67036 Removal of inner eye fluid
Also known as: pars plana vitrectomy, PPV, core vitrectomy, complete vitrectomy
Complete removal of vitreous humor through three-port pars plana vitrectomy approach with wide-angle visualization and comprehensive removal of vitreous gel and membranes.
In Plain Language
complete removal of gel from back of eye; surgical removal of vitreous fluid
Clinical Context
Indicated for retinal detachment repair, severe vitreous hemorrhage, proliferative diabetic retinopathy, epiretinal membrane, macular hole, endophthalmitis.
RVU Breakdown
| Work RVU | 11.83 |
| Total RVU | 11.83 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 11.83, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67036?
CPT 67036 (Removal of inner eye fluid) is a Surgery code. Complete removal of vitreous humor through three-port pars plana vitrectomy approach with wide-angle visualization and comprehensive removal of vitreous gel and membranes.
What is the wRVU value for CPT 67036?
The work RVU for CPT 67036 is 11.83. This code is primarily used by Ophthalmology, Retina. It has a 90-day global period.
When is CPT 67036 used?
Indicated for retinal detachment repair, severe vitreous hemorrhage, proliferative diabetic retinopathy, epiretinal membrane, macular hole, endophthalmitis.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.