Billing code 67015: Choroidal drainageMedicare rate & RVUs in Nebraska
Reports surgical drainage of fluid or blood from the choroidal space through a posterior scleral incision, often for a choroidal detachment.
CMS doesn’t publish an office rate for 67015 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 67015 covers
An ophthalmologist uses a posterior sclerotomy to drain fluid or blood from the choroidal space, such as in a choroidal detachment or hemorrhage. The target is the choroid, not the vitreous cavity or subretinal space. This is an operative eye procedure and may be performed during treatment of a complex retinal condition when choroidal drainage is needed.
Report the service when the operative note supports drainage through a posterior scleral incision and identifies the indication and eye treated. Document any other procedures performed as distinct services; drainage of choroidal fluid is different from vitreous removal or drainage of subretinal fluid. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
67015 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $491.90 |
How the 67015 rate is calculated
Each of 67015’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67015
RVUs × geographic indexes × conversion factor
Work6.96
6.96 RVUs× 1.000 GPCI
Practice expense8.19
8.19 RVUs× 1.000 GPCI
Malpractice0.55
0.55 RVUs× 1.000 GPCI
Adjusted RVUs
15.7000
Conversion factor
$33.4009
Medicare rate
$524.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67015
67015 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67015
Choroidal drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67015
Choroidal drainage
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67015 without 50 · national facility
$524.39
Choroidal drainage
67015-50 · Bilateral: 150%
$786.59
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
67015 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67005Vitrectomy
- 67005 describes partial removal of vitreous through an anterior approach. Use 67015 for drainage from the choroidal space through a posterior sclerotomy.
- 67010Anterior vitrectomy
- 67010 describes subtotal vitreous removal through an anterior approach; 67015 drains choroidal fluid or blood instead.
- 67036Vitrectomy
- 67036 describes mechanical vitrectomy through a pars plana approach. It removes vitreous rather than draining the choroidal space.
67015 billing questions
How does this differ from vitreous removal?
This procedure drains fluid or blood from the choroidal space through a posterior sclerotomy. Codes 67005, 67010, and 67036 describe removal of vitreous, not choroidal drainage.
Does this code include retinal detachment repair?
It represents choroidal drainage, not the retinal repair itself. If a separate retinal repair is performed, document its distinct work and consider applicable coding edits.
What documentation supports reporting it?
Record the indication, treated eye, choroidal fluid or blood being drained, and the posterior sclerotomy. Identify any separate retinal or vitreous procedures performed.
How is bilateral treatment reported?
CMS pays bilateral reporting with modifier 50 at 150%. Document the procedure on each eye.
How does the multiple-procedure reduction affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only when supporting documentation is submitted; 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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