Billing code 67515: Eye injectionMedicare rate & RVUs in Florida
Reports therapeutic medication delivered into Tenon's capsule, such as periocular corticosteroid treatment for selected cases of ocular inflammation or macular edema.
Medicare pays $51.66–$55.88 for 67515 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67515 covers
An ophthalmologist delivers medication into the sub-Tenon space, beneath the conjunctiva and around the eye. A common use is periocular corticosteroid treatment for conditions such as uveitis or cystoid macular edema when this route is selected. The service may be performed in an office or facility, and is distinct from medication placed into the retrobulbar or suprachoroidal space.
Report the injection when documentation identifies the therapeutic agent, Tenon's-capsule route, treated eye, and clinical indication. The medication may be separately reportable when applicable; the injection code represents the delivery service. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting with modifier 50, Medicare pays 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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.
Where 67515 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$51.66 to $55.88
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $53.72 | $40.19 |
| Miami | $55.88 | $41.97 |
| Rest Of Florida | $51.66 | $38.89 |
How the 67515 rate is calculated
Each of 67515’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67515
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.73Practice expense 0.76Malpractice 0.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67515
The CMS indicators that decide how 67515 is paid alongside other services.
CMS payment indicators · 67515
Eye injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67515 without 50 · national office
$51.77
Eye injection
67515-50 · Bilateral: 150%
$77.66
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
67515 compared with similar codes
Compare codes
67515 vs 67500 vs 67505 vs 67516: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67500Eye injection
- Choose 67515 for medication delivered into Tenon's capsule; choose 67500 when the documented injection is retrobulbar.
- 67505Orbital injection
- Code 67505 describes retrobulbar injection of alcohol. It is not the Tenon's-capsule medication route reported with 67515.
- 67516Eye injection
- Code 67516 is for delivery into the suprachoroidal space; 67515 identifies delivery into Tenon's capsule.
67515 billing questions
How does this differ from 67500?
Code 67515 is for medication delivered into Tenon's capsule. Code 67500 describes a retrobulbar injection, a different anatomic route.
Can the medication be billed separately?
The code reports the injection service. The medication may be separately reportable when it is eligible for separate reporting and the record supports the drug and amount used.
What documentation supports this code?
Document the therapeutic agent, the Tenon's-capsule route, the treated eye, and the condition prompting treatment.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50. Medicare pays 150% under the bilateral rule.
Does a same-day evaluation or follow-up add to the procedure?
Same-day preoperative and postoperative care is included in the 0-day global period. A separate service requires documentation supporting a distinct, separately reportable service.
What happens when another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and other procedures at 50%. An assistant at surgery is not paid, and 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 67515 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →