$512.68–$554.46
Choose 67208 for cryotherapy of a localized retinal lesion and 67210 when photocoagulation is used.
On this page
CMS RVU26D · Effective 2026-10-01
67208 Retinal treatment Medicare reimbursement rates in Florida
An ophthalmologist uses cryotherapy to treat a localized retinal lesion, such as a retinal tear, when freezing is the selected treatment method. Compare 67208 office and facility rates across CMS payment localities in Florida.
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 67208 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$600.02–$648.80
3 of 3 localities have a supported rate.
Facility setting
$491.77–$530.93
3 of 3 localities have a supported rate.
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.
Where 67208 pays more and less in Florida
3 payment localities
$600.02 to $648.80
Retina procedure
About 67208: Retinal lesion cryotherapy
An ophthalmologist uses cryotherapy to treat a localized retinal lesion, such as a retinal tear, when freezing is the selected treatment method.
An ophthalmologist, often a retina specialist, applies a cryoprobe to a focal retinal site to create a chorioretinal adhesion around a break or other localized lesion. Common situations include sealing a retinal tear or treating a discrete retinal tumor. The procedure may be performed in an office procedure room or operating room. The target is a localized retinal lesion, not diffuse retinopathy or an established retinal detachment requiring repair.
Report 67208 when cryotherapy is used for the localized retinal lesion; the code covers one or more treatment sessions. Documentation should identify the lesion, its retinal location and laterality, the clinical indication, and the cryotherapy performed. CMS classifies the service as major surgery with a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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 67208
- 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 RVU7.46 · 41%
- Practice expense (office) RVU10.06 · 56%
- Malpractice RVU0.59 · 3%
84
Medicare services in 2024 · #5008 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.
67208 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
67218 is the diathermy approach to a localized retinal lesion; 67208 is the cryotherapy approach.
$330.35–$357.35
67208 treats a localized retinal lesion, such as a tear. 67101 is for repair of a retinal detachment using cryotherapy or diathermy.
$526.55–$569.26
67208 addresses a retinal lesion; 67220 addresses a lesion in the choroid.
Compare 67208 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$625.18
Facility
$510.48
Miami →
Office / nonfacility
$648.80
Facility
$530.93
Rest Of Florida →
Office / nonfacility
$600.02
Facility
$491.77
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67208 billing questions
How does 67208 differ from 67210?
67208 is for cryotherapy of a localized retinal lesion. Use 67210 when photocoagulation is the treatment method.
When is 67218 more appropriate?
67218 describes treatment of a localized retinal lesion by diathermy. Distinguish it from 67208 by the method documented: diathermy versus cryotherapy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
How is bilateral treatment reported?
For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery 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.
7,43867121,,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
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