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CPT code 67005: Vitrectomy, partial, anterior approach2026 Medicare rate & RVUs

Reports partial removal of vitreous through an anterior approach, commonly when vitreous prolapses into the front of the eye during surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.6K Medicare services in 2024

Medicare pays $413.50 for 67005 nationally in a facility.

Medicare rate · 67005

Vitrectomy, partial, anterior approach

Office or facility?

Work RVUs
5.74
Total RVUs
12.38
Global days
090

National rate · 2026

$413.50

Facility setting, before claim adjustments.

See every locality for 67005 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 67005 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67005 covers

An ophthalmic surgeon uses an anterior approach to remove part of the vitreous gel, often to clear vitreous that has moved into the anterior chamber during cataract surgery. The service is performed in an operative setting when the surgeon documents that partial vitreous removal was needed; it is distinct from a pars plana vitrectomy directed at the posterior segment.

Choose this code for partial removal by the anterior approach, rather than a more extensive removal or a different approach. The operative note should identify the vitreous prolapse or other indication, the approach, and the removal performed. This major surgery has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 67005 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67005 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$381.14
AlaskaUnavailable$516.05
ArizonaUnavailable$404.93
ArkansasUnavailable$377.06
Atlanta, GAUnavailable$420.41
Austin, TXUnavailable$424.16
Bakersfield, CAUnavailable$431.12
Baltimore area, MDUnavailable$435.23
Beaumont, TXUnavailable$393.83
Brazoria, TXUnavailable$409.87

67005 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
67005 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 67005 rate is calculated

Each of 67005’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 67005

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.74

5.74 RVUs× 1.000 GPCI

Practice expense6.19

6.19 RVUs× 1.000 GPCI

Malpractice0.45

0.45 RVUs× 1.000 GPCI

Adjusted RVUs

12.3800

Conversion factor

$33.4009

Medicare rate

$413.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 67005

67005 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67005

Vitrectomy, partial, anterior approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 67005

Vitrectomy, partial, anterior approach

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

67005 without 50 · national facility

$413.50

Vitrectomy, partial, anterior approach

67005-50 · Bilateral: 150%

$620.25

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

67005 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 67005

    Vitrectomy, partial, anterior approach5.74 wRVU

    Not priced

  • 67010

    Anterior vitrectomy, partial removal6.88 wRVU

    Not priced

  • 67015

    Choroidal drainage, posterior sclerotomy6.96 wRVU

    Not priced

  • 67036

    Vitrectomy, pars plana approach11.83 wRVU

    Not priced

How to choose

67010Anterior vitrectomyPartial removal
Both use an anterior approach, but 67005 describes partial removal while 67010 is selected for subtotal removal.
67015Choroidal drainagePosterior sclerotomy
67015 involves aspiration or release by a pars plana approach; 67005 is partial removal through an anterior approach.
67036VitrectomyPars plana approach
67036 is mechanical vitreous removal through a pars plana approach, generally for posterior-segment work; 67005 is partial removal through the front of the eye.

Codes related to 67005

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 67005
CodeHow it relatesNational office range
Same family
67010Anterior vitrectomy, partial removalAnterior-approach sibling for more extensive, subtotal vitreous removal.No office rate
Used instead
67015Choroidal drainage, posterior sclerotomyA pars plana approach for vitreous aspiration or release, rather than partial anterior removal.No office rate
67036Vitrectomy, pars plana approachMechanical vitreous removal through a pars plana approach for posterior-segment work.No office rate

67005 billing questions

How is 67005 distinguished from 67010?

Both describe anterior-approach vitreous removal. Use 67005 for partial removal and 67010 when the operative work is subtotal.

When is 67005 used during cataract surgery?

A common situation is vitreous prolapse into the anterior chamber during cataract surgery, requiring partial removal. The operative note should document the vitreous problem and the removal performed.

Can 67005 be reported with another procedure in the same session?

The code represents partial anterior vitreous removal, not routine cataract extraction. If multiple procedures are payable in the same session, Medicare applies its multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%.

What modifier applies when both eyes are treated?

For bilateral performance, report modifier 50; Medicare pays the bilateral procedure at 150%.

Does 67005 have a global period?

Yes. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days.

Can an assistant or co-surgeon be paid for 67005?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 67005PPRRVU2026_Oct_nonQPP.csv, line 7,416 (RVU26D)

Open CMS sourceHow we calculate rates

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