# CPT 67036

> Medicare paid $903.38 for CPT 67036 in the office (non-facility) setting and $903.38 in a facility under the Q2 2021 Physician Fee Schedule, effective April 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 1.6%.

## 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: Q2 2021 (2021 B)
- Effective: April 1 – June 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $903.38
- Facility national allowed amount: $903.38
- Sequestration: not applied

## RVUs and formula

- Work RVU: 12.13
- Office (non-facility) practice expense RVU: 12.84
- Facility practice expense RVU: 12.84
- Malpractice RVU: 0.92
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip
- Parsed file: PPRRVU21_APR.csv, row 11,772
- Canonical page: https://localishealth.com/cpt/67036/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/67036/2021/B
- Last significant update: 2026-08-04T03:10:33+00:00