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Billing code 67041: VitrectomyMedicare rate & RVUs

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

CMS RVU26DEffective Oct 1, 2026109 payment localities16.3K Medicare services in 2024

Medicare pays $954.93 for 67041 nationally in a facility.

Medicare rate · 67041

Vitrectomy

Swap in your local Medicare rate.

Work RVUs
15.92
Total RVUs
28.59
Global days
090

National rate · 2026

$954.93

Facility setting, before claim adjustments.

See every locality for 67041 → · 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 67041 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 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

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

109 of 109 payment localities

67041 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$888.93
Alaska*Unavailable$1,226.51
ArizonaUnavailable$937.02
ArkansasUnavailable$880.67
AtlantaUnavailable$971.15
AustinUnavailable$973.24
BakersfieldUnavailable$985.00
Baltimore/Surr. CntysUnavailable$1,001.29
BeaumontUnavailable$917.65
BrazoriaUnavailable$946.43

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

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

Swap in your local Medicare rate.

Work 15.92Practice expense 11.40Malpractice 1.27

28.5900 adjusted RVUs×$33.4009 conversion factor=$954.93

All indexes start 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

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

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

67041 without 50 · national facility

$954.93

Vitrectomy

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

67041 compared with similar codes

Compare codes

67041 vs 67036 vs 67042 vs 67043: national Medicare rates

Swap in your local Medicare rate.

  • 67041
    Vitrectomy · 15.92 wRVU
    —
  • 67036
    Vitrectomy · 11.83 wRVU
    —
  • 67042
    Retinal surgery · 15.92 wRVU
    —
  • 67043
    Vitrectomy · 16.97 wRVU
    —

How to choose

67036Vitrectomy
Use 67041 when the vitrectomy includes removal of a preretinal cellular membrane. 67036 describes the vitrectomy without that specified membrane-removal service.
67042Retinal surgery
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.
67043Vitrectomy
67043 is for removal of a subretinal membrane. 67041 is for removal of a membrane on the retinal surface.

Codes related to 67041

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

Codes related to 67041
CodeHow it relatesNational office range
Same family
67036VitrectomyPars plana vitrectomy without the specified preretinal membrane removal.No office rate
67042Retinal surgeryVitrectomy with internal limiting membrane removal, commonly for a macular hole.No office rate
67043VitrectomyVitrectomy with removal of a subretinal membrane.No office rate

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)

Open CMS sourceHow we calculate rates

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