CPT code 66150: Glaucoma surgery, trephination with iridectomy2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $746.51 for 66150 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 66150 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 66150 covers

An ophthalmologist performs this filtration operation by using a trephine to create a small opening through the sclera and removing a portion of peripheral iris. The opening provides a route for aqueous humor to leave the anterior chamber and collect beneath the conjunctiva. The code is specific to this trephination technique, rather than glaucoma surgery generally, and is selected from the operative work documented by the surgeon.

The operative report should identify the trephination and iris removal, the treated eye, and any other procedures performed in the same session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 66150

Across 109 of 109 payment localities, the facility rate for 66150 runs from $692.82 in Arkansas to $958.96 in San Benito County, CA. Virginia pays $746.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66150 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 66150 in every payment locality

How the 66150 rate is calculated

Each of 66150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 66150

66150 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 66150

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 66150 has changed in Virginia

Price 66150 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates