$623.37
Use 67120 for implanted material in the anterior segment. Use 67121 when the material is in the posterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
67121 Implant removal Medicare reimbursement rates in Tennessee
Removal of previously placed intraocular material from the eye’s posterior segment, such as silicone oil used as retinal tamponade. Compare 67121 office and facility rates across CMS payment localities in Tennessee.
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 67121 in Tennessee?
Tennessee 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
No supported rate
Facility setting
$719.34
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 surgery
About 67121: Posterior segment implant material removal
Removal of previously placed intraocular material from the eye’s posterior segment, such as silicone oil used as retinal tamponade.
An ophthalmic surgeon, often a vitreoretinal specialist, uses this code to remove material previously placed inside the posterior segment of the eye. A familiar example is removing silicone oil used to support the retina after retinal detachment surgery. The procedure is generally performed in an operating room or other surgical setting; the operative record should identify the material, its location, and the work performed to remove it. Material in the anterior segment belongs to a different code, and an external encircling buckle is not intraocular material.
Report 67121 for the posterior-segment material removal itself, documenting the indication and the relevant operative findings. The 90-day global period includes 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 67121
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.94 · 52%
- Practice expense (office) RVU9.99 · 44%
- Malpractice RVU0.96 · 4%
4.1K
Medicare services in 2024 · #1986 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.
67121 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
67115 concerns release of external encircling material, such as a scleral buckle; 67121 concerns material located inside the posterior segment.
No office rate
67036 addresses pars plana removal of vitreous. 67121 addresses removal of implanted material from the posterior segment; identify the specific target of the surgery.
No office rate
67108 is for retinal detachment repair. Report 67121 when posterior-segment implanted material is removed; detachment repair is a distinct operative objective.
Compare 67121 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$719.34
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 67121 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,438
- Code
- 67121
- Physician work
- 11.94
- Practice expense
- 9.99
- Malpractice
- 0.96
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.94 | × 1.000 | 11.9400 |
| Practice expense | 9.99 | × 0.909 | 9.0809 |
| Malpractice | 0.96 | × 0.537 | 0.5155 |
| Total RVUs | 21.5364 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$719.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.94 | 1 |
| Practice expense | 9.99 | 0.909 |
| Malpractice | 0.96 | 0.537 |
(11.94 × 1 + 9.99 × 0.909 + 0.96 × 0.537) × $33.4009 = $719.34
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.
67121 billing questions
How does 67121 differ from 67120?
67121 is for implanted material inside the posterior segment; 67120 is for implanted material in the anterior segment. The operative documentation should establish where the material was located.
Can 67121 be used for removal of a scleral buckle?
No. A buckle is external encircling material, not an intraocular posterior-segment implant; 67115 addresses release of encircling material.
What documentation supports 67121?
Document the material removed, its posterior-segment location, the reason for removal, and the operative work. For silicone oil, identify its prior use as retinal tamponade when relevant.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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 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.
7,43567113,,Repair retinal detach cplx,A,,18.53,13.24,NA,13.24,,1.47,33.24,33.24,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43667115,,Release encircling material,A,,5.96,6.51,NA,6.51,,0.47,12.94,12.94,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43767120,,Remove eye implant material,A,,6.92,12.60,,6.79,,0.54,20.06,14.25,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43867121,,Remove eye implant material,A,,11.94,9.99,NA,9.99,,0.96,22.89,22.89,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,43967141,,Proph rta dtchmnt crtx dthrm,A,,2.47,5.42,,2.98,,0.20,8.09,5.65,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44067145,,Proph rta dtchmnt pc,A,,2.47,4.68,,2.98,,0.20,7.35,5.65,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,44167208,,Treatment of retinal lesion,A,,7.46,10.06,,6.67,,0.59,18.11,14.72,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780