CPT 67015
Global 090 ActiveRelease of eye fluid
CPT 67015 Billing & Documentation Guide
CPT code 67015 (Release of eye fluid) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.96, a non-facility practice expense RVU of 8.19, and a malpractice RVU of 0.55, a total non-facility RVU of 15.7 and facility RVU of 15.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $538.44, though rates vary from $476.91 to $662.35 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 67015, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 67015 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 67015 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 67015
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.96 | 6.96 |
| Practice Expense RVU | 8.19 | 8.19 |
| Malpractice RVU | 0.55 | 0.55 |
| Total RVU | 15.7 | 15.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 67015
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $574.45 | $574.45 | $546.08 - $662.35 | 29 |
| Florida | $542.7 | $542.7 | $521.6 - $563.7 | 3 |
| Georgia | $515.77 | $515.77 | $498.38 - $533.16 | 2 |
| Illinois | $532.71 | $532.71 | $510.94 - $551.18 | 4 |
| Michigan | $515.19 | $515.19 | $502.96 - $527.42 | 2 |
| North Carolina | $499.43 | $499.43 | $499.43 - $499.43 | 1 |
| New York | $573.64 | $573.64 | $505.26 - $606.72 | 5 |
| Ohio | $500.74 | $500.74 | $500.74 - $500.74 | 1 |
| Pennsylvania | $522.15 | $522.15 | $500.95 - $543.34 | 2 |
| Texas | $520.13 | $520.13 | $498.47 - $538.63 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 67015
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 67015 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0124T | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0186T | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0465T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 67015
What does CPT code 67015 mean? +
CPT code 67015 represents: Release of eye fluid. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 67015? +
The 2026 Medicare national average non-facility payment for CPT 67015 is $538.44. Rates range from $476.91 to $662.35 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 67015? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 67015? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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