$227.58
Both codes address retinal detachment prophylaxis, but 67141 represents cryotherapy or diathermy and 67145 represents photocoagulation.
On this page
CMS RVU26D · Effective 2026-10-01
67141 Retinal prophylaxis Medicare reimbursement rates in Kentucky
Retinal specialists use cryotherapy or diathermy around a retinal break or similar risk area to reduce the chance of retinal detachment. Compare 67141 office and facility rates across CMS payment localities in Kentucky.
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 67141 in Kentucky?
Kentucky 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
$249.55
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$177.10
1 of 1 localities have a supported rate.
Payment area: Kentucky
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
About 67141: Retinal detachment prophylaxis by cryotherapy
Retinal specialists use cryotherapy or diathermy around a retinal break or similar risk area to reduce the chance of retinal detachment.
This procedure applies cryotherapy or diathermy to retinal tissue around a break or another area considered at risk for detachment, creating an adhesion intended to help contain the problem. It is typically performed by an ophthalmologist, often a retina specialist, in an office or surgical facility. The clinical purpose is preventive treatment; an established retinal detachment calls for a repair procedure rather than this prophylaxis code.
Report the code when the documented treatment uses cryotherapy or diathermy for retinal detachment prophylaxis. The record should support the preventive indication, treated eye and retinal finding, and method used; photocoagulation prophylaxis is represented by a different code. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 67141
- 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 · 31%
- Practice expense (office) RVU5.42 · 67%
- Malpractice RVU0.20 · 2%
1K
Medicare services in 2024 · #2950 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.
67141 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$310.99
67141 is preventive treatment around a risk area; 67101 is used to repair an established detachment with cryotherapy or diathermy.
$277.95
67105 treats an established retinal detachment with photocoagulation. For prophylaxis using photocoagulation, compare 67145 instead.
Compare 67141 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
Kentucky →
Office / nonfacility
$249.55
Facility
$177.10
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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 67141 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,439
- Code
- 67141
- Physician work
- 2.47
- Practice expense
- 5.42
- Malpractice
- 0.20
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.47 | × 1.000 | 2.4700 |
| Practice expense | 5.42 | × 0.889 | 4.8184 |
| Malpractice | 0.20 | × 0.915 | 0.1830 |
| Total RVUs | 7.4714 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$249.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 5.42 | 0.889 |
| Malpractice | 0.2 | 0.915 |
(2.47 × 1 + 5.42 × 0.889 + 0.2 × 0.915) × $33.4009 = $249.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 2.98 | 0.889 |
| Malpractice | 0.2 | 0.915 |
(2.47 × 1 + 2.98 × 0.889 + 0.2 × 0.915) × $33.4009 = $177.10
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.
67141 billing questions
When should 67141 be chosen instead of 67145?
Use 67141 for retinal detachment prophylaxis performed with cryotherapy or diathermy. Use 67145 when the preventive treatment is performed with photocoagulation.
Is this code for an established retinal detachment?
No. It represents preventive treatment of a retinal break or other risk area; established detachment repair is reported with a repair code, such as 67101 or 67105, depending on the procedure.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How is bilateral treatment reported?
For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
How does CMS handle other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; 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.
7,43667115,,Release encircling material,A,,5.96,6.51,NA,6.51,,0.47,12.94,12.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43767120,,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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631