H33.002

🧬 ICD-10 CM H33.002 — Unspecified Retinal Detachment with Retinal Break, Left Eye

Billable Code Confirmed

ICD-10 CM H33.002 is a valid, billable 6-character ICD-10-CM code for FY2026. All six characters are present: H33 (category) + .0 (retinal detachment with break) + 0 (unspecified break type)

• 2 (left eye). No 7th character is required.

Non-Billable Parent Codes — Never Submit These

• ❌ H33.00 — 5-character header — missing laterality character
• ❌ H33.0 — 4-character header — missing break specification and laterality

Always submit H33.002 (all 6 characters) when left eye retinal detachment with an unspecified break is documented.

Clinical Context: "Unspecified" Break vs. Specific Break

H33.002 indicates a rhegmatogenous retinal detachment (RRD) of the left eye caused by a full-thickness break in the retina. However, the 00 signifies the type or number of breaks — single, multiple, giant retinal tear, or dialysis — is unspecified. If the operative report or exam specifies the nature of the break, a more specific code is strongly preferred over H33.002.

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🔍 Code Description

H33.002 classifies a left eye rhegmatogenous retinal detachment where the specific nature, quantity, or morphology of the causative retinal break(s) has not been specified in the medical record.

A rhegmatogenous retinal detachment occurs when a full-thickness tear or break in the sensory retina allows liquefied vitreous to track into the subretinal space, separating the neurosensory retina from the underlying retinal pigment epithelium (RPE). The term rhegmatogenous derives from the Greek rhegma (ῥῆγμα) meaning “rent” or “tear” — it is always break-driven, distinguishing it from traction detachments (H33.4x) and serous/exudative detachments (H33.2x), which have no break.

H33.002 is the left eye equivalent of H33.001 (right eye) and H33.003 (bilateral). When both eyes are involved with the same type of detachment, the bilateral code H33.003 is preferred over coding each eye separately — unless the break type or stage differs between eyes.

Unilateral vs. Bilateral — When to Use Each

• Left eye only involved → H33.002 ← This code
• Right eye only involved → H33.001
• Both eyes involved, same break type → H33.003 (bilateral) preferred over H33.002 + H33.001
• Both eyes involved, different break types (e.g., single break right eye, multiple breaks left eye) → separate laterality-specific codes required — see Scenario 3 in H33.003

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🌳 Code Tree / Hierarchy

H33 Retinal Detachments and Breaks  
│  
├── H33.0 Retinal detachment with retinal break ❌ Non-billable  
│ │  
│ ├── H33.00 Unspecified retinal detachment with retinal break ❌ Non-billable  
│ │ ├── H33.001 Right eye ✅ Billable  
│ │ ├── H33.002 LEFT EYE ◀ THIS CODE ✅ Billable  
│ │ ├── H33.003 Bilateral ✅ Billable  
│ │ └── H33.009 Unspecified eye ⚠️ Avoid — query laterality  
│ │  
│ ├── H33.01 Retinal detachment with single break  
│ │ ├── H33.011 Right eye ✅ Billable  
│ │ ├── H33.012 Left eye ✅ Billable  
│ │ ├── H33.013 Bilateral ✅ Billable  
│ │ └── H33.019 Unspecified eye ⚠️ Avoid  
│ │  
│ ├── H33.02 Retinal detachment with multiple breaks  
│ │ ├── H33.021 Right eye ✅ Billable  
│ │ ├── H33.022 Left eye ✅ Billable  
│ │ ├── H33.023 Bilateral ✅ Billable  
│ │ └── H33.029 Unspecified eye ⚠️ Avoid  
│ │  
│ ├── H33.03 Retinal detachment with giant retinal tear (GRT)  
│ │ ├── H33.031 Right eye ✅ Billable  
│ │ ├── H33.032 Left eye ✅ Billable  
│ │ ├── H33.033 Bilateral ✅ Billable  
│ │ └── H33.039 Unspecified eye ⚠️ Avoid  
│ │  
│ ├── H33.04 Retinal detachment with retinal dialysis  
│ │ ├── H33.041 Right eye ✅ Billable  
│ │ ├── H33.042 Left eye ✅ Billable  
│ │ ├── H33.043 Bilateral ✅ Billable  
│ │ └── H33.049 Unspecified eye ⚠️ Avoid  
│ │  
│ └── H33.05 Total retinal detachment  
│ ├── H33.051 Right eye ✅ Billable  
│ ├── H33.052 Left eye ✅ Billable  
│ ├── H33.053 Bilateral ✅ Billable  
│ └── H33.059 Unspecified eye ⚠️ Avoid  
│  
├── H33.1 Retinoschisis and retinal cysts  
├── H33.2 Serous retinal detachment (no break)  
├── H33.3 Retinal breaks without detachment  
├── H33.4 Traction retinal detachment  
└── H33.5 Other retinal detachments

Upgrade to Specific Break Code When Documented

H33.002 is the starting point — not the endpoint. If the operative note, clinic note, or imaging report documents the break type, upgrade accordingly:

• Single break, left eye → H33.012
• Multiple breaks, left eye → H33.022
• Giant retinal tear, left eye → H33.032
• Retinal dialysis, left eye → H33.042
• Total detachment, left eye → H33.052

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✅ Includes

The following clinical terms map to H33.002 when involving the left eye with break type unspecified:

• Rhegmatogenous retinal detachment NOS, left eye
• Primary retinal detachment with break, left eye
• Retinal detachment with hole or tear, left eye (type unspecified)
• Retinal detachment with unspecified break morphology, left eye

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❌ Excludes

Excludes 1 — Cannot Be Coded Simultaneously with H33.002

These represent different pathophysiologic mechanisms of retinal separation and are mutually exclusive with rhegmatogenous (break-driven) detachment:

Code	Description	Note
H33.2-	Serous retinal detachment	Fluid accumulates without a break — exudative; e.g., from choroidal tumors, inflammatory disease, or severe hypertension
H33.4-	Traction retinal detachment	Fibrovascular bands pull the retina — no break; classic in advanced proliferative diabetic retinopathy
H33.5-	Retinal detachment, unspecified etiology	Unspecified — mutually exclusive with the rhegmatogenous-specific H33.00x family

Excludes 1 — Mechanism Determines the Code

The three types of retinal detachment (rhegmatogenous, serous/exudative, and tractional) are coded from three separate subcategories and are mutually exclusive under Excludes 1. The operative report and imaging findings determine which mechanism is documented.

• Break present, fluid tracking through it → H33.002 ← rhegmatogenous
• No break, fluid under retina from exudation → H33.2x ← serous
• Fibrovascular bands pulling retina up, no break → H33.4x ← tractional

Excludes 2 — May Be Coded in Addition if Both Are Present

Code	Description	Note
E08.35-, E09.35-, E10.35-, E11.35-, E13.35-	Diabetic traction retinal detachment with macular edema	A combined traction-rhegmatogenous retinal detachment (TRD/RRD) in a diabetic patient may allow dual coding of the diabetic tractional code alongside H33.002 when both mechanisms are explicitly documented by the physician

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📋 Clinical Overview

Pathophysiology

A rhegmatogenous retinal detachment develops through a three-step process:

1. Posterior vitreous detachment (PVD) — the vitreous gel separates from the retina, often exerting tractional force at points of firm vitreoretinal adhesion
2. Retinal break formation — traction creates a full-thickness tear, hole, or dialysis in the retina at a site of vitreoretinal adhesion or lattice degeneration
3. Subretinal fluid accumulation — liquefied vitreous passes through the break into the subretinal space, progressively separating the neurosensory retina from the RPE

The detachment is a surgical emergency — the longer the retina remains separated from its RPE blood supply, particularly when the macula becomes involved (“macula-off”), the greater the photoreceptor damage and the poorer the final visual outcome. Macula-off RRD of any duration beyond 24–48 hours carries significantly reduced odds of recovering 20/40 or better vision.

Risk Factors for Left Eye RRD

Risk Factor	ICD-10-CM Code	Coding Relevance
High myopia (axial elongation, lattice degeneration)	H44.22 — Degenerative myopia, left eye	Code additionally when documented
Pseudophakia / prior cataract surgery	Z96.652 — Presence of left artificial lens	Code additionally
Aphakia, left eye	H27.02 — Aphakia, left eye	Code additionally
Prior retinal detachment / repair, fellow eye	Z87.39x	Personal history codes for context
Blunt or penetrating ocular trauma	S	Injury codes when trauma is the cause
Marfan syndrome	Q87.40	Connective tissue laxity → vitreous/retina instability
Stickler syndrome	Q87.89	High risk for bilateral giant retinal tears
Family history of retinal detachment	Z84.89	Risk documentation

Symptoms — Classic Presentation

Symptom	Clinical Significance
Photopsia (flashes of light)	Vitreoretinal traction — often the earliest symptom; precedes break/detachment
Floaters — sudden onset	Vitreous hemorrhage or pigment cells (tobacco dust/Shafer’s sign) entering vitreous through break
Tobacco dust / Shafer’s sign	Pigment granules in vitreous = highly predictive of a retinal break
”Dark curtain” or shadow	Advancing subretinal fluid — the classic detachment symptom; location of curtain indicates detachment quadrant
Central vision loss	Macula-off detachment — urgent surgical timeline
Asymptomatic peripheral detachment	Discovered incidentally on exam — macula still attached (macula-on)

Macula-On vs. Macula-Off — Surgical Urgency

Macula-on RRD (subretinal fluid has not yet reached the fovea) is a true surgical emergency — same-day or next-day OR is the standard of care to prevent macular involvement and preserve central vision. Macula-off RRD (fovea already detached) still requires urgent repair but the visual prognosis is significantly worse. The macula status at the time of surgery is the single most important prognostic factor in RRD outcomes. Document macula status for CDI and accurate severity capture.

Imaging and Diagnosis

Modality	Findings in RRD
Dilated fundus exam	Elevated gray retinal membrane, retinal break visible if media clear
B-scan ultrasound	V-shaped or undulating echogenic membrane attached at ora serrata and optic disc — used when media opacity (vitreous hemorrhage, cataract) obscures direct visualization
OCT	Confirms subretinal fluid, macula status (on vs. off), and detachment extent in posterior pole RRD
Wide-field fundus photography	Documents detachment extent, break location for surgical planning

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💰 HCC Risk Adjustment (CMS-HCC v28)

Field	Detail
CMS-HCC Model Version	v28 (2024–2025 Implementation)
HCC Assignment	❌ Not Mapped
HCC Category	N/A
RAF Coefficient	0.000
RxHCC Assignment	Not Mapped

H33.002 does not map to an HCC under CMS-HCC v28 and carries no direct RAF weight.

Vision Loss Sequelae and Comorbidity Capture

While H33.002 itself carries no HCC weight, documented vision loss resulting from the detachment and systemic comorbidities driving RRD risk may. At every H33.002 encounter, review for:

• Vision impairment / blindness (H54.x) — if permanent vision loss is documented post-detachment, H54.x adds functional severity and should be reviewed for HCC mapping
• Diabetes mellitus — HCC 18 (Type 2 DM with complications); if DM contributes to the retinal pathology, capture fully
• High myopia (H44.22) — code the underlying structural risk factor when documented
• Connective tissue disorders (Marfan, Stickler) — code when documented as contributing to the detachment

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🏥 MS-DRG Assignment

MDC 02 — Diseases and Disorders of the Eye

DRG	Title	Est. Relative Weight*
DRG 124	Other Disorders of the Eye with MCC	~0.95–1.15
DRG 125	Other Disorders of the Eye with CC	~0.70–0.90
DRG 126	Other Disorders of the Eye without CC/MCC	~0.50–0.70

*Approximate. Verify against IPPS FY2026 Final Rule tables.

DRG Tier Elevation Opportunities

H33.002 as principal groups to DRG 126 by default. Tier elevation to DRG 125 or 124 requires documented and coded CCs or MCCs:

• MCC examples: Acute uncontrolled hypertension with end-organ damage, respiratory failure, sepsis
• CC examples: DM with complications, vision impairment (H54.x), moderate systemic inflammatory comorbidities

Do not leave documented comorbidities uncoded — each qualifying additional diagnosis contributes to accurate DRG tier capture.

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🔗 Related ICD-10-CM Codes

H33.00x Laterality Variants — Unspecified Break

Code	Description
H33.001	Unspecified retinal detachment with retinal break, right eye
H33.002	Unspecified retinal detachment with retinal break, left eye ← This Code
H33.003	Unspecified retinal detachment with retinal break, bilateral
H33.009	Unspecified retinal detachment with retinal break, unspecified eye ⚠️ avoid — query laterality

Upgrade Codes — Left Eye, Break Type Specified

Code	Description
H33.012	Retinal detachment with single break, left eye
H33.022	Retinal detachment with multiple breaks, left eye
H33.032	Retinal detachment with giant retinal tear (GRT), left eye
H33.042	Retinal detachment with retinal dialysis, left eye
H33.052	Total retinal detachment, left eye

These Five Codes Always Preferred Over H33.002

The moment the operative report or physician documentation specifies the break type, H33.002 is replaced by the appropriate code above. Use H33.002 only when break type is genuinely unspecified after reviewing all available documentation — pre-op assessment, OR report, post-op note, and retinal consult notes.

Left Eye Retinal Break Without Detachment — Related Family

Code	Description
H33.302	Unspecified retinal break, left eye — no detachment yet
H33.312	Horseshoe tear, left eye — without detachment
H33.322	Round hole, left eye — without detachment
H33.332	Multiple defects, left eye — without detachment

Break Without Detachment (H33.3x) vs. Break With Detachment (H33.0x)

If the retina has not detached — only a break or tear is present — the H33.3x family is correct. H33.0x (including H33.002) requires a documented detachment with subretinal fluid. This distinction drives both the diagnosis code and the procedural urgency — a break without detachment may be treated prophylactically with laser (CPT 67145) rather than emergency vitrectomy.

Other Retinal Detachment Types — Left Eye (Contrast)

Code	Description	Mechanism
H33.202	Serous retinal detachment, left eye	No break — exudative fluid
H33.402	Traction retinal detachment, left eye	Fibrovascular bands — no break

Systemic Comorbidity / Risk Factor Codes

Code	Description
H44.22	Degenerative myopia, left eye
H27.02	Aphakia, left eye
Z96.652	Presence of left artificial lens (pseudophakia)
H54.52	Low vision, left eye
Q87.40	Marfan syndrome

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🛠️ CPT Procedural Crosswalk — wRVU & Assistant Payable Status

Surgical repair of a rhegmatogenous retinal detachment is complex vitreoretinal surgery. Below are the most common CPT codes paired with H33.002.

CPT Code	Description	wRVU (Facility)	Asst. Surgeon Payable?	Co-Surgeon Payable?
67108	Repair of retinal detachment with vitrectomy, any method, including endolaser, cryotherapy, subretinal fluid drainage, scleral buckling, +/- lens removal	24.50	Yes (Indicator 2) — Justification required	No (Indicator 0)
67107	Repair of retinal detachment; scleral buckling (lamellar scleral dissection, imbrication, or encircling procedure)	19.33	Yes (Indicator 2) — Justification required	No (Indicator 0)
67110	Repair of retinal detachment by injection of air or other gas (pneumatic retinopexy)	10.75	No (Indicator 0)	No (Indicator 0)
67145	Prophylaxis of retinal detachment — photocoagulation (break without detachment)	6.00	No (Indicator 0)	No (Indicator 0)
76512	Ophthalmic ultrasound, B-scan	0.45	No (Indicator 0)	No (Indicator 0)

wRVU values are estimates based on the CMS Physician Fee Schedule. Verify current year exact values in the CMS PFS Final Rule.

Modifier -LT for Left Eye — Always Apply for Unilateral Surgery

When 67108, 67107, or 67110 is performed on the left eye only, append modifier -LT to identify the operative side. Failure to append a laterality modifier on major eye surgery CPT codes is a common billing error that can trigger payer audits and claim rejections.

• Left eye surgery: 67108-LT
• Right eye surgery: 67108-RT
• Bilateral simultaneous: 67108-50 (or per payer-specific bilateral billing instructions)

NCCI Bundling Considerations

NCCI PTP Edits — Verify Before Billing

• 67108 is a major vitreoretinal procedure. An E/M on the same DOS as 67108 requires modifier -25 on the E/M to be separately payable when the E/M is a distinct, separately documented service beyond the pre-operative work of the surgery.
• 76512 (B-scan) billed on the same DOS as a surgical repair code — confirm current NCCI PTP edit status; the diagnostic imaging may be considered part of the surgical work-up and bundled by some payers.

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🔬 ICD-10-PCS Crosswalk (Inpatient Procedures)

When H33.002 is an inpatient diagnosis and a procedure is performed, the following ICD-10-PCS sections and root operations are relevant for code building. Full PCS codes require completion of all seven characters — consult the PCS tables for the applicable fiscal year.

PCS Section	Body System	Root Operation	Clinical Application
0 (Medical & Surgical)	8 (Eye)	D (Extraction)	Pars plana vitrectomy — Body Part: Vitreous Left = 6, Approach 3 (Percutaneous)
0 (Medical & Surgical)	8 (Eye)	0 (Alteration) / T (Resection)	Scleral buckling — Body Part: Sclera Left = 8
0 (Medical & Surgical)	8 (Eye)	9 (Drainage)	Subretinal fluid drainage — Body Part: Retina Left = 4, Approach 3 (Percutaneous)
3 (Administration)	8 (Eye)	0 (Introduction)	Intravitreal gas tamponade (SF6, C3F8) or silicone oil injection — Body Part: Vitreous Left = 6

PCS Laterality — Left Eye Body Part Characters

In ICD-10-PCS, left eye body parts use a different character value than right eye in the Eye body system:

• Vitreous, Left = 6 (vs. Right = 5)
• Retina, Left = 4 (vs. Right = 3)
• Sclera, Left = 8 (vs. Right = 7) Confirm body part character from the applicable PCS table — do not assume symmetry with right eye codes.

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💊 Coding Scenarios and Examples

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Scenario 1 — Acute Left Eye RRD, Macula-Off, Vitrectomy (Inpatient)

Clinical Vignette: A 54-year-old male presents to the ER with a 2-day history of a “dark curtain” from the bottom covering his left eye vision, preceded by new floaters and photopsia. Dilated fundus exam reveals a left eye inferior rhegmatogenous retinal detachment with macula-off status. Subretinal fluid is present throughout the inferior and temporal quadrants. Vitreous hemorrhage partially obscures the break(s). B-scan confirms the detachment. Due to obscured view from hemorrhage, the exact number and type of breaks cannot be determined pre-operatively. He is taken urgently to the OR for left eye pars plana vitrectomy with endolaser photocoagulation, subretinal fluid drainage, and SF6 gas tamponade. Post-op, the surgeon documents “RRD, left eye — break type indeterminate intraoperatively due to hemorrhage.”

CPT / HCPCS:

• 67108-LT — Repair of retinal detachment with vitrectomy, left eye

ICD-10-CM:

• H33.002 — Unspecified retinal detachment with retinal break, left eye (break type unspecified — documentation supports H33.002; break morphology was not determinable due to hemorrhage)
• H43.12 — Vitreous hemorrhage, left eye (documented — contributed to obscured view; co-existing condition affecting the clinical course)

H33.002 Is Correct When Break Type Is Genuinely Indeterminate

Post-operative documentation matters. If the surgeon explicitly states the break type could not be determined — as in this scenario due to hemorrhage — H33.002 accurately reflects the documented clinical reality. Fabricating or assuming a break type to use a “more specific” code when the physician has not documented it is a compliance violation.

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Scenario 2 — Left Eye RRD Discovered on Routine Exam, Macula-On, Single Break Found (Outpatient)

Clinical Vignette: A 61-year-old high myope is seen for annual dilated eye exam. Asymptomatic. Peripheral fundus exam reveals a superior left eye rhegmatogenous retinal detachment with a single horseshoe tear at 11 o’clock, macula-on. Referred same-day to retinal surgeon for urgent repair.

ICD-10-CM (Outpatient Referral Note):

• H33.012 — Retinal detachment with single break, left eye (single horseshoe tear documented — upgrade from H33.002 to specific break code)
• H44.22 — Degenerative myopia, left eye (underlying risk factor)

H33.012 — Not H33.002 — When Single Break Is Documented

This scenario illustrates the upgrade path. Because the surgeon documented a single horseshoe tear, H33.012 is correct — not H33.002. H33.002 would be the fallback only if the break type/number were not specified.

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Scenario 3 — Left Eye RRD with Prior Right Eye Detachment History (Outpatient)

Clinical Vignette: A 49-year-old pseudophakic female (bilateral cataract surgery 2 years ago) presents with new-onset floaters and a temporal shadow in the left eye. Exam confirms a left eye peripheral RRD — break type not further specified in the clinic note. She has a history of right eye RRD repair 3 years ago, currently stable.

CPT Codes:

• 92014 — Comprehensive ophthalmological exam, established patient
• 76512 — B-scan ultrasound, left eye, to confirm extent

ICD-10-CM:

• H33.002 — Unspecified retinal detachment with retinal break, left eye (active — current detachment; break type not specified in clinic note)
• Z96.652 — Presence of left artificial lens (pseudophakia — risk factor)
• Z96.651 — Presence of right artificial lens (bilateral pseudophakia)
• Z87.39X — Personal history of other musculoskeletal disorders (prior right eye RRD — historical)

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Scenario 4 — ER Diagnosis via B-Scan — Media Opaque (Emergency Department)

Clinical Vignette: A 72-year-old female presents to the ED with sudden painless vision loss, left eye. Dense vitreous hemorrhage prevents direct fundus visualization. B-scan ultrasound is performed, demonstrating a V-shaped membranous elevation in the left vitreous cavity extending to the optic nerve and ora serrata — consistent with rhegmatogenous retinal detachment. Transfer to retinal center arranged. Break type: not determinable by B-scan.

CPT / HCPCS:

• 99285 — Emergency department visit, high complexity
• 76512-26 — B-scan ophthalmic ultrasound, left eye, professional component only

ICD-10-CM:

• H33.002 — Unspecified retinal detachment with retinal break, left eye (rhegmatogenous confirmed by B-scan; break type indeterminate)
• H43.12 — Vitreous hemorrhage, left eye (documented — prevented direct visualization)

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⚠️ Coding Pitfalls and Tips

	Pitfall or Tip
❌	Do not default to H33.002 if break type is documented — single break → H33.012; multiple breaks → H33.022; giant tear → H33.032; dialysis → H33.042; total → H33.052
❌	Do not use H33.002 for a retinal break WITHOUT detachment — breaks only (no subretinal fluid, no detachment) map to H33.3x — e.g., H33.312 horseshoe tear left eye without detachment
❌	Do not code H33.002 for serous or traction detachments — those are Excludes 1; mechanism determines the code family
❌	Do not forget modifier -LT when billing surgical repair CPT codes for left eye only — laterality modifiers are required on major ophthalmic procedures
❌	Do not use bilateral code H33.003 unless BOTH eyes are documented with retinal detachment — H33.002 is correct for left eye only involvement
✅	H33.002 is the query trigger — if break type is unknown, use it temporarily and review the operative report for specificity upgrade
✅	Macula status is CDI gold — document “macula-on” vs. “macula-off” in every RRD note; it drives surgical urgency, prognosis, and supports accurate clinical complexity documentation
✅	Code co-existing risk factors — pseudophakia (Z96.652), high myopia (H44.22), aphakia (H27.02) add clinical context and support medical necessity
✅	B-scan (76512) is standard when media opacity prevents direct fundus visualization — bill with -26 (professional component) when radiologist/physician provides the interpretation
✅	Check the post-op note AND the operative report — break type is often specified in the intraoperative findings section even when the pre-op assessment says “unspecified”

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📚 Sources

1. CMS/NCHS. ICD-10-CM Official Guidelines for Coding and Reporting, FY2026. Tabular List — H33.002; H33.0 Retinal detachment with retinal break subcategory structure; Excludes 1/2 notations; laterality guidelines.

2. American Medical Association (AMA). CPT 2026 Professional Edition. Surgical procedures: Posterior Segment — Repair of Retinal Detachment (67107, 67108, 67110, 67145); Ophthalmic Ultrasound (76512).

3. American Academy of Ophthalmology (AAO). Basic and Clinical Science Course (BCSC), Section 12: Retina and Vitreous. Rhegmatogenous retinal detachments — pathophysiology, risk factors, break morphology classification, surgical management.

4. CMS. IPPS Final Rule FY2026 — MS-DRG Definitions Manual v43. MDC 02 — Diseases and Disorders of the Eye, DRGs 124–126.

5. CMS. ICD-10-PCS Reference Manual FY2026. Section 0 (Medical & Surgical), Body System 8 (Eye) — Vitreous, Retina, Sclera body part characters; left vs. right laterality distinctions.

6. CMS. NCCI Policy Manual for Medicare Services, current version. Ophthalmology chapter — bundling rules for surgical eye procedures and same-DOS diagnostic imaging.

7. CMS. Physician Fee Schedule Final Rule FY2026. Facility wRVU values — CPT 67108, 67107, 67110, 67145, 76512.