$319.34
Choose 67229 for a preterm infant treated under general anesthesia. Code 67228 describes photocoagulation for extensive or progressive retinopathy without that specific qualifier.
On this page
CMS RVU26D · Effective 2026-10-01
67229 Retinopathy treatment Medicare reimbursement rates in Kentucky
Treatment of extensive or progressive retinopathy in a preterm infant under general anesthesia, including care such as retinal ablation for retinopathy of prematurity. Compare 67229 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 67229 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
No supported rate
Facility setting
$922.31
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.
Retinal surgery
About 67229: Preterm infant retinopathy treatment
Treatment of extensive or progressive retinopathy in a preterm infant under general anesthesia, including care such as retinal ablation for retinopathy of prematurity.
An ophthalmologist, often a retinal specialist, uses this service to treat extensive or progressive retinopathy in a preterm infant under general anesthesia. A common clinical situation is treatment of sight-threatening retinopathy of prematurity, such as laser treatment of the peripheral retina. The procedure may take place in an operating room or another setting equipped for anesthesia and infant monitoring. The code encompasses one or more treatment sessions.
Select this code when the patient is a preterm infant and the retinopathy treatment is performed under general anesthesia; do not choose it solely because the diagnosis is retinopathy. Document the infant’s condition, the extent or progression prompting treatment, the treatment performed, anesthesia, treated eye or eyes, and sessions. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67229
- 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 RVU15.89 · 55%
- Practice expense (office) RVU11.88 · 41%
- Malpractice RVU1.27 · 4%
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.
67229 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$276.55
Code 67227 describes cryotherapy for extensive or progressive retinopathy. Use 67229 for the specified preterm-infant treatment under general anesthesia.
$565.92
Code 67208 is for a localized retinal lesion treated with photocoagulation; 67229 is for extensive or progressive retinopathy in a preterm infant under general anesthesia.
Compare 67229 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
Unavailable
Facility
$922.31
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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 67229 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,449
- Code
- 67229
- Physician work
- 15.89
- Practice expense
- 11.88
- Malpractice
- 1.27
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.89 | × 1.000 | 15.8900 |
| Practice expense | 11.88 | × 0.889 | 10.5613 |
| Malpractice | 1.27 | × 0.915 | 1.1621 |
| Total RVUs | 27.6134 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$922.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.89 | 1 |
| Practice expense | 11.88 | 0.889 |
| Malpractice | 1.27 | 0.915 |
(15.89 × 1 + 11.88 × 0.889 + 1.27 × 0.915) × $33.4009 = $922.31
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.
67229 billing questions
How does this code differ from 67228?
This code is for treatment of a preterm infant under general anesthesia. Code 67228 describes photocoagulation treatment of extensive or progressive retinopathy without that specific patient-and-anesthesia distinction.
Can both eyes be treated under this code?
Yes. For bilateral treatment, report modifier 50; CMS prices the bilateral procedure at 150%.
Are multiple treatment sessions or laser applications reported as separate units?
The code describes one or more sessions. Document the sessions and treatment performed; do not equate individual laser applications with separate sessions.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS restricts assistant-at-surgery payment 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.
7,44667225,,Eye photodynamic ther add-on,A,,0.46,0.37,,0.16,,0.04,0.87,0.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44767227,,Dstrj extensive retinopathy,A,,3.41,5.21,,2.77,,0.26,8.88,6.44,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44867228,,Treatment x10sv retinopathy,A,,4.28,5.58,,2.97,,0.35,10.21,7.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44967229,,Tr retinal les preterm inf,A,,15.89,11.88,NA,11.88,,1.27,29.04,29.04,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45067250,,Reinforce eye wall,A,,9.37,13.70,NA,13.70,,0.75,23.82,23.82,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45167255,,Reinforce/graft eye wall,A,,8.17,9.04,NA,9.04,,0.65,17.86,17.86,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,45267299,,Unlisted px posterior segmnt,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,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