$386.55
Both address vitreous strands in the anterior segment. Choose 67030 for surgical nonlaser severing and 67031 for laser severing.
On this page
CMS RVU26D · Effective 2026-10-01
67030 Vitreous strand severing Medicare reimbursement rates in Delaware
Reports surgical cutting of vitreous strands in the anterior eye, commonly to address vitreous prolapse that is tethering or distorting anterior-segment structures. Compare 67030 office and facility rates across CMS payment localities in Delaware.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 67030 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$487.09
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmology surgery
About 67030: Anterior vitreous strand severing
Reports surgical cutting of vitreous strands in the anterior eye, commonly to address vitreous prolapse that is tethering or distorting anterior-segment structures.
An ophthalmic surgeon uses a surgical instrument to cut vitreous strands in the anterior segment, including strands associated with vitreous prolapse. The service may be encountered when vitreous has moved forward after an eye procedure and remains attached to or pulls on anterior-segment structures. It is generally performed in an operating-room setting rather than as a routine office service.
Choose this code for surgical, nonlaser severing of anterior-segment vitreous strands, not for a procedure whose primary work is removing vitreous or treating the posterior segment. The operative note should identify the prolapse or strands, their anterior-segment location, the indication, and the method used. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, CMS pays 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 67030
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.96 · 41%
- Practice expense (office) RVU8.27 · 56%
- Malpractice RVU0.47 · 3%
19
Medicare services in 2024 · #5957 by national volume
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.
67030 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
67030 describes cutting anterior-segment vitreous strands; 67010 is an anterior-approach vitreous removal service.
No office rate
67036 is pars plana vitrectomy, a posterior approach to vitreous removal. This code is for nonlaser severing of strands in the anterior segment.
Compare 67030 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
Unavailable
Facility
$487.09
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67030 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,422
- Code
- 67030
- Physician work
- 5.96
- Practice expense
- 8.27
- Malpractice
- 0.47
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.96 | × 1.005 | 5.9898 |
| Practice expense | 8.27 | × 0.988 | 8.1708 |
| Malpractice | 0.47 | × 0.899 | 0.4225 |
| Total RVUs | 14.5831 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$487.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.96 | 1.005 |
| Practice expense | 8.27 | 0.988 |
| Malpractice | 0.47 | 0.899 |
(5.96 × 1.005 + 8.27 × 0.988 + 0.47 × 0.899) × $33.4009 = $487.09
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
67030 billing questions
How does this differ from 67031?
67030 is for surgical, nonlaser severing of anterior-segment vitreous strands. Use 67031 when the strands are severed with laser.
Is this code for removing vitreous?
The defining work is cutting vitreous strands in the anterior segment. A procedure focused on removing vitreous may instead fit an anterior-approach removal code such as 67010.
What should the operative note support?
Document the vitreous strands or prolapse, their anterior-segment location, why severing was needed, and the surgical method. The record should make clear whether the work was nonlaser severing rather than vitreous removal or laser treatment.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction. The code also has a 90-day global period that includes the day-before preoperative visit and related postoperative care.
Can the code be reported bilaterally, and are surgical assistants paid?
For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,41967025,,Replace eye fluid,A,,7.91,13.70,,7.64,,0.62,22.23,16.17,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42067027,,Implant eye drug system,A,,11.33,9.17,NA,9.17,,0.91,21.41,21.41,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42167028,,Injection eye drug,A,,1.40,1.91,,0.75,,0.11,3.42,2.26,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42267030,,Incise inner eye strands,A,,5.96,8.27,NA,8.27,,0.47,14.70,14.70,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42367031,,Laser surgery eye strands,A,,4.36,6.96,,4.44,,0.35,11.67,9.15,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42467036,,Removal of inner eye fluid,A,,11.83,9.95,NA,9.95,,0.95,22.73,22.73,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,42567039,,Laser treatment of retina,A,,12.87,10.32,NA,10.32,,1.04,24.23,24.23,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503