$317.95–$333.86
Both address an established retinal detachment, but 67101 uses cryotherapy; 67105 uses photocoagulation.
On this page
CMS RVU26D · Effective 2026-10-01
67105 Retinal detachment repair Medicare reimbursement rates in Michigan
Reports repair of an established retinal detachment using photocoagulation, with subretinal fluid drainage included when performed as part of the service. Compare 67105 office and facility rates across CMS payment localities in Michigan.
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 67105 in Michigan?
Michigan 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
$284.05–$298.04
2 of 2 localities have a supported rate.
Facility setting
$227.94–$238.74
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.
Ophthalmology surgery
About 67105: Retinal detachment repair by photocoagulation
Reports repair of an established retinal detachment using photocoagulation, with subretinal fluid drainage included when performed as part of the service.
An ophthalmologist uses photocoagulation to treat an established retinal detachment, creating a chorioretinal adhesion to secure the retina. Subretinal fluid drainage may be performed as part of the repair. The service is distinct from preventive treatment of a retinal break before detachment has occurred, and from repairs performed using other techniques such as cryotherapy, pneumatic retinopexy, or scleral buckling.
Report 67105 when the operative documentation supports repair of a retinal detachment by photocoagulation; document the detachment, treatment method, and any drainage performed. The code has a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in the same 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 payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 67105
- 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 RVU3.31 · 37%
- Practice expense (office) RVU5.38 · 60%
- Malpractice RVU0.25 · 3%
4K
Medicare services in 2024 · #2001 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.
67105 compared with similar codes
Office rates for Michigan, from the same CMS release.
$848.71–$891.21
67110 describes pneumatic retinopexy, while 67105 describes repair by photocoagulation.
$232.76–$244.61
67145 is prophylactic photocoagulation for a retinal break or lesion. Use 67105 for photocoagulation repair of an established detachment.
No office rate
67107 is a scleral buckling repair. 67105 is selected when the documented retinal detachment repair is performed by photocoagulation.
Compare 67105 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
Detroit →
Office / nonfacility
$298.04
Facility
$238.74
Rest Of Michigan →
Office / nonfacility
$284.05
Facility
$227.94
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67105 billing questions
How does 67105 differ from 67145?
67105 is for repairing an established retinal detachment with photocoagulation. 67145 is for prophylactic photocoagulation of a retinal break or other retinal lesion when detachment has not occurred.
When should 67101 be used instead?
67101 describes retinal detachment repair using cryotherapy. Choose 67105 when the documented repair method is photocoagulation.
Is subretinal fluid drainage separately reported?
Drainage of subretinal fluid is included when performed as part of the 67105 repair. The operative note should identify the detachment and photocoagulation treatment.
How are bilateral procedures reported?
Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeons or team surgery.
Are postoperative visits included?
Related postoperative visits for 10 days are included in the global period.
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.
7,42867042,,Vit for macular hole,A,,15.92,11.39,NA,11.39,,1.27,28.58,28.58,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42967043,,Vit for membrane dissect,A,,16.97,11.77,NA,11.77,,1.34,30.08,30.08,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43067101,,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