67043 Vit for membrane dissect
Also known as: membrane peel, proliferative tissue removal, retinal membrane dissection, posterior membrane surgery
Vitrectomy with dissection and removal of posterior retinal membranes or proliferative tissue from vitreoretinal interface.
In Plain Language
removal of scar tissue from retina; membrane peeling from back of eye
Clinical Context
Used in proliferative diabetic retinopathy, retinal detachment repair, posterior capsular fibrosis, and removal of proliferative epiretinal membranes.
RVU Breakdown
| Work RVU | 16.97 |
| Total RVU | 16.97 |
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 16.97, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67043?
CPT 67043 (Vit for membrane dissect) is a Surgery code. Vitrectomy with dissection and removal of posterior retinal membranes or proliferative tissue from vitreoretinal interface.
What is the wRVU value for CPT 67043?
The work RVU for CPT 67043 is 16.97. This code is primarily used by Ophthalmology, Retina. It has a 90-day global period.
When is CPT 67043 used?
Used in proliferative diabetic retinopathy, retinal detachment repair, posterior capsular fibrosis, and removal of proliferative epiretinal membranes.
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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.