Billing code 67141: Retinal prophylaxisMedicare rate & RVUs in Oregon
Retinal specialists use cryotherapy or diathermy around a retinal break or similar risk area to reduce the chance of retinal detachment.
Medicare pays $267.51–$289.92 for 67141 in the office in Oregon, from Rest Of Oregon to Portland. 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 67141 covers
This procedure applies cryotherapy or diathermy to retinal tissue around a break or another area considered at risk for detachment, creating an adhesion intended to help contain the problem. It is typically performed by an ophthalmologist, often a retina specialist, in an office or surgical facility. The clinical purpose is preventive treatment; an established retinal detachment calls for a repair procedure rather than this prophylaxis code.
Report the code when the documented treatment uses cryotherapy or diathermy for retinal detachment prophylaxis. The record should support the preventive indication, treated eye and retinal finding, and method used; photocoagulation prophylaxis is represented by a different code. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and 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.
Where 67141 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $289.92 | $199.37 |
| Rest Of Oregon | $267.51 | $186.33 |
How the 67141 rate is calculated
Each of 67141’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 · 67141
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.47Practice expense 5.42Malpractice 0.20
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67141
67141 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67141
Retinal prophylaxis
| 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 · 67141
Retinal prophylaxis
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
67141 without 50 · national office
$270.21
Retinal prophylaxis
67141-50 · Bilateral: 150%
$405.32
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).
67141 compared with similar codes
Compare codes
67141 vs 67145 vs 67101 vs 67105: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67145Laser retinopexy
- Both codes address retinal detachment prophylaxis, but 67141 represents cryotherapy or diathermy and 67145 represents photocoagulation.
- 67101Retinal repair
- 67141 is preventive treatment around a risk area; 67101 is used to repair an established detachment with cryotherapy or diathermy.
- 67105Retinal detachment repair
- 67105 treats an established retinal detachment with photocoagulation. For prophylaxis using photocoagulation, compare 67145 instead.
67141 billing questions
When should 67141 be chosen instead of 67145?
Use 67141 for retinal detachment prophylaxis performed with cryotherapy or diathermy. Use 67145 when the preventive treatment is performed with photocoagulation.
Is this code for an established retinal detachment?
No. It represents preventive treatment of a retinal break or other risk area; established detachment repair is reported with a repair code, such as 67101 or 67105, depending on the procedure.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How is bilateral treatment reported?
For treatment of both eyes, report modifier 50; CMS pays the bilateral procedure at 150%.
How does CMS handle other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; 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 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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