CPT code 67041: Vitrectomy, preretinal membrane removal2026 Medicare rate & RVUs in California
Reports pars plana vitrectomy with peeling of a preretinal cellular membrane, typically for symptomatic epiretinal membrane or macular pucker.
CMS doesn’t publish an office rate for 67041 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 67041 covers
A vitreoretinal surgeon removes vitreous through a pars plana approach and peels a cellular membrane from the retinal surface. The procedure is commonly performed for an epiretinal membrane, also called macular pucker, which can distort central vision. It is generally an operating-room procedure, most often in a facility setting.
Report 67041 when the operative service includes vitrectomy and removal of a preretinal cellular membrane; the operative note should identify the membrane and document its removal. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral surgery reported with modifier 50, CMS pays 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.
Where 67041 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $985.00 |
| Chico, CA | Unavailable | $980.84 |
| El Centro, CA | Unavailable | $981.05 |
| Fresno, CA | Unavailable | $980.84 |
| Hanford, CA | Unavailable | $980.84 |
| Los Angeles, CA | Unavailable | $1,032.16 |
| Madera, CA | Unavailable | $980.84 |
| Marin County, CA | Unavailable | $1,138.61 |
| Merced, CA | Unavailable | $980.84 |
| Modesto, CA | Unavailable | $980.84 |
| Napa, CA | Unavailable | $1,088.65 |
| Oxnard, CA | Unavailable | $1,023.13 |
| Redding, CA | Unavailable | $980.84 |
| Rest of California | Unavailable | $980.84 |
| Riverside, CA | Unavailable | $994.82 |
| Sacramento, CA | Unavailable | $1,016.46 |
| Salinas, CA | Unavailable | $1,012.28 |
| San Benito County, CA | Unavailable | $1,162.04 |
| San Diego, CA | Unavailable | $1,026.09 |
| San Francisco, CA | Unavailable | $1,137.17 |
| San Luis Obispo, CA | Unavailable | $997.22 |
| Santa Clara County, CA | Unavailable | $1,156.15 |
| Santa Cruz, CA | Unavailable | $1,028.28 |
| Santa Maria, CA | Unavailable | $1,013.35 |
| Santa Rosa, CA | Unavailable | $1,038.02 |
| Stockton, CA | Unavailable | $980.84 |
| Vallejo, CA | Unavailable | $1,086.57 |
| Visalia, CA | Unavailable | $980.84 |
| Yuba City, CA | Unavailable | $980.84 |
How the 67041 rate is calculated
Each of 67041’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 · 67041
RVUs × geographic indexes × conversion factor
Work15.92
15.92 RVUs× 1.000 GPCI
Practice expense11.40
11.40 RVUs× 1.000 GPCI
Malpractice1.27
1.27 RVUs× 1.000 GPCI
Adjusted RVUs
28.5900
Conversion factor
$33.4009
Medicare rate
$954.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67041
67041 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67041
Vitrectomy, preretinal membrane removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67041
Vitrectomy, preretinal membrane removal
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67041 without 50 · national facility
$954.93
Vitrectomy, preretinal membrane removal
67041-50 · Bilateral: 150%
$1,432.40
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).
67041 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 67036VitrectomyPars plana approach
- Use 67041 when the vitrectomy includes removal of a preretinal cellular membrane. 67036 describes the vitrectomy without that specified membrane-removal service.
- 67042Retinal surgeryInternal limiting membrane peel
- 67042 describes removal of the internal limiting membrane, often during macular hole surgery; 67041 describes removal of a preretinal cellular membrane such as an epiretinal membrane.
- 67043VitrectomyPreretinal and internal limiting membranes
- 67043 is for removal of a subretinal membrane. 67041 is for removal of a membrane on the retinal surface.
67041 billing questions
How is 67041 different from 67042?
67041 describes removal of a preretinal cellular membrane, such as an epiretinal membrane. 67042 is used when the membrane removed is the internal limiting membrane, commonly in macular hole surgery.
Can 67036 be reported separately for the same eye?
No. The vitrectomy is part of 67041, which describes the procedure with removal of the preretinal membrane.
What documentation supports 67041?
The operative report should document the pars plana vitrectomy and removal of a preretinal cellular membrane, such as an epiretinal membrane or macular pucker.
How is bilateral surgery reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with 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
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