No office rate
Both use an anterior approach, but 67005 describes partial removal while 67010 is selected for subtotal removal.
On this page
CMS RVU26D · Effective 2026-10-01
67005 Vitrectomy Medicare reimbursement rates in Florida
Reports partial removal of vitreous through an anterior approach, commonly when vitreous prolapses into the front of the eye during surgery. Compare 67005 office and facility rates across CMS payment localities in Florida.
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 67005 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$411.97–$444.96
3 of 3 localities have a supported rate.
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.
Where 67005 pays more and less in Florida
Ophthalmic surgery
About 67005: Partial anterior vitrectomy
Reports partial removal of vitreous through an anterior approach, commonly when vitreous prolapses into the front of the eye during surgery.
An ophthalmic surgeon uses an anterior approach to remove part of the vitreous gel, often to clear vitreous that has moved into the anterior chamber during cataract surgery. The service is performed in an operative setting when the surgeon documents that partial vitreous removal was needed; it is distinct from a pars plana vitrectomy directed at the posterior segment.
Choose this code for partial removal by the anterior approach, rather than a more extensive removal or a different approach. The operative note should identify the vitreous prolapse or other indication, the approach, and the removal performed. This major surgery has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 67005
- 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 RVU5.74 · 46%
- Practice expense (office) RVU6.19 · 50%
- Malpractice RVU0.45 · 4%
1.6K
Medicare services in 2024 · #2617 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.
67005 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
67015 involves aspiration or release by a pars plana approach; 67005 is partial removal through an anterior approach.
No office rate
67036 is mechanical vitreous removal through a pars plana approach, generally for posterior-segment work; 67005 is partial removal through the front of the eye.
Compare 67005 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$428.34
Miami →
Office / nonfacility
Unavailable
Facility
$444.96
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$411.97
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67005 billing questions
How is 67005 distinguished from 67010?
Both describe anterior-approach vitreous removal. Use 67005 for partial removal and 67010 when the operative work is subtotal.
When is 67005 used during cataract surgery?
A common situation is vitreous prolapse into the anterior chamber during cataract surgery, requiring partial removal. The operative note should document the vitreous problem and the removal performed.
Can 67005 be reported with another procedure in the same session?
The code represents partial anterior vitreous removal, not routine cataract extraction. If multiple procedures are payable in the same session, Medicare applies its multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%.
What modifier applies when both eyes are treated?
For bilateral performance, report modifier 50; Medicare pays the bilateral procedure at 150%.
Does 67005 have a global period?
Yes. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days.
Can an assistant or co-surgeon be paid for 67005?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeon payment requires 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 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.
7,41366990,,Ophthalmic endoscope add-on,A,,1.47,0.52,NA,0.52,,0.12,2.11,2.11,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41466991,,Xcapsl ctrc rmvl insj 1+,A,,9.00,7.74,NA,7.74,,0.69,17.43,17.43,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41566999,,Unlisted px ant segment eye,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41667005,,Partial removal of eye fluid,A,,5.74,6.19,NA,6.19,,0.45,12.38,12.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41767010,,Partial removal of eye fluid,A,,6.88,6.60,NA,6.60,,0.54,14.02,14.02,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41867015,,Release of eye fluid,A,,6.96,8.19,NA,8.19,,0.55,15.70,15.70,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41967025,,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