Billing code 67039: VitrectomyMedicare rate & RVUs in Florida
Reports pars plana mechanical vitrectomy with focal endolaser treatment when a retinal problem requires localized laser during vitreous surgery.
CMS doesn’t publish an office rate for 67039 in Florida.
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 9 sections
What 67039 covers
An ophthalmologist, commonly a retina surgeon, removes vitreous through a pars plana approach and applies localized endolaser to the retina during the same operation. The laser may address a focal retinal break or other localized retinal pathology encountered as part of vitreous surgery. This is an operative service, commonly performed in a facility setting; the operative report should identify the vitrectomy approach and the focal laser treatment performed.
Select this code when the vitrectomy includes focal endolaser, rather than vitrectomy without that treatment or vitrectomy with panretinal laser. The documented surgical work supports the code, and the focal laser is included in the service. CMS assigns 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant 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 67039 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $841.85 |
| Miami | Unavailable | $876.55 |
| Rest Of Florida | Unavailable | $811.61 |
How the 67039 rate is calculated
Each of 67039’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 · 67039
RVUs × geographic indexes × conversion factor
Work12.87
12.87 RVUs× 1.000 GPCI
Practice expense10.32
10.32 RVUs× 1.000 GPCI
Malpractice1.04
1.04 RVUs× 1.000 GPCI
Adjusted RVUs
24.2300
Conversion factor
$33.4009
Medicare rate
$809.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 67039
67039 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67039
Vitrectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67039
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67039 without 50 · national facility
$809.30
Vitrectomy
67039-50 · Bilateral: 150%
$1,213.95
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).
67039 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 67036Vitrectomy
- 67036 describes pars plana mechanical vitrectomy without the focal endolaser treatment included in 67039.
- 67040Retinal vitrectomy
- Both include vitrectomy and retinal laser, but 67039 is for focal treatment and 67040 for panretinal treatment.
- 67041Vitrectomy
- 67041 is selected for vitrectomy with removal of a preretinal cellular membrane, such as in macular pucker surgery, rather than focal endolaser.
- 67042Retinal surgery
- 67042 is used when vitrectomy includes removal of the retinal internal limiting membrane, such as in macular hole surgery.
67039 billing questions
How does 67039 differ from 67040?
67039 is for vitrectomy with focal, localized endolaser treatment. Use 67040 when the operation includes panretinal laser treatment.
When is 67036 a better choice?
Use 67036 for pars plana mechanical vitrectomy without the focal endolaser included in 67039.
Can the focal laser be reported separately?
The focal endolaser is included in 67039. The operative report should support both the vitrectomy and the focal laser work.
What global period applies?
CMS assigns a 90-day global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS treats this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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 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
Fee sheets
Put 67039 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →