$252.21
Choose 67145 for prophylactic laser treatment and 67141 when prophylaxis is performed with cryotherapy.
On this page
CMS RVU26D · Effective 2026-10-01
67145 Laser retinopexy Medicare reimbursement rates in Idaho
Ophthalmologists use this laser session to treat retinal breaks or selected peripheral lesions before they progress to retinal detachment. Compare 67145 office and facility rates across CMS payment localities in Idaho.
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 67145 in Idaho?
Idaho 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
$229.47
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$177.23
1 of 1 localities have a supported rate.
Payment area: Idaho
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 procedure
About 67145: Prophylactic retinal laser treatment
Ophthalmologists use this laser session to treat retinal breaks or selected peripheral lesions before they progress to retinal detachment.
An ophthalmologist, often a retina specialist, uses focused laser photocoagulation to create an adhesion around a retinal break or selected peripheral retinal lesion judged to put the eye at risk for detachment. The intent is preventive: the service treats the vulnerable area before a retinal detachment requires repair. It is commonly performed in an office with retinal visualization, although facility settings are also used.
Report 67145 for the prophylactic laser treatment session, not for repair of an established detached retina. Documentation should identify the treated eye, break or lesion, why it warrants prophylaxis, and the laser treatment performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 67145
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU2.47 · 34%
- Practice expense (office) RVU4.68 · 64%
- Malpractice RVU0.20 · 3%
32.4K
Medicare services in 2024 · #944 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.
67145 compared with similar codes
Office rates for Idaho, from the same CMS release.
$279.83
67105 is for treatment of an established retinal detachment with photocoagulation; 67145 is preventive treatment before detachment.
$313.75
67101 treats an existing retinal detachment with cryotherapy, while 67145 uses laser for prophylaxis.
Compare 67145 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
Idaho →
Office / nonfacility
$229.47
Facility
$177.23
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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 67145 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,440
- Code
- 67145
- Physician work
- 2.47
- Practice expense
- 4.68
- Malpractice
- 0.20
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.47 | × 1.000 | 2.4700 |
| Practice expense | 4.68 | × 0.920 | 4.3056 |
| Malpractice | 0.20 | × 0.473 | 0.0946 |
| Total RVUs | 6.8702 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$229.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 4.68 | 0.92 |
| Malpractice | 0.2 | 0.473 |
(2.47 × 1 + 4.68 × 0.92 + 0.2 × 0.473) × $33.4009 = $229.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 2.98 | 0.92 |
| Malpractice | 0.2 | 0.473 |
(2.47 × 1 + 2.98 × 0.92 + 0.2 × 0.473) × $33.4009 = $177.23
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.
67145 billing questions
How does 67145 differ from 67141?
Both are prophylactic treatment for retinal detachment risk. 67145 uses laser photocoagulation; 67141 uses cryotherapy.
Can 67145 be reported for an established retinal detachment?
No. It describes preventive treatment of a retinal break or selected lesion. Repair codes apply when a detachment is already present.
Are related postoperative visits separately billable?
Related postoperative visits during the 10-day global period are included in the procedure.
How is bilateral treatment reported under the CMS facts?
CMS identifies 67145 as bilateral and pays modifier 50 at 150%.
What documentation supports reporting 67145?
Document the treated eye, the retinal break or lesion, the clinical reason prophylaxis is warranted, and the laser treatment performed.
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.
7,43767120,,Remove eye implant material,A,,6.92,12.60,,6.79,,0.54,20.06,14.25,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772