Billing code 67145: Laser retinopexyMedicare rate & RVUs in Nebraska
Ophthalmologists use this laser session to treat retinal breaks or selected peripheral lesions before they progress to retinal detachment.
Medicare pays $229.31 for 67145 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.
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 67145 covers
An ophthalmologist, often a retina specialist, uses focused laser photocoagulation to create an adhesion around a retinal break or selected peripheral retinal lesion judged to put the eye at risk for detachment. The intent is preventive: the service treats the vulnerable area before a retinal detachment requires repair. It is commonly performed in an office with retinal visualization, although facility settings are also used.
Report 67145 for the prophylactic laser treatment session, not for repair of an established detached retina. Documentation should identify the treated eye, break or lesion, why it warrants prophylaxis, and the laser treatment performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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.
67145 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $229.31 | $176.90 |
How the 67145 rate is calculated
Each of 67145’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 · 67145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.47Practice expense 4.68Malpractice 0.20
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67145
67145 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67145
Laser retinopexy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67145
Laser retinopexy
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67145 without 50 · national office
$245.50
Laser retinopexy
67145-50 · Bilateral: 150%
$368.25
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).
67145 compared with similar codes
Compare codes
67145 vs 67141 vs 67105 vs 67101: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67141Retinal prophylaxis
- Choose 67145 for prophylactic laser treatment and 67141 when prophylaxis is performed with cryotherapy.
- 67105Retinal detachment repair
- 67105 is for treatment of an established retinal detachment with photocoagulation; 67145 is preventive treatment before detachment.
- 67101Retinal repair
- 67101 treats an existing retinal detachment with cryotherapy, while 67145 uses laser for prophylaxis.
67145 billing questions
How does 67145 differ from 67141?
Both are prophylactic treatment for retinal detachment risk. 67145 uses laser photocoagulation; 67141 uses cryotherapy.
Can 67145 be reported for an established retinal detachment?
No. It describes preventive treatment of a retinal break or selected lesion. Repair codes apply when a detachment is already present.
Are related postoperative visits separately billable?
Related postoperative visits during the 10-day global period are included in the procedure.
How is bilateral treatment reported under the CMS facts?
CMS identifies 67145 as bilateral and pays modifier 50 at 150%.
What documentation supports reporting 67145?
Document the treated eye, the retinal break or lesion, the clinical reason prophylaxis is warranted, and the laser treatment performed.
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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