# CPT 67042: Vitrectomy Pars Plana Remove Int Memb Retina

Medicare CPT 67042 pays $954.60 in a non-facility setting and $954.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $880.38 in Arkansas to $1,226.15 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/67042-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $954.60 |
| National facility | $954.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,226.15 | $1,226.15 |
| District of Columbia | $1,055.82 | $1,055.82 |
| New York | $1,039.04 | $1,039.04 |
| New Jersey | $1,033.42 | $1,033.42 |
| California | $1,023.96 | $1,023.96 |
| Washington | $1,015.66 | $1,015.66 |
| Massachusetts | $1,010.10 | $1,010.10 |
| Connecticut | $1,003.43 | $1,003.43 |
| Florida | $996.02 | $996.02 |
| Hawaii | $988.86 | $988.86 |
| Illinois | $982.26 | $982.26 |
| Maryland | $980.96 | $980.96 |
| Colorado | $976.04 | $976.04 |
| Rhode Island | $972.67 | $972.67 |
| Oregon | $967.48 | $967.48 |
| New Hampshire | $964.89 | $964.89 |
| Puerto Rico | $958.15 | $958.15 |
| Virgin Islands | $958.15 | $958.15 |
| Montana | $954.51 | $954.51 |
| Pennsylvania | $954.51 | $954.51 |
| Michigan | $948.68 | $948.68 |
| Texas | $948.61 | $948.61 |
| Delaware | $948.41 | $948.41 |
| Nevada | $947.89 | $947.89 |
| Georgia | $946.23 | $946.23 |
| Wyoming | $943.57 | $943.57 |
| Arizona | $936.70 | $936.70 |
| Minnesota | $935.77 | $935.77 |
| Virginia | $935.66 | $935.66 |
| New Mexico | $931.55 | $931.55 |
| Vermont | $929.84 | $929.84 |
| North Dakota | $929.40 | $929.40 |
| Utah | $927.44 | $927.44 |
| South Dakota | $926.43 | $926.43 |
| Louisiana | $923.50 | $923.50 |
| West Virginia | $923.04 | $923.04 |
| Missouri | $922.61 | $922.61 |
| Ohio | $921.84 | $921.84 |
| Maine | $921.83 | $921.83 |
| South Carolina | $919.32 | $919.32 |
| North Carolina | $913.80 | $913.80 |
| Wisconsin | $909.27 | $909.27 |
| Kentucky | $908.76 | $908.76 |
| Indiana | $905.02 | $905.02 |
| Oklahoma | $904.43 | $904.43 |
| Idaho | $901.81 | $901.81 |
| Tennessee | $900.34 | $900.34 |
| Nebraska | $898.92 | $898.92 |
| Kansas | $897.04 | $897.04 |
| Iowa | $896.68 | $896.68 |
| Mississippi | $890.65 | $890.65 |
| Alabama | $888.63 | $888.63 |
| Arkansas | $880.38 | $880.38 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 67042 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules