CPT 67028
Global 000 ActiveInjection eye drug
CPT 67028 Billing & Documentation Guide
CPT code 67028 (Injection eye drug) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.4, a non-facility practice expense RVU of 1.91, and a malpractice RVU of 0.11, a total non-facility RVU of 3.42 and facility RVU of 2.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $117.44, though rates vary from $103.45 to $145.87 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 67028, 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 67028 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 67028 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 67028
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.4 | 1.4 |
| Practice Expense RVU | 1.91 | 0.75 |
| Malpractice RVU | 0.11 | 0.11 |
| Total RVU | 3.42 | 2.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 67028
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 | $125.92 | $80.07 | $119.45 - $145.87 | 29 |
| Florida | $117.92 | $79.05 | $113.27 - $122.46 | 3 |
| Georgia | $112.09 | $75.13 | $108.05 - $116.13 | 2 |
| Illinois | $115.59 | $78.15 | $110.75 - $119.64 | 4 |
| Michigan | $111.84 | $75.46 | $109.15 - $114.52 | 2 |
| North Carolina | $108.63 | $72.48 | $108.63 - $108.63 | 1 |
| New York | $125.14 | $81.92 | $109.95 - $132.43 | 5 |
| Ohio | $108.71 | $73.34 | $108.71 - $108.71 | 1 |
| Pennsylvania | $113.6 | $75.65 | $108.8 - $118.4 | 2 |
| Texas | $113.24 | $75.09 | $108.23 - $117.61 | 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 67028
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 67028 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 |
| 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 |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 67028
What does CPT code 67028 mean? +
CPT code 67028 represents: Injection eye drug. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 67028? +
The 2026 Medicare national average non-facility payment for CPT 67028 is $117.44. Rates range from $103.45 to $145.87 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 67028? +
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 67028? +
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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