$642.63
Choose 67210 for photocoagulation of a localized retinal lesion. Choose 67208 when the lesion is treated by cryotherapy or diathermy.
On this page
CMS RVU26D · Effective 2026-10-01
67210 Retinal laser Medicare reimbursement rates in Hawaii
Reports ophthalmic photocoagulation to destroy a localized retinal lesion, such as macular edema or a retinal tumor, in one or more sessions. Compare 67210 office and facility rates across CMS payment localities in Hawaii.
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 67210 in Hawaii?
Hawaii 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
$550.76
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$449.36
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 procedure
About 67210: Retinal lesion photocoagulation treatment
Reports ophthalmic photocoagulation to destroy a localized retinal lesion, such as macular edema or a retinal tumor, in one or more sessions.
CPT 67210 covers laser photocoagulation directed at a localized retinal lesion, including treatment for macular edema or a retinal tumor. An ophthalmologist, often a retina specialist, applies laser energy to the affected retinal area in an office or surgical setting. The code is specific to retinal tissue and photocoagulation; it is not the code for cryotherapy or treatment of a choroidal lesion.
Report the service based on the documented lesion, treated eye, and photocoagulation performed. The code encompasses one or more treatment sessions; document the clinical indication and treated retinal area. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 67210
- 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 RVU6.20 · 40%
- Practice expense (office) RVU8.80 · 57%
- Malpractice RVU0.49 · 3%
31K
Medicare services in 2024 · #963 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.
67210 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Both address localized retinal lesions, but 67218 is for treatment by radiation therapy rather than photocoagulation.
$567.65
67210 treats a localized retinal lesion with photocoagulation; 67220 is for a localized lesion in the choroid.
$361.64
67210 is for a localized retinal lesion. 67228 is used for photocoagulation of extensive retinopathy.
Compare 67210 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
Hawaii, Guam →
Office / nonfacility
$550.76
Facility
$449.36
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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 67210 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,442
- Code
- 67210
- Physician work
- 6.20
- Practice expense
- 8.80
- Malpractice
- 0.49
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.20 | × 1.000 | 6.2000 |
| Practice expense | 8.80 | × 1.137 | 10.0056 |
| Malpractice | 0.49 | × 0.579 | 0.2837 |
| Total RVUs | 16.4893 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$550.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.2 | 1 |
| Practice expense | 8.8 | 1.137 |
| Malpractice | 0.49 | 0.579 |
(6.2 × 1 + 8.8 × 1.137 + 0.49 × 0.579) × $33.4009 = $550.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.2 | 1 |
| Practice expense | 6.13 | 1.137 |
| Malpractice | 0.49 | 0.579 |
(6.2 × 1 + 6.13 × 1.137 + 0.49 × 0.579) × $33.4009 = $449.36
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.
67210 billing questions
How does 67210 differ from 67208?
67210 is for photocoagulation of a localized retinal lesion. 67208 is used when the retinal lesion is treated with cryotherapy or diathermy.
Does 67210 include multiple laser spots or sessions?
The code covers one or more treatment sessions for the localized lesion. Document the treated area and service rather than reporting each laser spot as a separate unit.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported under the CMS payment rule?
When the service is performed bilaterally and reported with modifier 50, CMS pays 150%.
Can an assistant surgeon 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.
7,43967141,,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
7,44567221,,Ocular photodynamic ther,R,,3.36,4.89,,1.42,,0.26,8.51,5.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014