CPT code 67040: Retinal vitrectomy, panretinal endolaser2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $844.33 for 67040 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 67040 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 67040 covers

A retinal surgeon removes vitreous through a pars plana approach and applies endolaser across the retina for panretinal photocoagulation. A common setting is surgery for proliferative diabetic retinopathy complicated by vitreous hemorrhage, when clearing the vitreous permits treatment of the retinal neovascular disease. The service is generally performed in an operating room or ambulatory surgery center.

Select this code when the operative report supports both mechanical pars plana vitrectomy and endolaser panretinal photocoagulation. The laser treatment is part of the coded service; do not separately report it merely because the surgeon documents endolaser during the same operation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, 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 Utah compares for 67040

Across 109 of 109 payment localities, the facility rate for 67040 runs from $800.73 in Arkansas to $1,112.34 in Alaska. Utah pays $844.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

67040 rates by state

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

See 67040 in every payment locality

How the 67040 rate is calculated

Each of 67040’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 67040

67040 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 67040

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

How 67040 has changed in Utah

Price 67040 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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