67516 Sprchoroidal spc njx prescription agt
Also known as: suprachoroidal injection, sub-choroidal injection, choroidal drug delivery
Injection of therapeutic agent into suprachoroidal space (between sclera and choroid) for delivery of medication to treat choroidal pathology or retinal inflammation.
In Plain Language
injection between layers of eye structure
Clinical Context
Emerging delivery method for anti-inflammatory agents, antibiotics, or anti-vascular endothelial growth factor therapy directly to choroid.
RVU Breakdown
| Work RVU | 1.49 |
| Total RVU | 1.49 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.49, this code ranks in the 9th percentile among Surgery codes — 5.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67516?
CPT 67516 (Sprchoroidal spc njx prescription agt) is a Surgery code. Injection of therapeutic agent into suprachoroidal space (between sclera and choroid) for delivery of medication to treat choroidal pathology or retinal inflammation.
What is the wRVU value for CPT 67516?
The work RVU for CPT 67516 is 1.49. This code is primarily used by Ophthalmology, Retina.
When is CPT 67516 used?
Emerging delivery method for anti-inflammatory agents, antibiotics, or anti-vascular endothelial growth factor therapy directly to choroid.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.