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Billing code 67010: Anterior vitrectomyMedicare rate & RVUs

Reports partial removal of vitreous through an anterior eye approach, commonly to clear vitreous prolapse into the anterior segment during eye surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.5K Medicare services in 2024

Medicare pays $468.28 for 67010 nationally in a facility.

Medicare rate · 67010

Anterior vitrectomy

Swap in your local Medicare rate.

Work RVUs
6.88
Total RVUs
14.02
Global days
090

National rate · 2026

$468.28

Facility setting, before claim adjustments.

See every locality for 67010 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 67010 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 67010 covers

An ophthalmologist performs this procedure to remove part of the vitreous through an anterior approach, such as a limbal incision or open-sky technique. A common situation is vitreous prolapse into the anterior chamber during cataract surgery, when vitreous must be cleared from the front of the eye. The service is generally performed in an operating room or other surgical setting.

Select this code for partial, rather than subtotal, anterior removal. The operative note should support the indication, anterior route, and extent of removal; document any separately performed cataract procedure as well. The code has 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.

Where 67010 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

67010 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$432.90
Alaska*Unavailable$589.41
ArizonaUnavailable$458.85
ArkansasUnavailable$428.45
AtlantaUnavailable$476.12
AustinUnavailable$479.47
BakersfieldUnavailable$486.76
Baltimore/Surr. CntysUnavailable$492.32
BeaumontUnavailable$447.16
BrazoriaUnavailable$464.17

67010 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
67010 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

How the 67010 rate is calculated

Each of 67010’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 · 67010

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.88Practice expense 6.60Malpractice 0.54

14.0200 adjusted RVUs×$33.4009 conversion factor=$468.28

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 67010

67010 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 67010

Anterior vitrectomy

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)1Not paid (statutory restriction).
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 · 67010

Anterior vitrectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

67010 without 50 · national facility

$468.28

Anterior vitrectomy

67010-50 · Bilateral: 150%

$702.42

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

67010 compared with similar codes

Compare codes

67010 vs 67005 vs 67015 vs 67036 vs 67025: national Medicare rates

Swap in your local Medicare rate.

  • 67010
    Anterior vitrectomy · 6.88 wRVU
    —
  • 67005
    Vitrectomy · 5.74 wRVU
    —
  • 67015
    Choroidal drainage · 6.96 wRVU
    —
  • 67036
    Vitrectomy · 11.83 wRVU
    —
  • 67025
    Vitreous exchange · 7.91 wRVU
    $742.50

How to choose

67005Vitrectomy
Both use an anterior approach; 67010 is for partial vitreous removal, while 67005 represents subtotal removal.
67015Choroidal drainage
67015 describes aspiration or release through a pars plana approach. Use 67010 for partial removal through an anterior approach.
67036Vitrectomy
67036 is mechanical vitrectomy through a pars plana approach; 67010 is partial removal through an anterior approach.
67025Vitreous exchange
67025 concerns injection of a vitreous substitute, including fluid-gas exchange. It describes vitreous replacement rather than partial anterior removal.

Codes related to 67010

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

Codes related to 67010
CodeHow it relatesNational office range
Same family
67005VitrectomyAnterior vitreous removal at the subtotal extent rather than partial removal.No office rate
Used instead
67015Choroidal drainageVitreous aspiration or release by a pars plana approach.No office rate
67036VitrectomyMechanical vitrectomy by a pars plana approach rather than partial anterior removal.No office rate
Often billed with
66984Cataract surgeryStandard cataract extraction may occur in the same encounter when a distinct anterior vitrectomy is needed.No office rate

67010 billing questions

How do I choose between 67010 and 67005?

Both describe anterior vitreous removal. Choose 67010 for partial removal and 67005 when the documented removal is subtotal.

Can 67010 be reported with cataract extraction?

It may be reported when a distinct anterior vitrectomy is performed along with cataract extraction. Document the vitreous prolapse and the separate work, and check applicable bundling edits.

How does 67010 differ from 67015?

67010 describes partial removal through an anterior approach. 67015 is for aspiration or release of vitreous through a pars plana approach.

What documentation supports 67010?

The operative report should identify why vitreous removal was needed, the anterior approach used, and that the removal was partial rather than subtotal.

What global and multiple-procedure rules apply?

The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be paid for this procedure?

Assistant-at-surgery payment is restricted. 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 67010PPRRVU2026_Oct_nonQPP.csv, line 7,417 (RVU26D)

Open CMS sourceHow we calculate rates

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