CPT code 67041: Vitrectomy, preretinal membrane removal2026 Medicare rate & RVUs in New Mexico

Reports pars plana vitrectomy with peeling of a preretinal cellular membrane, typically for symptomatic epiretinal membrane or macular pucker.

CMS RVU26DEffective Oct 1, 2026One payment locality16.3K Medicare services in 2024

In New Mexico, Medicare pays $931.85 for 67041 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$931.85Hospital or facility

Check a contract rate as a % of Medicare · 67041 nationwide

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

We’ll open 67041 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 67041 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How New Mexico compares for 67041

Across 109 of 109 payment localities, the facility rate for 67041 runs from $880.67 in Arkansas to $1,226.51 in Alaska. New Mexico pays $931.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

67041 in New Mexico vs other payment areas
  1. New Mexico · this page$931.85
  2. Los Angeles, CA · California$1,032.16+$100.31
  3. Washington, DC area · District of Columbia$1,056.22+$124.37
  4. Miami, FL · Florida$1,035.40+$103.55
  5. Chicago, IL · Illinois$1,015.49+$83.64
  6. Manhattan, NY · New York$1,075.51+$143.66
  7. Alaska · Alaska$1,226.51+$294.66

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

67041 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$888.93
ArkansasArkansas—$880.67
ArizonaArizona—$937.02
Bakersfield, CACalifornia—$985.00
Chico, CACalifornia—$980.84
El Centro, CACalifornia—$981.05
Fresno, CACalifornia—$980.84
Hanford, CACalifornia—$980.84

67041 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
67041 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 67041 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,427

Code
67041
Physician work
15.92
Practice expense
11.40
Malpractice
1.27

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 67041 in New Mexico
ComponentRVULocality factorAdjusted
Physician work15.92× 1.00015.9200
Practice expense11.40× 0.91710.4538
Malpractice1.27× 1.2011.5253
Total RVUs27.8991
Conversion factor× 33.4009

Facility rate, New Mexico$931.85

Facility: (15.92 × 1 + 11.4 × 0.917 + 1.27 × 1.201) × $33.4009 = $931.85

Open 67041 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

How 67041 has changed in New Mexico

67041 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$931.85RVU26D
2026-07-01Not available in this setting$931.85RVU26C
2026-04-01Not available in this setting$931.85RVU26B
2026-01-01Not available in this setting$931.85RVU26A
2025-10-01Not available in this setting$1,051.58RVU25D
2025-07-01Not available in this setting$1,051.58RVU25C
2025-04-01Not available in this setting$1,051.58RVU25B
2025-01-01Not available in this setting$1,051.58RVU25A
2024-10-01Not available in this setting$1,083.17RVU24D
2024-07-01Not available in this setting$1,083.17RVU24C
2024-04-01Not available in this setting$1,083.17RVU24B
2024-03-09Not available in this setting$1,083.17RVU24AR
2024-01-01Not available in this setting$1,065.49RVU24A
2023-10-01Not available in this setting$1,090.52RVU23D
2023-07-01Not available in this setting$1,090.52RVU23C
2023-04-01Not available in this setting$1,090.52RVU23B
2023-01-01Not available in this setting$1,090.52RVU23A
2022-10-01Not available in this setting$1,094.71RVU22D
2022-07-01Not available in this setting$1,094.71RVU22C
2022-04-01Not available in this setting$1,094.71RVU22B
2022-01-01Not available in this setting$1,094.71RVU22A
2021-10-01Not available in this setting$1,102.97RVU21D
2021-07-01Not available in this setting$1,102.97RVU21C
2021-04-01Not available in this setting$1,102.97RVU21B
2021-01-01Not available in this setting$1,102.97RVU21A
2020-10-01Not available in this setting$1,133.70RVU20D
2020-07-01Not available in this setting$1,133.70RVU20C
2020-04-01Not available in this setting$1,133.70RVU20B
2020-01-01Not available in this setting$1,133.70RVU20A
2019-10-01Not available in this setting$1,147.51RVU19D
2019-07-01Not available in this setting$1,147.51RVU19C
2019-04-01Not available in this setting$1,147.51RVU19B
2019-01-01Not available in this setting$1,147.51RVU19A
2018-10-01Not available in this setting$1,149.45RVU18D
2018-07-01Not available in this setting$1,149.45RVU18C
2018-04-01Not available in this setting$1,149.45RVU18B
2018-01-01Not available in this setting$1,149.45RVU18AR1
2017-10-01Not available in this setting$1,137.27RVU17D
2017-07-01Not available in this setting$1,137.27RVU17C
2017-04-01Not available in this setting$1,137.27RVU17B
2017-01-01Not available in this setting$1,137.27RVU17A
2016-10-01Not available in this setting$1,132.32RVU16D
2016-07-01Not available in this setting$1,132.32RVU16C
2016-04-01Not available in this setting$1,132.32RVU16B
2016-01-01Not available in this setting$1,132.32RVU16A
2015-10-01Not available in this setting$1,135.42RVU15D
2015-07-01Not available in this setting$1,135.42RVU15C
2015-04-01Not available in this setting$1,129.77RVU15B
2015-01-01Not available in this setting$1,129.77RVU15A
2014-10-01Not available in this setting$1,344.07RVU14D
2014-07-01Not available in this setting$1,344.07RVU14C
2014-04-01Not available in this setting$1,344.07RVU14B
2014-01-01Not available in this setting$1,344.07RVU14A
2013-10-01Not available in this setting$1,313.88RVU13D
2013-07-01Not available in this setting$1,313.88RVU13C
2013-04-01Not available in this setting$1,313.88RVU13B
2013-01-01Not available in this setting$1,313.88RVU13AR

Price 67041 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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
RVUs for 67041PPRRVU2026_Oct_nonQPP.csv, line 7,427 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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