No office rate
Use 67108 when the repair uses vitrectomy. Use 67107 for a repair using scleral buckling without vitrectomy.
On this page
CMS RVU26D · Effective 2026-10-01
67108 Retinal detachment repair Medicare reimbursement rates in Massachusetts
Reports vitrectomy-based surgery to reattach a detached retina, with adjunctive laser, cryotherapy, fluid drainage, or gas tamponade when performed. Compare 67108 office and facility rates across CMS payment localities in Massachusetts.
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 67108 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1012.57–$1085.61
2 of 2 localities have a supported rate.
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.
Ophthalmic surgery
About 67108: Retinal detachment repair with vitrectomy
Reports vitrectomy-based surgery to reattach a detached retina, with adjunctive laser, cryotherapy, fluid drainage, or gas tamponade when performed.
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.
CMS billing rules for 67108
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.70 · 56%
- Practice expense (office) RVU11.67 · 39%
- Malpractice RVU1.33 · 4%
26.4K
Medicare services in 2024 · #1024 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.
67108 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
67113 is for complex retinal detachment repair with vitrectomy; 67108 is for the non-complex vitrectomy-based repair.
$919.53–$1,005.24
67110 describes pneumatic retinopexy using an intraocular gas injection; 67108 is the vitrectomy-based repair.
$346.68–$380.34
67101 is repair by cryotherapy. It does not describe a vitrectomy-based retinal detachment repair.
Compare 67108 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1085.61
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1012.57
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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 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.
7,43067101,,Repair detached retina crtx,A,,3.41,6.37,,3.69,,0.26,10.04,7.36,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43167105,,Repair detached retina pc,A,,3.31,5.38,,3.54,,0.25,8.94,7.10,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43267107,,Repair detached retina,A,,15.60,11.28,NA,11.28,,1.25,28.13,28.13,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43367108,,Repair detached retina,A,,16.70,11.67,NA,11.67,,1.33,29.70,29.70,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43467110,,Repair detached retina,A,,9.99,15.90,,10.12,,0.80,26.69,20.91,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43567113,,Repair retinal detach cplx,A,,18.53,13.24,NA,13.24,,1.47,33.24,33.24,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43667115,,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