# CPT 67036

> Medicare paid $922.96 for CPT 67036 in the office (non-facility) setting and $922.96 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 0.2%.

## What it is

Surgical removal of the vitreous gel from the back of the eye. The surgeon opens tiny ports through the pars plana — a quiet band of the eye wall just behind the iris where instruments can enter without harming the retina or the lens — then works with a cutting probe, a fiber-optic light, and an infusion line to take out the gel and replace it with clear fluid. This code stands for the vitrectomy on its own; separate codes apply when the surgeon also peels a membrane, repairs a detachment, or retrieves a foreign body in the same operation.

## Selected release

- Release: Q4 2019 (2019 D)
- Effective: October 1 – December 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $922.96
- Facility national allowed amount: $922.96
- Sequestration: not applied

## RVUs and formula

- Work RVU: 12.13
- Office (non-facility) practice expense RVU: 12.60
- Facility practice expense RVU: 12.60
- Malpractice RVU: 0.88
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip
- Parsed file: PPRRVU19_OCT.csv, row 11,560
- Canonical page: https://localishealth.com/cpt/67036/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/67036/2019/D
- Last significant update: 2026-08-04T03:09:13+00:00