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

In South Dakota, Medicare pays $403.52 for 67005 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67005 nationwide

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

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.

How South Dakota compares for 67005

Across 109 of 109 payment localities, the facility rate for 67005 runs from $377.06 in Arkansas to $519.00 in San Benito County, CA. South Dakota pays $403.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67005 rates by state

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

See 67005 in every payment locality

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.

Payment rules and modifiers for 67005

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

What modifiers do to the payment

When to use modifier 50

Codes related to 67005

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

How 67005 has changed in South Dakota

Price 67005 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates