CPT code 66600: Iris surgery, lesion removal2026 Medicare rate & RVUs in Connecticut
An ophthalmic surgeon removes an iris lesion along with iris tissue, commonly when a tumor or other focal lesion requires surgical excision.
In Connecticut, Medicare pays $836.91 for 66600 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 66600 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 66600 covers
An ophthalmologist performs this operation to excise an iris lesion, such as a suspected tumor, together with the involved iris tissue. It is generally performed in an operating-room setting, with the operative approach guided by the lesion’s location and the tissue that must be removed. The excised tissue may be submitted for pathologic examination.
Report 66600 when the operation removes an iris lesion, rather than for an iridectomy performed for another purpose, such as glaucoma treatment. The operative report should identify the lesion, its location, and the excision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 66600
Across 109 of 109 payment localities, the facility rate for 66600 runs from $717.10 in Arkansas to $1,007.65 in San Benito County, CA. Connecticut pays $836.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$836.91
- Los Angeles, CA · California$875.56+$38.65
- Washington, DC area · District of Columbia$889.52+$52.61
- Miami, FL · Florida$849.46+$12.55
- Chicago, IL · Illinois$829.92−$6.99
- Manhattan, NY · New York$898.33+$61.42
- Alaska · Alaska$972.54+$135.63
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $725.41 |
| ArkansasArkansas | — | $717.10 |
| ArizonaArizona | — | $773.98 |
| Bakersfield, CACalifornia | — | $828.99 |
| Chico, CACalifornia | — | $826.41 |
| El Centro, CACalifornia | — | $826.54 |
| Fresno, CACalifornia | — | $826.41 |
| Hanford, CACalifornia | — | $826.41 |
| Madera, CACalifornia | — | $826.41 |
| Merced, CACalifornia | — | $826.41 |
| Modesto, CACalifornia | — | $826.41 |
| Napa, CACalifornia | — | $937.45 |
| Oxnard, CACalifornia | — | $869.76 |
| Redding, CACalifornia | — | $826.41 |
| Rest of CaliforniaCalifornia | — | $826.41 |
| Riverside, CACalifornia | — | $835.10 |
| Sacramento, CACalifornia | — | $861.83 |
| Salinas, CACalifornia | — | $858.44 |
| San Diego, CACalifornia | — | $874.37 |
| Marin County, CACalifornia | — | $986.75 |
| San Francisco, CACalifornia | — | $985.85 |
| San Benito County, CACalifornia | — | $1,007.65 |
| Santa Clara County, CACalifornia | — | $1,003.98 |
| San Luis Obispo, CACalifornia | — | $845.12 |
| Santa Cruz, CACalifornia | — | $879.52 |
| Santa Maria, CACalifornia | — | $860.50 |
| Santa Rosa, CACalifornia | — | $888.14 |
| Stockton, CACalifornia | — | $826.41 |
| Vallejo, CACalifornia | — | $936.16 |
| Visalia, CACalifornia | — | $826.41 |
| Yuba City, CACalifornia | — | $826.41 |
| ColoradoColorado | — | $817.30 |
| DelawareDelaware | — | $785.03 |
| Fort Lauderdale, FLFlorida | — | $818.25 |
| Rest of FloridaFlorida | — | $785.39 |
| Atlanta, GAGeorgia | — | $804.52 |
| Rest of GeorgiaGeorgia | — | $749.33 |
| Hawaii, Guam, HIHawaii | — | $839.78 |
| IowaIowa | — | $738.36 |
| IdahoIdaho | — | $742.54 |
| East St. Louis, ILIllinois | — | $783.21 |
| Rest of IllinoisIllinois | — | $768.26 |
| Suburban Chicago, ILIllinois | — | $825.70 |
| IndianaIndiana | — | $745.93 |
| KansasKansas | — | $736.40 |
| KentuckyKentucky | — | $740.72 |
| New Orleans, LALouisiana | — | $769.18 |
| Rest of LouisianaLouisiana | — | $740.11 |
| Metropolitan Boston, MAMassachusetts | — | $886.31 |
| Rest of MassachusettsMassachusetts | — | $814.25 |
| Baltimore area, MDMaryland | — | $834.57 |
| Rest of MarylandMaryland | — | $797.62 |
| Rest of MaineMaine | — | $746.48 |
| Southern Maine, MEMaine | — | $777.61 |
| Detroit, MIMichigan | — | $794.14 |
| Rest of MichiganMichigan | — | $756.81 |
| MinnesotaMinnesota | — | $785.31 |
| Metropolitan Kansas City, MOMissouri | — | $764.11 |
| Metropolitan St. Louis, MOMissouri | — | $770.43 |
| Rest of MissouriMissouri | — | $730.52 |
| MississippiMississippi | — | $723.89 |
| MontanaMontana | — | $791.21 |
| North CarolinaNorth Carolina | — | $752.58 |
| North DakotaNorth Dakota | — | $775.59 |
| NebraskaNebraska | — | $741.34 |
| New HampshireNew Hampshire | — | $805.81 |
| Northern New JerseyNew Jersey | — | $883.46 |
| Rest of New JerseyNew Jersey | — | $847.05 |
| New MexicoNew Mexico | — | $760.45 |
| NevadaNevada | — | $787.30 |
| NYC suburbs and Long Island, NYNew York | — | $917.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $852.99 |
| Queens, NYNew York | — | $903.24 |
| Rest of New YorkNew York | — | $761.67 |
| OhioOhio | — | $753.61 |
| OklahomaOklahoma | — | $738.82 |
| Portland, OROregon | — | $838.10 |
| Rest of OregonOregon | — | $781.69 |
| Metropolitan Philadelphia, PAPennsylvania | — | $820.14 |
| Rest of PennsylvaniaPennsylvania | — | $754.13 |
| Puerto RicoPuerto Rico | — | $795.66 |
| Rhode IslandRhode Island | — | $809.04 |
| South CarolinaSouth Carolina | — | $754.23 |
| South DakotaSouth Dakota | — | $773.75 |
| TennesseeTennessee | — | $739.45 |
| Austin, TXTexas | — | $814.16 |
| Beaumont, TXTexas | — | $750.22 |
| Brazoria, TXTexas | — | $784.18 |
| Dallas, TXTexas | — | $788.75 |
| Fort Worth, TXTexas | — | $784.74 |
| Galveston, TXTexas | — | $786.32 |
| Houston, TXTexas | — | $800.78 |
| Rest of TexasTexas | — | $766.51 |
| UtahUtah | — | $762.46 |
| VirginiaVirginia | — | $776.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $795.66 |
| VermontVermont | — | $773.88 |
| Rest of WashingtonWashington | — | $812.31 |
| King County, WAWashington | — | $901.72 |
| WisconsinWisconsin | — | $754.73 |
| West VirginiaWest Virginia | — | $745.63 |
| WyomingWyoming | — | $784.41 |
66600 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 66600 rate is calculated
Each of 66600’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 · 66600
RVUs × geographic indexes × conversion factor
Work9.87
9.87 RVUs× 1.000 GPCI
Practice expense13.03
13.03 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
23.6900
Conversion factor
$33.4009
Medicare rate
$791.27
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
7,379
- Code
- 66600
- Physician work
- 9.87
- Practice expense
- 13.03
- Malpractice
- 0.79
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.87 | × 1.020 | 10.0674 |
| Practice expense | 13.03 | × 1.077 | 14.0333 |
| Malpractice | 0.79 | × 1.210 | 0.9559 |
| Total RVUs | 25.0566 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$836.91
Facility: (9.87 × 1.02 + 13.03 × 1.077 + 0.79 × 1.21) × $33.4009 = $836.91
Payment rules and modifiers for 66600
66600 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66600
Iris surgery, lesion removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 66600
Iris surgery, lesion removal
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
66600 without 50 · national facility
$791.27
Iris surgery, lesion removal
66600-50 · Bilateral: 150%
$1,186.91
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).
How 66600 has changed in Connecticut
66600 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $836.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $836.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $836.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $836.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $922.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $922.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $922.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $922.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $958.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $958.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $958.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $958.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $943.25 | RVU24A |
| 2023-10-01 | Not available in this setting | $977.14 | RVU23D |
| 2023-07-01 | Not available in this setting | $977.14 | RVU23C |
| 2023-04-01 | Not available in this setting | $977.14 | RVU23B |
| 2023-01-01 | Not available in this setting | $977.14 | RVU23A |
| 2022-10-01 | Not available in this setting | $993.70 | RVU22D |
| 2022-07-01 | Not available in this setting | $993.70 | RVU22C |
| 2022-04-01 | Not available in this setting | $993.70 | RVU22B |
| 2022-01-01 | Not available in this setting | $993.70 | RVU22A |
| 2021-10-01 | Not available in this setting | $979.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $979.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $979.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $979.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $957.33 | RVU20D |
| 2020-07-01 | Not available in this setting | $957.33 | RVU20C |
| 2020-04-01 | Not available in this setting | $957.33 | RVU20B |
| 2020-01-01 | Not available in this setting | $957.33 | RVU20A |
| 2019-10-01 | Not available in this setting | $929.98 | RVU19D |
| 2019-07-01 | Not available in this setting | $929.98 | RVU19C |
| 2019-04-01 | Not available in this setting | $929.98 | RVU19B |
| 2019-01-01 | Not available in this setting | $929.98 | RVU19A |
| 2018-10-01 | Not available in this setting | $920.95 | RVU18D |
| 2018-07-01 | Not available in this setting | $920.95 | RVU18C |
| 2018-04-01 | Not available in this setting | $920.95 | RVU18B |
| 2018-01-01 | Not available in this setting | $920.95 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $914.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $914.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $914.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $914.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $912.65 | RVU16D |
| 2016-07-01 | Not available in this setting | $912.65 | RVU16C |
| 2016-04-01 | Not available in this setting | $912.65 | RVU16B |
| 2016-01-01 | Not available in this setting | $912.65 | RVU16A |
| 2015-10-01 | Not available in this setting | $915.06 | RVU15D |
| 2015-07-01 | Not available in this setting | $915.06 | RVU15C |
| 2015-04-01 | Not available in this setting | $910.50 | RVU15B |
| 2015-01-01 | Not available in this setting | $910.50 | RVU15A |
| 2014-10-01 | Not available in this setting | $911.22 | RVU14D |
| 2014-07-01 | Not available in this setting | $911.22 | RVU14C |
| 2014-04-01 | Not available in this setting | $911.22 | RVU14B |
| 2014-01-01 | Not available in this setting | $911.22 | RVU14A |
| 2013-10-01 | Not available in this setting | $907.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $907.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $907.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $907.56 | RVU13AR |
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
66600 billing questions
When should 66600 be chosen over an iridectomy for glaucoma?
Use 66600 when the surgeon excises an iris lesion along with iris tissue. An iridectomy performed to treat glaucoma, without lesion removal, is a different service.
What documentation supports reporting 66600?
The operative report should describe the iris lesion, its location, and the tissue excised. Documenting the surgical purpose helps distinguish lesion removal from an iridectomy for another indication.
How is bilateral surgery reported?
CMS identifies 66600 as bilateral; modifier 50 is paid at 150%. The record should support lesion removal on both eyes.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS classifies this as major surgery.
Can an assistant surgeon or co-surgeon be reported?
CMS applies a statutory restriction to assistant-at-surgery payment for 66600. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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
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