Billing code 67108: Retinal detachment repairMedicare rate & RVUs in Guam
Reports vitrectomy-based surgery to reattach a detached retina, with adjunctive laser, cryotherapy, fluid drainage, or gas tamponade when performed.
CMS doesn’t publish an office rate for 67108 in Guam.
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 67108 covers
An ophthalmic surgeon uses vitrectomy to address vitreous traction and repair an established retinal detachment. The operation may include internal laser or cryotherapy, drainage of subretinal fluid, and air or gas tamponade as needed. It is typically performed in an operating room when the surgeon uses an intraocular approach to reattach the retina. Select this code for the vitrectomy-based repair rather than for preventive treatment of a retinal break or a repair performed without vitrectomy.
The operative report should support an established detachment and document the vitrectomy-based repair and any adjuncts performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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.
67108 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $1,026.71 |
How the 67108 rate is calculated
Each of 67108’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 · 67108
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.70Practice expense 11.67Malpractice 1.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67108
67108 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67108
Retinal detachment repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67108
Retinal detachment repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67108 without 50 · national facility
$992.01
Retinal detachment repair
67108-50 · Bilateral: 150%
$1,488.02
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).
67108 compared with similar codes
Compare codes
67108 vs 67107 vs 67113 vs 67110 vs 67101: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67107Retinal detachment repair
- Use 67108 when the repair uses vitrectomy. Use 67107 for a repair using scleral buckling without vitrectomy.
- 67113Retinal repair
- 67113 is for complex retinal detachment repair with vitrectomy; 67108 is for the non-complex vitrectomy-based repair.
- 67110Retinal detachment repair
- 67110 describes pneumatic retinopexy using an intraocular gas injection; 67108 is the vitrectomy-based repair.
- 67101Retinal repair
- 67101 is repair by cryotherapy. It does not describe a vitrectomy-based retinal detachment repair.
67108 billing questions
How does 67108 differ from 67107?
67108 is for a retinal detachment repair using vitrectomy. 67107 is generally selected for repair using scleral buckling without vitrectomy.
When is 67113 considered instead?
67113 is the code for a complex retinal detachment repair with vitrectomy. Choose between the codes based on the documented operative procedure and complexity.
Are laser, cryotherapy, fluid drainage, or gas tamponade separately reported?
When performed as part of the 67108 repair, these are included elements of the service rather than separate procedures under this code.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. CMS treats 67108 as major surgery.
How is bilateral surgery reported?
CMS lists 67108 as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is 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
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