67036 Vitrectomy Medicare reimbursement rates in Vermont

An ophthalmologist, usually a vitreoretinal surgeon, uses an intraocular cutter introduced through the pars plana to remove vitreous gel. The operation is performed in an operating room, commonly for dense vitreous hemorrhage or other vitreous pathology requiring surgical clearance. The surgeon may also address retinal disease during the same operation; when the service includes a specifically described retinal procedure, code selection should reflect the full operative work rather than vitreous removal alone.

Report 67036 when documentation supports mechanical vitreous removal by the pars plana route; distinguish it from anterior-approach removal and from codes describing vitrectomy with specific retinal treatment. The operative report should identify the indication, approach, mechanical technique, extent of removal, and additional retinal procedures. CMS assigns a 90-day major-surgery global, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral surgery reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.