CPT code 66175: Canal dilation, with retained stent2026 Medicare rate & RVUs in Puerto Rico

Reports glaucoma surgery that dilates the aqueous outflow canal and leaves a stent or other device in place to support drainage.

CMS RVU26DEffective Oct 1, 2026One payment locality470 Medicare services in 2024

In Puerto Rico, Medicare pays $623.11 for 66175 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$623.11Hospital or facility

Check a contract rate as a % of Medicare · 66175 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 66175 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 66175 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 66175 covers

An ophthalmic surgeon treats impaired aqueous drainage by passing an instrument through the outflow canal, dilating it, and leaving a stent or other device in place. The procedure is used for glaucoma when improving flow through the eye’s natural drainage pathway is the surgical goal. It is generally performed in an operating room, often with gonioscopic visualization, and may be done during the same session as cataract surgery.

Report 66175 when canal dilation includes retention of a device or stent; documentation should identify the treated eye, the dilation procedure, and the retained device. Dilation without a retained device is reported with 66174. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 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 Puerto Rico compares for 66175

Across 109 of 109 payment localities, the facility rate for 66175 runs from $567.43 in Arkansas to $780.57 in Alaska. Puerto Rico pays $623.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

66175 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$623.11
  2. Los Angeles, CA · California$678.07+$54.96
  3. Washington, DC area · District of Columbia$691.37+$68.26
  4. Miami, FL · Florida$668.99+$45.88
  5. Chicago, IL · Illinois$654.99+$31.88
  6. Manhattan, NY · New York$701.11+$78.00
  7. Alaska · Alaska$780.57+$157.46

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

Every other payment area

66175 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$573.33
ArkansasArkansas—$567.43
ArizonaArizona—$607.74
Bakersfield, CACalifornia—$644.66
Chico, CACalifornia—$642.29
El Centro, CACalifornia—$642.41
Fresno, CACalifornia—$642.29
Hanford, CACalifornia—$642.29

66175 rates by state

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

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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
66175 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 66175 in every payment locality

How the 66175 rate is calculated

Each of 66175’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 · 66175

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.11

9.11 RVUs× 1.000 GPCI

Practice expense8.74

8.74 RVUs× 1.000 GPCI

Malpractice0.72

0.72 RVUs× 1.000 GPCI

Adjusted RVUs

18.5700

Conversion factor

$33.4009

Medicare rate

$620.25

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,369

Code
66175
Physician work
9.11
Practice expense
8.74
Malpractice
0.72

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 66175 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work9.11× 1.0009.1100
Practice expense8.74× 1.0118.8361
Malpractice0.72× 0.9850.7092
Total RVUs18.6553
Conversion factor× 33.4009

Facility rate, Puerto Rico$623.11

Facility: (9.11 × 1 + 8.74 × 1.011 + 0.72 × 0.985) × $33.4009 = $623.11

Open 66175 in the RVU calculator

Payment rules and modifiers for 66175

66175 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66175

Canal dilation, with 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 · 66175

Canal dilation, with 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

66175 without 50 · national facility

$620.25

Canal dilation, with retained stent

66175-50 · Bilateral: 150%

$930.38

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 66175 has changed in Puerto Rico

66175 · 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$623.11RVU26D
2026-07-01Not available in this setting$623.11RVU26C
2026-04-01Not available in this setting$623.11RVU26B
2026-01-01Not available in this setting$623.11RVU26A
2025-10-01Not available in this setting$696.97RVU25D
2025-07-01Not available in this setting$696.97RVU25C
2025-04-01Not available in this setting$696.97RVU25B
2025-01-01Not available in this setting$696.97RVU25A
2024-10-01Not available in this setting$719.91RVU24D
2024-07-01Not available in this setting$719.91RVU24C
2024-04-01Not available in this setting$719.91RVU24B
2024-03-09Not available in this setting$719.91RVU24AR
2024-01-01Not available in this setting$708.16RVU24A
2023-10-01Not available in this setting$725.14RVU23D
2023-07-01Not available in this setting$722.48RVU23C
2023-04-01Not available in this setting$722.48RVU23B
2023-01-01Not available in this setting$722.48RVU23A
2022-10-01Not available in this setting$802.31RVU22D
2022-07-01Not available in this setting$802.31RVU22C
2022-04-01Not available in this setting$802.31RVU22B
2022-01-01Not available in this setting$802.31RVU22A
2021-10-01Not available in this setting$997.83RVU21D
2021-07-01Not available in this setting$997.83RVU21C
2021-04-01Not available in this setting$997.83RVU21B
2021-01-01Not available in this setting$997.83RVU21A
2020-10-01Not available in this setting$1,015.39RVU20D
2020-07-01Not available in this setting$1,015.39RVU20C
2020-04-01Not available in this setting$1,015.39RVU20B
2020-01-01Not available in this setting$1,015.39RVU20A
2019-10-01Not available in this setting$1,020.11RVU19D
2019-07-01Not available in this setting$1,020.11RVU19C
2019-04-01Not available in this setting$1,020.11RVU19B
2019-01-01Not available in this setting$1,020.11RVU19A
2018-10-01Not available in this setting$1,021.17RVU18D
2018-07-01Not available in this setting$1,021.17RVU18C
2018-04-01Not available in this setting$1,021.17RVU18B
2018-01-01Not available in this setting$1,021.17RVU18AR1
2017-10-01Not available in this setting$927.24RVU17D
2017-07-01Not available in this setting$927.24RVU17C
2017-04-01Not available in this setting$927.24RVU17B
2017-01-01Not available in this setting$927.24RVU17A
2016-10-01Not available in this setting$838.60RVU16D
2016-07-01Not available in this setting$838.60RVU16C
2016-04-01Not available in this setting$838.60RVU16B
2016-01-01Not available in this setting$838.60RVU16A
2015-10-01Not available in this setting$840.61RVU15D
2015-07-01Not available in this setting$840.61RVU15C
2015-04-01Not available in this setting$836.43RVU15B
2015-01-01Not available in this setting$836.43RVU15A
2014-10-01Not available in this setting$868.33RVU14D
2014-07-01Not available in this setting$868.33RVU14C
2014-04-01Not available in this setting$868.33RVU14B
2014-01-01Not available in this setting$868.33RVU14A
2013-10-01Not available in this setting$842.60RVU13D
2013-07-01Not available in this setting$842.60RVU13C
2013-04-01Not available in this setting$842.60RVU13B
2013-01-01Not available in this setting$842.60RVU13AR

Price 66175 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

66175 billing questions

How do I choose between 66175 and 66174?

Use 66175 when a stent or other device is left in place after canal dilation. Use 66174 for canal dilation without a retained device.

Is the retained stent separately reported?

The retained device is part of the service represented by 66175. Do not report a separate code just for leaving that device in place.

Can 66175 be reported with cataract surgery?

It may be performed during the same session as cataract extraction. Document each procedure performed and apply the applicable same-session coding rules.

What supports reporting 66175?

The operative report should identify the treated eye, canal dilation, and the device or stent left in place. Those details distinguish this service from dilation without retained hardware.

How is bilateral 66175 reported?

Use modifier 50 for a bilateral procedure; CMS pays it at 150%.

Does the 90-day global include related follow-up?

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

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 66175PPRRVU2026_Oct_nonQPP.csv, line 7,369 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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