CPT 67030
Global 090 ActiveIncise inner eye strands
CPT 67030 Billing & Documentation Guide
CPT code 67030 (Incise inner eye strands) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.96, a non-facility practice expense RVU of 8.27, and a malpractice RVU of 0.47, a total non-facility RVU of 14.7 and facility RVU of 14.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $504.86, though rates vary from $444.43 to $627.7 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 67030, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 67030 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 67030 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 67030
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.96 | 5.96 |
| Practice Expense RVU | 8.27 | 8.27 |
| Malpractice RVU | 0.47 | 0.47 |
| Total RVU | 14.7 | 14.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 67030
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $541.57 | $541.57 | $513.61 - $627.7 | 29 |
| Florida | $506.78 | $506.78 | $486.74 - $526.32 | 3 |
| Georgia | $481.67 | $481.67 | $464.17 - $499.17 | 2 |
| Illinois | $496.67 | $496.67 | $475.8 - $514.1 | 4 |
| Michigan | $480.54 | $480.54 | $468.99 - $492.09 | 2 |
| North Carolina | $466.82 | $466.82 | $466.82 - $466.82 | 1 |
| New York | $538.01 | $538.01 | $472.52 - $569.39 | 5 |
| Ohio | $467.09 | $467.09 | $467.09 - $467.09 | 1 |
| Pennsylvania | $488.21 | $488.21 | $467.48 - $508.93 | 2 |
| Texas | $486.69 | $486.69 | $465.02 - $505.62 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 67030
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 67030 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0124T | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0186T | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0465T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 67030
What does CPT code 67030 mean? +
CPT code 67030 represents: Incise inner eye strands. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 67030? +
The 2026 Medicare national average non-facility payment for CPT 67030 is $504.86. Rates range from $444.43 to $627.7 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 67030? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 67030? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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