$84.24
Use 67500 for a retrobulbar medication injection; 67505 identifies a retrobulbar injection of an anesthetic agent.
On this page
CMS RVU26D · Effective 2026-10-01
67500 Eye injection Medicare reimbursement rates in Delaware
Reports medication injected into the retrobulbar space behind the eye when treatment is delivered by this route rather than another periocular approach. Compare 67500 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 67500 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
$78.30
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$54.87
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.
Ophthalmology
About 67500: Therapeutic retrobulbar injection
Reports medication injected into the retrobulbar space behind the eye when treatment is delivered by this route rather than another periocular approach.
An ophthalmologist or other qualified eye-care physician uses this service to deliver medication into the retrobulbar space behind the globe. The route distinguishes it from an injection under the conjunctiva or into the suprachoroidal space. It may be performed in an office or facility when treatment calls for medication to be placed in this specific location; the service is not the anesthetic-agent injection represented by a neighboring code.
Report the injection when documentation identifies the retrobulbar route, the medication administered, and the treated eye. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral services, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 67500
- 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 RVU1.15 · 49%
- Practice expense (office) RVU1.13 · 48%
- Malpractice RVU0.08 · 3%
6.1K
Medicare services in 2024 · #1745 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.
67500 compared with similar codes
Office rates for Delaware, from the same CMS release.
$51.39
This code is for medication placed behind the globe in the retrobulbar space. Code 67515 describes a periocular injection by the subconjunctival route.
$120.28
This code describes a retrobulbar injection. Code 67516 is for delivery into the suprachoroidal space.
Compare 67500 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
$78.30
Facility
$54.87
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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 67500 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,479
- Code
- 67500
- Physician work
- 1.15
- Practice expense
- 1.13
- Malpractice
- 0.08
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.15 | × 1.005 | 1.1557 |
| Practice expense | 1.13 | × 0.988 | 1.1164 |
| Malpractice | 0.08 | × 0.899 | 0.0719 |
| Total RVUs | 2.3441 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$78.30
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.15 | 1.005 |
| Practice expense | 1.13 | 0.988 |
| Malpractice | 0.08 | 0.899 |
(1.15 × 1.005 + 1.13 × 0.988 + 0.08 × 0.899) × $33.4009 = $78.30
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.15 | 1.005 |
| Practice expense | 0.42 | 0.988 |
| Malpractice | 0.08 | 0.899 |
(1.15 × 1.005 + 0.42 × 0.988 + 0.08 × 0.899) × $33.4009 = $54.87
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.
67500 billing questions
How is this code distinguished from 67505?
This code reports a retrobulbar medication injection. Code 67505 is for a retrobulbar injection of an anesthetic agent.
What documentation supports reporting this service?
Document the medication, the eye treated, and that the medication was injected into the retrobulbar space. The route helps distinguish this service from other periocular injection codes.
Can both eyes be reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid. Co-surgeons and team surgery are not permitted for this code.
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.
7,47667440,,Explore/drain eye socket,A,,14.47,19.58,NA,19.58,,1.16,35.21,35.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47767445,,Explr/decompress eye socket,A,,18.64,19.05,NA,19.05,,1.58,39.27,39.27,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47867450,,Explore/biopsy eye socket,A,,15.02,20.24,NA,20.24,,1.21,36.47,36.47,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47967500,,Inject/treat eye socket,A,,1.15,1.13,,0.42,,0.08,2.36,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48067505,,Inject/treat eye socket,A,,1.15,1.31,,0.51,,0.08,2.54,1.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48167515,,Inject/treat eye socket,A,,0.73,0.76,,0.36,,0.06,1.55,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48267516,,Sprchoroidal spc njx rx agt,A,,1.49,2.02,,0.78,,0.12,3.63,2.39,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,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