No office rate
67005 describes partial removal of vitreous through an anterior approach. Use 67015 for drainage from the choroidal space through a posterior sclerotomy.
On this page
CMS RVU26D · Effective 2026-10-01
67015 Choroidal drainage Medicare reimbursement rates in Wyoming
Reports surgical drainage of fluid or blood from the choroidal space through a posterior scleral incision, often for a choroidal detachment. Compare 67015 office and facility rates across CMS payment localities in Wyoming.
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 67015 in Wyoming?
Wyoming 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
$519.62
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Ophthalmic surgery
About 67015: Posterior sclerotomy for choroidal drainage
Reports surgical drainage of fluid or blood from the choroidal space through a posterior scleral incision, often for a choroidal detachment.
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.
CMS billing rules for 67015
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.96 · 44%
- Practice expense (office) RVU8.19 · 52%
- Malpractice RVU0.55 · 4%
1.6K
Medicare services in 2024 · #2640 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.
67015 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
67010 describes subtotal vitreous removal through an anterior approach; 67015 drains choroidal fluid or blood instead.
No office rate
67036 describes mechanical vitrectomy through a pars plana approach. It removes vitreous rather than draining the choroidal space.
Compare 67015 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$519.62
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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 67015 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,418
- Code
- 67015
- Physician work
- 6.96
- Practice expense
- 8.19
- Malpractice
- 0.55
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.96 | × 1.000 | 6.9600 |
| Practice expense | 8.19 | × 1.000 | 8.1900 |
| Malpractice | 0.55 | × 0.740 | 0.4070 |
| Total RVUs | 15.5570 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$519.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.96 | 1 |
| Practice expense | 8.19 | 1 |
| Malpractice | 0.55 | 0.74 |
(6.96 × 1 + 8.19 × 1 + 0.55 × 0.74) × $33.4009 = $519.62
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.
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 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.
7,41566999,,Unlisted px ant segment eye,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41667005,,Partial removal of eye fluid,A,,5.74,6.19,NA,6.19,,0.45,12.38,12.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41767010,,Partial removal of eye fluid,A,,6.88,6.60,NA,6.60,,0.54,14.02,14.02,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41867015,,Release of eye fluid,A,,6.96,8.19,NA,8.19,,0.55,15.70,15.70,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41967025,,Replace eye fluid,A,,7.91,13.70,,7.64,,0.62,22.23,16.17,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42067027,,Implant eye drug system,A,,11.33,9.17,NA,9.17,,0.91,21.41,21.41,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42167028,,Injection eye drug,A,,1.40,1.91,,0.75,,0.11,3.42,2.26,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,