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CPT 67005: Anterior Vitrectomy, Vitreous Removal
CPT code 67005 denotes an anterior approach vitrectomy: removal of a portion of the vitreous humor via the limbus or cornea to access the retina or clear visually obstructive material. This ophthalmic operative procedure is clinically important for managing complications such as retained lens fragments, vitreous hemorrhage, or to facilitate retinal interventions. Nationally, the code matters for surgical billing, facility planning, and alignment of coverage policies across public and commercial payers.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a succinct overview of the clinical service, typical sites of care, and the billing context for CPT code 67005. The publication provides benchmarks and payment context where available, summarizes relevant policy considerations affecting coverage and site-of-service decisions, and outlines common modifiers used with this procedure. Clinical context explains when an anterior vitrectomy is performed and how it differs from posterior approaches.
This resource is intended for billing professionals, practice managers, and clinical leaders seeking a clear national-level summary of CPT code 67005, its clinical purpose, payer coverage landscape, and the operational implications for delivering this surgical service.
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Billing Code Overview
CPT code 67005 describes a surgical procedure in which the provider removes a portion of the vitreous humor to provide access to the retina or to remove material within the vitreous that obstructs vision. The approach is anterior, meaning the surgeon accesses the vitreous from the front of the eye through the limbus or cornea.
Service type: Operative ophthalmic procedure (anterior approach vitreous removal / anterior vitrectomy)
Typical site of service: Ophthalmology operating room, ambulatory surgery center, or hospital outpatient surgical unit
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