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Updated January 1st, 2026

CPT Administration Code: 67028 – Intravitreal Injection

Intravitreal injection of a pharmacologic agent (separate procedure) 67028

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Medicare Facility ?

$75.49

/ administration · CY 2026

Medicare Non-Facility ?

$114.23

/ administration · CY 2026

Total RVUs ?

3.42

non-facility setting

Related Admin Codes ?

2

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Code Overview

CPT® administration code details for 67028.

CPT Code Descriptor Intravitreal injection of a pharmacologic agent (separate procedure) 67028
Code Category Intravitreal Injection
Route / Technique Intravitreal Injection
Code Type Initial / Primary Code

About Intravitreal Injection – 67028

CPT 67028 describes an intravitreal injection of a pharmacologic agent, most commonly performed in an office or outpatient setting for the treatment of retinal and choroidal diseases. This code represents the initial or single injection procedure and is one of the most frequently reported ophthalmic drug administration codes. It is reported once per eye per encounter regardless of the number of medications combined in a single injection.

Disclaimer: CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved. The information on BuyandBill.com is intended for informational purposes only and should not be used as billing or medical advice.

67028 RVU Breakdown & Medicare Reimbursement

Based on the CY 2026 CMS Physician Fee Schedule. National payment amounts, before geographic (GPCI) adjustment.

Component Facility Non-Facility
Work RVU — physician work 1.40 1.40
Practice Expense RVU — staff, supplies, equipment 0.75 1.91
Malpractice RVU — professional liability 0.11 0.11
Total RVUs 2.26 3.42
Medicare Payment — Total RVUs × $33.4009 CF $75.49 $114.23

CY 2026 Medicare Conversion Factor: $33.4009.

67028 Locality-Adjusted Rates

Medicare payment varies by locality via GPCI adjustment. Log in to view rates for all 100+ Medicare localities.

Medicare Locality Facility Non-Facility
National (unadjusted) $75.49 $114.23
Los Angeles–Long Beach, CA
Manhattan, NY
Houston, TX
Miami, FL

Drugs Commonly Billed with 67028

HCPCS-coded drugs frequently administered under this CPT code. The list below is not exhaustive.

HCPCS Code Drug HCPCS Descriptor
J0178 EYLEA Injection, aflibercept, 1 mg
J2778 LUCENTIS Injection, ranibizumab, 0.1 mg
Q5150 AHZANTIVE Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg
J0179 BEOVU Injection, brolucizumab-dbll, 1 mg
Q5124 BYOOVIZ Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg

Frequently Asked Questions

What are CPT Administration Codes?
CPT administration codes cover the work of giving a drug to a patient, such as an injection or an infusion. The drug itself is billed with its HCPCS J-code, and the administration is billed with a CPT code. Both go on the same claim. Learn More →
What is the Medicare Conversion Factor?
The conversion factor is the dollar amount CMS uses to turn a code's total RVUs into a Medicare payment. This page uses the CY 2026 conversion factor of $33.4009. CMS updates it every year in the Physician Fee Schedule final rule.
Facility vs. Non-Facility?
The non-facility rate applies in a physician office, where the practice pays for its own staff, supplies, and equipment, so the rate is usually higher. The facility rate applies in hospital outpatient departments and ASCs, where the facility bills for those costs separately.
How do I decide which administration code to use?
Pick the code that matches the type of drug, the route, and how long the administration takes. Start from the highest-ranking service you performed, then add the appropriate add-on codes for extra time or extra drugs. Manufacturer billing and coding guides often list suggested administration codes.

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AMA/CPT Copyright Notice

CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.