CPT code 67036: Vitrectomy, pars plana approach2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $725.48 for 67036 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67036 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 67036 covers

An ophthalmologist, usually a vitreoretinal surgeon, uses an intraocular cutter introduced through the pars plana to remove vitreous gel. The operation is performed in an operating room, commonly for dense vitreous hemorrhage or other vitreous pathology requiring surgical clearance. The surgeon may also address retinal disease during the same operation; when the service includes a specifically described retinal procedure, code selection should reflect the full operative work rather than vitreous removal alone.

Report 67036 when documentation supports mechanical vitreous removal by the pars plana route; distinguish it from anterior-approach removal and from codes describing vitrectomy with specific retinal treatment. The operative report should identify the indication, approach, mechanical technique, extent of removal, and additional retinal procedures. CMS assigns a 90-day major-surgery global, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral surgery reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 North Carolina compares for 67036

Across 109 of 109 payment localities, the facility rate for 67036 runs from $696.95 in Arkansas to $964.12 in Alaska. North Carolina pays $725.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67036 rates by state

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

See 67036 in every payment locality

How the 67036 rate is calculated

Each of 67036’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 67036

67036 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 67036

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

How 67036 has changed in North Carolina

Price 67036 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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