CPT 67028: injection of medication into the eye. What Medicare pays and what to ask
Eye injections can lead to large bills, mostly because of the drug. Here is what 67028 covers and what Medicare pays for the procedure.
What this code means
CPT 67028 is the procedure of injecting a drug into the vitreous, the gel inside the eye. It is common for macular degeneration and diabetic eye disease.
The medication is billed separately and is often the largest part of the cost.
Why the bill can be much higher than the Medicare rate
The rate shown covers the injection procedure only, not the drug.
Each eye treated is normally billed on its own line.
| If a line is billed at | It would be |
|---|---|
| 5x the Medicare rate | $571.15 |
| 10x the Medicare rate | $1,142.30 |
| 20x the Medicare rate | $2,284.60 |
The Medicare rate is a published benchmark, not a legal ceiling on what a provider may charge. Our free scan flags a line as worth a closer look when it is billed at more than 10 times the Medicare rate.
Questions worth asking before you pay
- Which drug was used, and where is it on the bill?
- How many eyes were treated, and how many procedure lines are billed?
- Is a visit charge billed in addition, and why?
Check every line against the official Medicare rates in about a minute. The scan is free.
Related codes
Source: Medicare Physician Fee Schedule (CMS, July 2026 release), national payment amount, non-facility setting. Last updated October 2026. This page is general information, not legal or medical advice. Rates change each year and a hospital bill can include charges that the benchmark does not cover.