No office rate
Both use an anterior approach; 67010 is for partial vitreous removal, while 67005 represents subtotal removal.
On this page
CMS RVU26D · Effective 2026-10-01
67010 Anterior vitrectomy Medicare reimbursement rates in Guam
Reports partial removal of vitreous through an anterior eye approach, commonly to clear vitreous prolapse into the anterior segment during eye surgery. Compare 67010 office and facility rates across CMS payment localities in Guam.
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 67010 in Guam?
Guam 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
$490.89
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Ophthalmic surgery
About 67010: Partial anterior vitrectomy
Reports partial removal of vitreous through an anterior eye approach, commonly to clear vitreous prolapse into the anterior segment during eye surgery.
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.
CMS billing rules for 67010
- 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 RVU6.88 · 49%
- Practice expense (office) RVU6.60 · 47%
- Malpractice RVU0.54 · 4%
2.5K
Medicare services in 2024 · #2308 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.
67010 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
67015 describes aspiration or release through a pars plana approach. Use 67010 for partial removal through an anterior approach.
No office rate
67036 is mechanical vitrectomy through a pars plana approach; 67010 is partial removal through an anterior approach.
$796.47
67025 concerns injection of a vitreous substitute, including fluid-gas exchange. It describes vitreous replacement rather than partial anterior removal.
Compare 67010 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$490.89
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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 67010 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,417
- Code
- 67010
- Physician work
- 6.88
- Practice expense
- 6.60
- Malpractice
- 0.54
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.88 | × 1.000 | 6.8800 |
| Practice expense | 6.60 | × 1.137 | 7.5042 |
| Malpractice | 0.54 | × 0.579 | 0.3127 |
| Total RVUs | 14.6969 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$490.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.88 | 1 |
| Practice expense | 6.6 | 1.137 |
| Malpractice | 0.54 | 0.579 |
(6.88 × 1 + 6.6 × 1.137 + 0.54 × 0.579) × $33.4009 = $490.89
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.
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 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.
7,41466991,,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
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014