# CPT 67028

> Medicare paid $104.40 for CPT 67028 in the office (non-facility) setting and $102.96 in a facility under the Q1 2018 Physician Fee Schedule, effective January 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.7% increase from the previous quarter.

## What it is

An injection of drug straight into the vitreous, the clear gel filling the back of the eye. After numbing drops and an antiseptic prep, a very fine needle passes through the white of the eye a few millimeters behind the iris and delivers the medicine where it can act directly on the retina. It is an office procedure that takes seconds, and it is usually repeated on a schedule of weeks to months for as long as the underlying disease stays active. The code covers the act of injecting; the drug itself is a separate matter.

## Selected release

- Release: Q1 2018 (2018 A)
- Effective: January 1 – March 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $104.40
- Facility national allowed amount: $102.96
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.44
- Office (non-facility) practice expense RVU: 1.35
- Facility practice expense RVU: 1.31
- Malpractice RVU: 0.11
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18ar1.zip
- Parsed file: PPRRVU18_JAN.csv, row 11,234
- Canonical page: https://localishealth.com/cpt/67028/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/67028/2018/A
- Last significant update: 2026-08-04T03:08:09+00:00
