this page
CMS RVU26D · Effective 2026-10-01
67115 Buckle release Medicare reimbursement rates in Delaware
Release of a previously placed retinal encircling buckle is reported when the band must be loosened to relieve clinically significant restriction or compression. Compare 67115 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 67115 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$429.01
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Retinal surgery
About 67115: Release of posterior eye buckle
Release of a previously placed retinal encircling buckle is reported when the band must be loosened to relieve clinically significant restriction or compression.
An ophthalmologist, usually a vitreoretinal surgeon, surgically loosens or cuts previously implanted encircling material around the eye. The procedure is generally performed in an operating room when the existing band is causing clinically significant restriction or compression. It addresses material already in place; it is distinct from placing a buckle during retinal detachment repair and from removing an implant entirely.
Report the service when the operative note supports release of encircling material, including its location, the reason for release, and the work performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued 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 services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 67115
- 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 RVU5.96 · 46%
- Practice expense (office) RVU6.51 · 50%
- Malpractice RVU0.47 · 4%
19
Medicare services in 2024 · #5958 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.
67115 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code describes removal of intraocular implanted material. Choose 67115 for release of encircling material around the eye.
No office rate
67107 repairs a retinal detachment using scleral buckling. 67115 addresses release of previously placed encircling material.
No office rate
67108 repairs a retinal detachment with vitrectomy. 67115 describes release of existing encircling material, not the retinal repair itself.
Compare 67115 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
Unavailable
Facility
$429.01
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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 67115 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,436
- Code
- 67115
- Physician work
- 5.96
- Practice expense
- 6.51
- Malpractice
- 0.47
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.96 | × 1.005 | 5.9898 |
| Practice expense | 6.51 | × 0.988 | 6.4319 |
| Malpractice | 0.47 | × 0.899 | 0.4225 |
| Total RVUs | 12.8442 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$429.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.96 | 1.005 |
| Practice expense | 6.51 | 0.988 |
| Malpractice | 0.47 | 0.899 |
(5.96 × 1.005 + 6.51 × 0.988 + 0.47 × 0.899) × $33.4009 = $429.01
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.
67115 billing questions
When is release reported instead of buckle removal?
Report release when previously placed encircling material is loosened or cut to relieve a problem. Use a removal code when the implanted material is removed rather than released.
What documentation supports this service?
Document the encircling material and its location, the clinical reason for releasing it, and the operative steps that loosened or cut it.
Can this be reported with retinal detachment repair?
It may be reported in the same session when the surgeon also performs a distinct repair of an active retinal detachment. The services are subject to the standard multiple procedure reduction.
How is bilateral reporting handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,43367108,,Repair detached retina,A,,16.70,11.67,NA,11.67,,1.33,29.70,29.70,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43467110,,Repair detached retina,A,,9.99,15.90,,10.12,,0.80,26.69,20.91,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43567113,,Repair retinal detach cplx,A,,18.53,13.24,NA,13.24,,1.47,33.24,33.24,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43667115,,Release encircling material,A,,5.96,6.51,NA,6.51,,0.47,12.94,12.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43767120,,Remove eye implant material,A,,6.92,12.60,,6.79,,0.54,20.06,14.25,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43867121,,Remove eye implant material,A,,11.94,9.99,NA,9.99,,0.96,22.89,22.89,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43967141,,Proph rta dtchmnt crtx dthrm,A,,2.47,5.42,,2.98,,0.20,8.09,5.65,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503