CPT code 67025: Vitreous exchange, pars plana or limbal approach2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $728.75 for 67025 in the office and $526.34 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 67025 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 67025 covers

An ophthalmologist, often a retina surgeon, performs this procedure through a pars plana or limbal approach. The surgeon aspirates vitreous and introduces a substitute, such as gas, to exchange the eye’s internal fluid. It may be used in retinal care when an exchange is needed, including in selected retinal detachment cases. The service is generally performed in an operating room or ambulatory surgery setting.

Report the procedure when the operative work includes both vitreous aspiration and replacement with a substitute; aspiration or release alone and mechanical vitrectomy are distinct services. The operative note should identify the indication, eye, approach, aspiration, and substitute placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted by statute; co-surgeons require 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 67025

Across 109 of 109 payment localities, the office rate for 67025 runs from $667.94 in Arkansas to $964.21 in San Benito County, CA. South Dakota pays $728.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67025 rates by state

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

See 67025 in every payment locality

How the 67025 rate is calculated

Each of 67025’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 67025

67025 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 67025

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

How 67025 has changed in South Dakota

Price 67025 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