CPT Administration Code: 67036 | Vitrectomy | Get Pricing and Coding Data

Code Overview

CPT® administration code details for 67036.

CPT Code Descriptor Vitrectomy, mechanical, pars plana approach

Code Category Vitrectomy

Route / Technique Intravitreal (Vitrectomy)

Code Type Initial / Primary Code

About Vitrectomy – 67036

Vitrectomy is a medication aligned to the HCPCS CPT Administration Code: 67036 for billing, pricing, and reimbursement purposes in the United States.

Disclaimer: CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved. The information on BuyandBill.com is intended for informational purposes only and should not be used as billing or medical advice.

67036 RVU Breakdown & Medicare Reimbursement

Based on the CY 2026 CMS Physician Fee Schedule. National payment amounts, before geographic (GPCI) adjustment.

Component	Facility	Non-Facility
Work RVU — physician work	11.83	11.83
Practice Expense RVU — staff, supplies, equipment	9.95	9.95
Malpractice RVU — professional liability	0.95	0.95
Total RVUs	22.73	22.73
Medicare Payment — Total RVUs × $33.4009 CF	$759.20	$759.20

CY 2026 Medicare Conversion Factor: $33.4009. Facility and non-facility practice-expense RVUs are equal for this code.

67036 Locality-Adjusted Rates

Medicare payment varies by locality via GPCI adjustment. Log in to view rates for all 100+ Medicare localities.

Medicare Locality	Facility	Non-Facility
National (unadjusted)	$759.20	$759.20
Los Angeles–Long Beach, CA
Manhattan, NY
Houston, TX
Miami, FL

Drugs Commonly Billed with 67036

HCPCS-coded drugs frequently administered under this CPT code. The list below is not exhaustive.

HCPCS Code	Drug	HCPCS Descriptor
J3398	LUXTURNA	Injection, voretigene neparvovec-rzyl, 1 billion vector genomes

Frequently Asked Questions

What are CPT Administration Codes?

CPT administration codes cover the work of giving a drug to a patient, such as an injection or an infusion. The drug itself is billed with its HCPCS J-code, and the administration is billed with a CPT code. Both go on the same claim. Learn More →

What is the Medicare Conversion Factor?

The conversion factor is the dollar amount CMS uses to turn a code's total RVUs into a Medicare payment. This page uses the CY 2026 conversion factor of $33.4009. CMS updates it every year in the Physician Fee Schedule final rule.

Facility vs. Non-Facility?

The non-facility rate applies in a physician office, where the practice pays for its own staff, supplies, and equipment, so the rate is usually higher. The facility rate applies in hospital outpatient departments and ASCs, where the facility bills for those costs separately.

How do I decide which administration code to use?

Pick the code that matches the type of drug, the route, and how long the administration takes. Start from the highest-ranking service you performed, then add the appropriate add-on codes for extra time or extra drugs. Manufacturer billing and coding guides often list suggested administration codes.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.

CPT Administration Code: 67036 – Vitrectomy