CPT code 66174: Canaloplasty, without retained stent2026 Medicare rate & RVUs in Delaware

Reports internal dilation of the eye’s aqueous drainage canal for glaucoma when the surgeon leaves no stent or other device in place.

CMS RVU26DEffective Oct 1, 2026One payment locality37.3K Medicare services in 2024

In Delaware, Medicare pays $536.44 for 66174 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$536.44Hospital or facility

Check a contract rate as a % of Medicare · 66174 nationwide

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

We’ll open 66174 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 66174 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 66174 covers

An ophthalmologist reaches the drainage angle from inside the eye and enlarges Schlemm canal to improve aqueous outflow, leaving no implant or stent behind. The procedure is used to lower intraocular pressure in glaucoma and is typically performed in an operating room with gonioscopic visualization by an ophthalmologist, often one with glaucoma surgical expertise.

Report 66174 when the canal is dilated without a retained device; use 66175 when a device or stent remains. The operative report should identify the treated eye, the canal-dilation work, and whether an implant was left in place. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 bilateral payment is 150%. An assistant at surgery may be paid; 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 Delaware compares for 66174

Across 109 of 109 payment localities, the facility rate for 66174 runs from $492.55 in Arkansas to $679.35 in San Benito County, CA. Delaware pays $536.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

66174 in Delaware vs other payment areas
  1. Delaware · this page$536.44
  2. Los Angeles, CA · California$594.03+$57.59
  3. Washington, DC area · District of Columbia$604.59+$68.15
  4. Miami, FL · Florida$581.24+$44.80
  5. Chicago, IL · Illinois$568.62+$32.18
  6. Manhattan, NY · New York$611.87+$75.43
  7. Alaska · Alaska$673.55+$137.11

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

66174 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$497.91
ArkansasArkansas—$492.55
ArizonaArizona—$529.18
Bakersfield, CACalifornia—$563.76
Chico, CACalifornia—$561.85
El Centro, CACalifornia—$561.95
Fresno, CACalifornia—$561.85
Hanford, CACalifornia—$561.85

66174 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
66174 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 66174 in every payment locality

How the 66174 rate is calculated

Each of 66174’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.

How the rate is built · 66174

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.43

7.43 RVUs× 1.000 GPCI

Practice expense8.17

8.17 RVUs× 1.000 GPCI

Malpractice0.58

0.58 RVUs× 1.000 GPCI

Adjusted RVUs

16.1800

Conversion factor

$33.4009

Medicare rate

$540.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,368

Code
66174
Physician work
7.43
Practice expense
8.17
Malpractice
0.58

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 66174 in Delaware
ComponentRVULocality factorAdjusted
Physician work7.43× 1.0057.4671
Practice expense8.17× 0.9888.0720
Malpractice0.58× 0.8990.5214
Total RVUs16.0605
Conversion factor× 33.4009

Facility rate, Delaware$536.44

Facility: (7.43 × 1.005 + 8.17 × 0.988 + 0.58 × 0.899) × $33.4009 = $536.44

Open 66174 in the RVU calculator

Payment rules and modifiers for 66174

66174 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66174

Canaloplasty, without retained stent

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 66174

Canaloplasty, without retained stent

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

66174 without 50 · national facility

$540.43

Canaloplasty, without retained stent

66174-50 · Bilateral: 150%

$810.64

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 66174 has changed in Delaware

66174 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$536.44RVU26D
2026-07-01Not available in this setting$536.44RVU26C
2026-04-01Not available in this setting$536.44RVU26B
2026-01-01Not available in this setting$536.44RVU26A
2025-10-01Not available in this setting$598.26RVU25D
2025-07-01Not available in this setting$598.26RVU25C
2025-04-01Not available in this setting$598.26RVU25B
2025-01-01Not available in this setting$598.26RVU25A
2024-10-01Not available in this setting$616.67RVU24D
2024-07-01Not available in this setting$616.67RVU24C
2024-04-01Not available in this setting$616.67RVU24B
2024-03-09Not available in this setting$616.67RVU24AR
2024-01-01Not available in this setting$606.61RVU24A
2023-10-01Not available in this setting$625.17RVU23D
2023-07-01Not available in this setting$625.17RVU23C
2023-04-01Not available in this setting$625.17RVU23B
2023-01-01Not available in this setting$625.17RVU23A
2022-10-01Not available in this setting$771.28RVU22D
2022-07-01Not available in this setting$771.28RVU22C
2022-04-01Not available in this setting$771.28RVU22B
2022-01-01Not available in this setting$771.28RVU22A
2021-10-01Not available in this setting$957.74RVU21D
2021-07-01Not available in this setting$957.74RVU21C
2021-04-01Not available in this setting$957.74RVU21B
2021-01-01Not available in this setting$957.74RVU21A
2020-10-01Not available in this setting$979.52RVU20D
2020-07-01Not available in this setting$979.52RVU20C
2020-04-01Not available in this setting$979.52RVU20B
2020-01-01Not available in this setting$979.52RVU20A
2019-10-01Not available in this setting$987.13RVU19D
2019-07-01Not available in this setting$987.13RVU19C
2019-04-01Not available in this setting$987.13RVU19B
2019-01-01Not available in this setting$987.13RVU19A
2018-10-01Not available in this setting$988.58RVU18D
2018-07-01Not available in this setting$988.58RVU18C
2018-04-01Not available in this setting$988.58RVU18B
2018-01-01Not available in this setting$988.58RVU18AR1
2017-10-01Not available in this setting$984.06RVU17D
2017-07-01Not available in this setting$984.06RVU17C
2017-04-01Not available in this setting$984.06RVU17B
2017-01-01Not available in this setting$984.06RVU17A
2016-10-01Not available in this setting$983.42RVU16D
2016-07-01Not available in this setting$983.42RVU16C
2016-04-01Not available in this setting$983.42RVU16B
2016-01-01Not available in this setting$983.42RVU16A
2015-10-01Not available in this setting$985.85RVU15D
2015-07-01Not available in this setting$985.85RVU15C
2015-04-01Not available in this setting$980.95RVU15B
2015-01-01Not available in this setting$980.95RVU15A
2014-10-01Not available in this setting$1,019.72RVU14D
2014-07-01Not available in this setting$1,019.72RVU14C
2014-04-01Not available in this setting$1,019.72RVU14B
2014-01-01Not available in this setting$1,019.72RVU14A
2013-10-01Not available in this setting$998.02RVU13D
2013-07-01Not available in this setting$998.02RVU13C
2013-04-01Not available in this setting$998.02RVU13B
2013-01-01Not available in this setting$998.02RVU13AR

Price 66174 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

66174 billing questions

How does 66174 differ from 66175?

Use 66174 when the canal is dilated and no device or stent is left in the eye. Use 66175 when a device or stent remains.

Can 66174 be reported with cataract surgery?

It may be performed in the same session as cataract extraction when both services are carried out and documented. CMS applies its same-session multiple-procedure payment reduction.

What documentation supports 66174?

The operative report should describe the internal approach, the canal-dilation work, the eye treated, and whether any device or stent was retained.

How is bilateral 66174 reported?

CMS lists this as a bilateral procedure paid at 150% with modifier 50. The documentation should support treatment of both eyes.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

May an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 66174PPRRVU2026_Oct_nonQPP.csv, line 7,368 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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