Billing code 67110: Retinal detachment repairMedicare rate & RVUs in Utah

Report this service when an ophthalmologist repairs a selected retinal detachment by injecting gas to support the retina against the eye wall.

CMS RVU26DEffective Oct 1, 20261 payment locality2.3K Medicare services in 2024

Medicare pays $856.88 for 67110 in the office in Utah (Utah). Which amount applies depends on the service address.

$856.88Office (non-facility)
$675.41Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 67110 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 67110 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 67110 covers

A vitreoretinal ophthalmologist typically performs pneumatic retinopexy for a selected retinal detachment. The surgeon injects air or another gas into the eye to press the detached retina back against the eye wall; retinal breaks may also be treated to help seal them. Subretinal fluid drainage, when performed as part of this repair, is included. The procedure is commonly performed in an office or surgical facility, with follow-up positioning instructions to keep the gas bubble against the treated area.

Report 67110 when the repair uses gas injection, rather than a scleral buckle or a vitrectomy-based approach. The operative note should identify the detachment, gas injection, and any drainage or retinal-break treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.

67110 in Utah

67110 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$856.88$675.41

How the 67110 rate is calculated

Each of 67110’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 · 67110

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.99Practice expense 15.90Malpractice 0.80

26.6900 adjusted RVUs×$33.4009 conversion factor=$891.47

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67110

67110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67110

Retinal detachment repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67110

Retinal detachment repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67110 without 50 · national office

$891.47

Retinal detachment repair

67110-50 · Bilateral: 150%

$1,337.21

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).

When to use modifier 50

67110 compared with similar codes

Compare codes

67110 vs 67107 vs 67108 vs 67101: national Medicare rates

Swap in your local Medicare rate.

  • 67110
    Retinal detachment repair · 9.99 wRVU
    $891.47
  • 67107
    Retinal detachment repair · 15.6 wRVU
    —
  • 67108
    Retinal detachment repair · 16.7 wRVU
    —
  • 67101
    Retinal repair · 3.41 wRVU
    $335.35−$556.12

How to choose

67107Retinal detachment repair
67110 describes gas injection for pneumatic repair. Choose 67107 when the detachment is repaired with a scleral buckle.
67108Retinal detachment repair
67110 is the gas-injection approach; 67108 represents repair using a vitrectomy-based approach.
67101Retinal repair
67101 identifies a cryotherapy approach to retinal detachment repair, while 67110 identifies repair by gas injection.

67110 billing questions

When should 67110 be chosen instead of a scleral buckle code?

Use 67110 when gas injection is the method used to repair the detachment. A scleral buckle repair is represented by 67107.

Is subretinal fluid drainage separately reported with 67110?

Drainage performed as part of the pneumatic repair is included in 67110. The operative note should show whether drainage was performed.

What documentation supports reporting 67110?

Document the retinal detachment, the gas injected, and the repair performed, including any drainage or treatment of retinal breaks.

How does the 90-day global period affect follow-up visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How is 67110 handled when another procedure is 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%.

Can an assistant surgeon or co-surgeon be reported for 67110?

CMS restricts assistant-at-surgery payment for this code. 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
RVUs for 67110PPRRVU2026_Oct_nonQPP.csv, line 7,434 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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