Billing code 67010: Anterior vitrectomyMedicare rate & RVUs in Utah
Reports partial removal of vitreous through an anterior eye approach, commonly to clear vitreous prolapse into the anterior segment during eye surgery.
CMS doesn’t publish an office rate for 67010 in Utah.
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 67010 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $453.21 |
How the 67010 rate is calculated
Each of 67010’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 · 67010
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.88Practice expense 6.60Malpractice 0.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67010
67010 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67010
Anterior 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) | 1 | Not paid (statutory restriction). |
| 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 · 67010
Anterior 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
67010 without 50 · national facility
$468.28
Anterior vitrectomy
67010-50 · Bilateral: 150%
$702.42
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).
67010 compared with similar codes
Compare codes
67010 vs 67005 vs 67015 vs 67036 vs 67025: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67005Vitrectomy
- Both use an anterior approach; 67010 is for partial vitreous removal, while 67005 represents subtotal removal.
- 67015Choroidal drainage
- 67015 describes aspiration or release through a pars plana approach. Use 67010 for partial removal through an anterior approach.
- 67036Vitrectomy
- 67036 is mechanical vitrectomy through a pars plana approach; 67010 is partial removal through an anterior approach.
- 67025Vitreous exchange
- 67025 concerns injection of a vitreous substitute, including fluid-gas exchange. It describes vitreous replacement rather than partial anterior removal.
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 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
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