CPT code 66180: Glaucoma shunt, with graft2026 Medicare rate & RVUs in Connecticut

Reports glaucoma drainage-device placement to an extraocular reservoir with a graft covering the tube, typically for glaucoma requiring surgical pressure control.

CMS RVU26DEffective Oct 1, 2026One payment locality14.9K Medicare services in 2024

In Connecticut, Medicare pays $1,022.71 for 66180 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,022.71Hospital or facility

Check a contract rate as a % of Medicare · 66180 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 66180 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 66180 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 66180 covers

An ophthalmologist places a drainage tube into the eye and connects it to a reservoir positioned outside the eye to divert aqueous fluid and lower intraocular pressure. A graft covers the exposed tube. This operation is generally selected for glaucoma that needs a drainage implant, including cases in which other pressure-lowering treatment has not provided adequate control. It is commonly performed in a hospital outpatient department or ambulatory surgery center.

Report this code when the procedure includes both the aqueous shunt to an extraocular reservoir and the graft. The operative report should support the glaucoma indication, shunt placement, and graft use; a shunt placement without a graft is distinguished by 66179. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 Connecticut compares for 66180

Across 109 of 109 payment localities, the facility rate for 66180 runs from $889.23 in Arkansas to $1,226.20 in Alaska. Connecticut pays $1,022.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

66180 in Connecticut vs other payment areas
  1. Connecticut · this page$1,022.71
  2. Los Angeles, CA · California$1,058.58+$35.87
  3. Washington, DC area · District of Columbia$1,080.27+$57.56
  4. Miami, FL · Florida$1,048.54+$25.83
  5. Chicago, IL · Illinois$1,026.87+$4.16
  6. Manhattan, NY · New York$1,096.55+$73.84
  7. Alaska · Alaska$1,226.20+$203.49

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

Every other payment area

66180 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$898.31
ArkansasArkansas—$889.23
ArizonaArizona—$951.27
Bakersfield, CACalifornia—$1,007.15
Chico, CACalifornia—$1,003.32
El Centro, CACalifornia—$1,003.52
Fresno, CACalifornia—$1,003.32
Hanford, CACalifornia—$1,003.32

66180 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.

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66180 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 66180 in every payment locality

How the 66180 rate is calculated

Each of 66180’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 · 66180

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.63

14.63 RVUs× 1.000 GPCI

Practice expense13.26

13.26 RVUs× 1.000 GPCI

Malpractice1.17

1.17 RVUs× 1.000 GPCI

Adjusted RVUs

29.0600

Conversion factor

$33.4009

Medicare rate

$970.63

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,371

Code
66180
Physician work
14.63
Practice expense
13.26
Malpractice
1.17

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 66180 in Connecticut
ComponentRVULocality factorAdjusted
Physician work14.63× 1.02014.9226
Practice expense13.26× 1.07714.2810
Malpractice1.17× 1.2101.4157
Total RVUs30.6193
Conversion factor× 33.4009

Facility rate, Connecticut$1022.71

Facility: (14.63 × 1.02 + 13.26 × 1.077 + 1.17 × 1.21) × $33.4009 = $1022.71

Open 66180 in the RVU calculator

Payment rules and modifiers for 66180

66180 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66180

Glaucoma shunt, with graft

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)0Not permitted.
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 · 66180

Glaucoma shunt, with graft

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

66180 without 50 · national facility

$970.63

Glaucoma shunt, with graft

66180-50 · Bilateral: 150%

$1,455.95

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 66180 has changed in Connecticut

66180 · 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$1,022.71RVU26D
2026-07-01Not available in this setting$1,022.71RVU26C
2026-04-01Not available in this setting$1,022.71RVU26B
2026-01-01Not available in this setting$1,022.71RVU26A
2025-10-01Not available in this setting$1,161.91RVU25D
2025-07-01Not available in this setting$1,161.91RVU25C
2025-04-01Not available in this setting$1,161.91RVU25B
2025-01-01Not available in this setting$1,161.91RVU25A
2024-10-01Not available in this setting$1,199.10RVU24D
2024-07-01Not available in this setting$1,199.10RVU24C
2024-04-01Not available in this setting$1,199.10RVU24B
2024-03-09Not available in this setting$1,199.10RVU24AR
2024-01-01Not available in this setting$1,179.53RVU24A
2023-10-01Not available in this setting$1,212.81RVU23D
2023-07-01Not available in this setting$1,212.81RVU23C
2023-04-01Not available in this setting$1,212.81RVU23B
2023-01-01Not available in this setting$1,212.81RVU23A
2022-10-01Not available in this setting$1,224.61RVU22D
2022-07-01Not available in this setting$1,224.61RVU22C
2022-04-01Not available in this setting$1,224.61RVU22B
2022-01-01Not available in this setting$1,224.61RVU22A
2021-10-01Not available in this setting$1,231.07RVU21D
2021-07-01Not available in this setting$1,231.07RVU21C
2021-04-01Not available in this setting$1,231.07RVU21B
2021-01-01Not available in this setting$1,231.07RVU21A
2020-10-01Not available in this setting$1,248.36RVU20D
2020-07-01Not available in this setting$1,248.36RVU20C
2020-04-01Not available in this setting$1,248.36RVU20B
2020-01-01Not available in this setting$1,248.36RVU20A
2019-10-01Not available in this setting$1,252.87RVU19D
2019-07-01Not available in this setting$1,252.87RVU19C
2019-04-01Not available in this setting$1,252.87RVU19B
2019-01-01Not available in this setting$1,252.87RVU19A
2018-10-01Not available in this setting$1,253.84RVU18D
2018-07-01Not available in this setting$1,253.84RVU18C
2018-04-01Not available in this setting$1,253.84RVU18B
2018-01-01Not available in this setting$1,253.84RVU18AR1
2017-10-01Not available in this setting$1,246.35RVU17D
2017-07-01Not available in this setting$1,246.35RVU17C
2017-04-01Not available in this setting$1,246.35RVU17B
2017-01-01Not available in this setting$1,246.35RVU17A
2016-10-01Not available in this setting$1,245.04RVU16D
2016-07-01Not available in this setting$1,245.04RVU16C
2016-04-01Not available in this setting$1,245.04RVU16B
2016-01-01Not available in this setting$1,245.04RVU16A
2015-10-01Not available in this setting$1,247.96RVU15D
2015-07-01Not available in this setting$1,247.96RVU15C
2015-04-01Not available in this setting$1,241.75RVU15B
2015-01-01Not available in this setting$1,241.75RVU15A
2014-10-01Not available in this setting$1,309.72RVU14D
2014-07-01Not available in this setting$1,309.72RVU14C
2014-04-01Not available in this setting$1,309.72RVU14B
2014-01-01Not available in this setting$1,309.72RVU14A
2013-10-01Not available in this setting$1,292.94RVU13D
2013-07-01Not available in this setting$1,292.94RVU13C
2013-04-01Not available in this setting$1,292.94RVU13B
2013-01-01Not available in this setting$1,292.94RVU13AR

Price 66180 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

66180 billing questions

How does 66180 differ from 66179?

66180 describes aqueous shunt placement with a graft covering the tube. Use 66179 for the corresponding shunt procedure without a graft.

Is the graft separately reported?

The graft is included in 66180 when used as part of the shunt operation. The operative report should document its use and placement.

When is 66183 a better fit?

66183 describes placement of an anterior-segment drainage device without an extraocular reservoir. 66180 is for a shunt connected to an extraocular reservoir with a graft.

How should bilateral surgery be reported?

Report bilateral surgery with modifier 50. CMS pays this bilateral procedure at 150%.

What postoperative care is included?

The 90-day 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 66180PPRRVU2026_Oct_nonQPP.csv, line 7,371 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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