$78.04
Choose 67515 for medication delivered into Tenon's capsule; choose 67500 when the documented injection is retrobulbar.
On this page
CMS RVU26D · Effective 2026-10-01
67515 Eye injection Medicare reimbursement rates in Minnesota
Reports therapeutic medication delivered into Tenon's capsule, such as periocular corticosteroid treatment for selected cases of ocular inflammation or macular edema. Compare 67515 office and facility rates across CMS payment localities in Minnesota.
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 67515 in Minnesota?
Minnesota 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
$51.10
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$37.35
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 67515: Sub-Tenon therapeutic medication injection
Reports therapeutic medication delivered into Tenon's capsule, such as periocular corticosteroid treatment for selected cases of ocular inflammation or macular edema.
An ophthalmologist delivers medication into the sub-Tenon space, beneath the conjunctiva and around the eye. A common use is periocular corticosteroid treatment for conditions such as uveitis or cystoid macular edema when this route is selected. The service may be performed in an office or facility, and is distinct from medication placed into the retrobulbar or suprachoroidal space.
Report the injection when documentation identifies the therapeutic agent, Tenon's-capsule route, treated eye, and clinical indication. The medication may be separately reportable when applicable; the injection code represents the delivery service. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting with modifier 50, Medicare pays 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 67515
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.73 · 47%
- Practice expense (office) RVU0.76 · 49%
- Malpractice RVU0.06 · 4%
17.1K
Medicare services in 2024 · #1207 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.
67515 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$84.23
Code 67505 describes retrobulbar injection of alcohol. It is not the Tenon's-capsule medication route reported with 67515.
$120.38
Code 67516 is for delivery into the suprachoroidal space; 67515 identifies delivery into Tenon's capsule.
Compare 67515 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
Minnesota →
Office / nonfacility
$51.10
Facility
$37.35
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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 67515 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
7,481
- Code
- 67515
- Physician work
- 0.73
- Practice expense
- 0.76
- Malpractice
- 0.06
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 0.76 | × 1.029 | 0.7820 |
| Malpractice | 0.06 | × 0.296 | 0.0178 |
| Total RVUs | 1.5298 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$51.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.76 | 1.029 |
| Malpractice | 0.06 | 0.296 |
(0.73 × 1 + 0.76 × 1.029 + 0.06 × 0.296) × $33.4009 = $51.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.36 | 1.029 |
| Malpractice | 0.06 | 0.296 |
(0.73 × 1 + 0.36 × 1.029 + 0.06 × 0.296) × $33.4009 = $37.35
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.
67515 billing questions
How does this differ from 67500?
Code 67515 is for medication delivered into Tenon's capsule. Code 67500 describes a retrobulbar injection, a different anatomic route.
Can the medication be billed separately?
The code reports the injection service. The medication may be separately reportable when it is eligible for separate reporting and the record supports the drug and amount used.
What documentation supports this code?
Document the therapeutic agent, the Tenon's-capsule route, the treated eye, and the condition prompting treatment.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50. Medicare pays 150% under the bilateral rule.
Does a same-day evaluation or follow-up add to the procedure?
Same-day preoperative and postoperative care is included in the 0-day global period. A separate service requires documentation supporting a distinct, separately reportable service.
What happens when another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and other procedures at 50%. An assistant at surgery is not paid, and 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.
7,47867450,,Explore/biopsy eye socket,A,,15.02,20.24,NA,20.24,,1.21,36.47,36.47,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47967500,,Inject/treat eye socket,A,,1.15,1.13,,0.42,,0.08,2.36,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48067505,,Inject/treat eye socket,A,,1.15,1.31,,0.51,,0.08,2.54,1.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48167515,,Inject/treat eye socket,A,,0.73,0.76,,0.36,,0.06,1.55,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48267516,,Sprchoroidal spc njx rx agt,A,,1.49,2.02,,0.78,,0.12,3.63,2.39,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48367550,,Insert eye socket implant,A,,11.48,16.16,NA,16.16,,0.98,28.62,28.62,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48467560,,Revise eye socket implant,A,,11.88,16.27,NA,16.27,,1.06,29.21,29.21,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002