CPT code 66184: Shunt revision, without graft2026 Medicare rate & RVUs in New Mexico

Revision of an existing glaucoma drainage shunt without a graft, reported when the surgeon corrects a shunt problem rather than placing a new device.

CMS RVU26DEffective Oct 1, 2026One payment locality890 Medicare services in 2024

In New Mexico, Medicare pays $662.73 for 66184 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$662.73Hospital or facility

Check a contract rate as a % of Medicare · 66184 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 66184 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 66184 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 66184 covers

An ophthalmic surgeon, often a glaucoma specialist, revises an existing aqueous shunt used to control intraocular pressure. The work may address a tube or reservoir problem, such as obstruction or malposition, to restore drainage or improve shunt function. This code distinguishes revision without a graft from revision that includes graft material, which is reported with 66185.

Select the code from the operative report’s description of the revision and whether graft material was used; do not use it for initial shunt placement. Documentation should identify the existing device, the problem addressed, the revision performed, and graft use or nonuse. Medicare 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 the same session, the highest-valued procedure 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 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 New Mexico compares for 66184

Across 109 of 109 payment localities, the facility rate for 66184 runs from $625.26 in Arkansas to $863.99 in San Benito County, CA. New Mexico pays $662.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

66184 in New Mexico vs other payment areas
  1. New Mexico · this page$662.73
  2. Los Angeles, CA · California$755.09+$92.36
  3. Washington, DC area · District of Columbia$768.65+$105.92
  4. Miami, FL · Florida$739.36+$76.63
  5. Chicago, IL · Illinois$723.10+$60.37
  6. Manhattan, NY · New York$778.02+$115.29
  7. Alaska · Alaska$854.19+$191.46

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

Every other payment area

66184 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$632.14
ArkansasArkansas—$625.26
ArizonaArizona—$672.27
Bakersfield, CACalifornia—$716.43
Chico, CACalifornia—$713.97
El Centro, CACalifornia—$714.10
Fresno, CACalifornia—$713.97
Hanford, CACalifornia—$713.97

66184 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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66184 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 66184 in every payment locality

How the 66184 rate is calculated

Each of 66184’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 · 66184

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.34

9.34 RVUs× 1.000 GPCI

Practice expense10.47

10.47 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

20.5600

Conversion factor

$33.4009

Medicare rate

$686.72

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,373

Code
66184
Physician work
9.34
Practice expense
10.47
Malpractice
0.75

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 66184 in New Mexico
ComponentRVULocality factorAdjusted
Physician work9.34× 1.0009.3400
Practice expense10.47× 0.9179.6010
Malpractice0.75× 1.2010.9008
Total RVUs19.8417
Conversion factor× 33.4009

Facility rate, New Mexico$662.73

Facility: (9.34 × 1 + 10.47 × 0.917 + 0.75 × 1.201) × $33.4009 = $662.73

Open 66184 in the RVU calculator

Payment rules and modifiers for 66184

66184 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66184

Shunt revision, without 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 · 66184

Shunt revision, without 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

66184 without 50 · national facility

$686.72

Shunt revision, without graft

66184-50 · Bilateral: 150%

$1,030.08

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 66184 has changed in New Mexico

66184 · 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
  1. January 1, 2015

    RVU15A

    No ratechanged toNo rate

    Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$662.73RVU26D
2026-07-01Not available in this setting$662.73RVU26C
2026-04-01Not available in this setting$662.73RVU26B
2026-01-01Not available in this setting$662.73RVU26A
2025-10-01Not available in this setting$725.33RVU25D
2025-07-01Not available in this setting$725.33RVU25C
2025-04-01Not available in this setting$725.33RVU25B
2025-01-01Not available in this setting$725.33RVU25A
2024-10-01Not available in this setting$748.64RVU24D
2024-07-01Not available in this setting$748.64RVU24C
2024-04-01Not available in this setting$748.64RVU24B
2024-03-09Not available in this setting$748.64RVU24AR
2024-01-01Not available in this setting$736.42RVU24A
2023-10-01Not available in this setting$751.22RVU23D
2023-07-01Not available in this setting$751.22RVU23C
2023-04-01Not available in this setting$751.22RVU23B
2023-01-01Not available in this setting$751.22RVU23A
2022-10-01Not available in this setting$752.29RVU22D
2022-07-01Not available in this setting$752.29RVU22C
2022-04-01Not available in this setting$752.29RVU22B
2022-01-01Not available in this setting$752.29RVU22A
2021-10-01Not available in this setting$754.90RVU21D
2021-07-01Not available in this setting$754.90RVU21C
2021-04-01Not available in this setting$754.90RVU21B
2021-01-01Not available in this setting$754.90RVU21A
2020-10-01Not available in this setting$768.48RVU20D
2020-07-01Not available in this setting$768.48RVU20C
2020-04-01Not available in this setting$768.48RVU20B
2020-01-01Not available in this setting$768.48RVU20A
2019-10-01Not available in this setting$776.89RVU19D
2019-07-01Not available in this setting$776.89RVU19C
2019-04-01Not available in this setting$776.89RVU19B
2019-01-01Not available in this setting$776.89RVU19A
2018-10-01Not available in this setting$777.37RVU18D
2018-07-01Not available in this setting$777.37RVU18C
2018-04-01Not available in this setting$777.37RVU18B
2018-01-01Not available in this setting$777.37RVU18AR1
2017-10-01Not available in this setting$768.85RVU17D
2017-07-01Not available in this setting$768.85RVU17C
2017-04-01Not available in this setting$768.85RVU17B
2017-01-01Not available in this setting$768.85RVU17A
2016-10-01Not available in this setting$764.98RVU16D
2016-07-01Not available in this setting$764.98RVU16C
2016-04-01Not available in this setting$764.98RVU16B
2016-01-01Not available in this setting$764.98RVU16A
2015-10-01Not available in this setting$766.75RVU15D
2015-07-01Not available in this setting$766.75RVU15C
2015-04-01Not available in this setting$762.93RVU15B
2015-01-01Not available in this setting$762.93RVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 66184 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

66184 billing questions

How is 66184 distinguished from 66185?

66184 is for aqueous shunt revision without a graft. Report 66185 when the revision includes a graft.

Can 66184 be reported for initial shunt placement?

No. It describes revision of an existing shunt; initial placement is represented by an insertion code such as 66179, 66180, or 66183, depending on the procedure.

What should the operative report document?

The report should identify the existing shunt, the problem being corrected, the revision performed, and whether graft material was used.

How is bilateral 66184 reported?

For bilateral surgery, report modifier 50. CMS pays the 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.

Can an assistant surgeon be reported?

Assistant-at-surgery payment may be made. CMS does not permit co-surgeons or team surgery for this code.

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 66184PPRRVU2026_Oct_nonQPP.csv, line 7,373 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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