CPT code 66605: Iridectomy, corneoscleral section2026 Medicare rate & RVUs in South Dakota

Reports surgical removal of iris tissue through a corneoscleral section, with code selection based on the procedure performed and documented approach.

CMS RVU26DEffective Oct 1, 2026One payment locality

In South Dakota, Medicare pays $901.92 for 66605 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$901.92Hospital or facility

Check a contract rate as a % of Medicare · 66605 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 66605 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 66605 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 66605 covers

An ophthalmic surgeon uses a corneoscleral section to remove iris tissue. The operative report should make clear that iris tissue was excised and describe the incision and extent of removal. This code distinguishes the corneoscleral-section procedure from codes for lesion removal and glaucoma-specific peripheral, sector, or total iridectomy procedures.

Report the service for the operation documented, not simply because iris tissue was handled during another eye procedure. The operative note should support the approach and the work performed. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 South Dakota compares for 66605

Across 109 of 109 payment localities, the facility rate for 66605 runs from $848.42 in Arkansas to $1,169.09 in Alaska. South Dakota pays $901.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

66605 in South Dakota vs other payment areas
  1. South Dakota · this page$901.92
  2. Los Angeles, CA · California$1,011.12+$109.20
  3. Washington, DC area · District of Columbia$1,031.65+$129.73
  4. Miami, FL · Florida$1,000.72+$98.80
  5. Chicago, IL · Illinois$979.93+$78.01
  6. Manhattan, NY · New York$1,046.99+$145.07
  7. Alaska · Alaska$1,169.09+$267.17

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

Every other payment area

66605 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$857.13
ArkansasArkansas—$848.42
ArizonaArizona—$907.98
Bakersfield, CACalifornia—$961.79
Chico, CACalifornia—$958.15
El Centro, CACalifornia—$958.34
Fresno, CACalifornia—$958.15
Hanford, CACalifornia—$958.15

66605 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
66605 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 66605 in every payment locality

How the 66605 rate is calculated

Each of 66605’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 · 66605

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.86

13.86 RVUs× 1.000 GPCI

Practice expense12.77

12.77 RVUs× 1.000 GPCI

Malpractice1.11

1.11 RVUs× 1.000 GPCI

Adjusted RVUs

27.7400

Conversion factor

$33.4009

Medicare rate

$926.54

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,380

Code
66605
Physician work
13.86
Practice expense
12.77
Malpractice
1.11

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 66605 in South Dakota
ComponentRVULocality factorAdjusted
Physician work13.86× 1.00013.8600
Practice expense12.77× 1.00012.7700
Malpractice1.11× 0.3360.3730
Total RVUs27.0030
Conversion factor× 33.4009

Facility rate, South Dakota$901.92

Facility: (13.86 × 1 + 12.77 × 1 + 1.11 × 0.336) × $33.4009 = $901.92

Open 66605 in the RVU calculator

Payment rules and modifiers for 66605

66605 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66605

Iridectomy, corneoscleral section

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)1Not paid (statutory restriction).
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 · 66605

Iridectomy, corneoscleral section

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

66605 without 50 · national facility

$926.54

Iridectomy, corneoscleral section

66605-50 · Bilateral: 150%

$1,389.81

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 66605 has changed in South Dakota

66605 · 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$901.92RVU26D
2026-07-01Not available in this setting$901.92RVU26C
2026-04-01Not available in this setting$901.92RVU26B
2026-01-01Not available in this setting$901.92RVU26A
2025-10-01Not available in this setting$1,018.52RVU25D
2025-07-01Not available in this setting$1,018.52RVU25C
2025-04-01Not available in this setting$1,018.52RVU25B
2025-01-01Not available in this setting$1,018.52RVU25A
2024-10-01Not available in this setting$1,053.60RVU24D
2024-07-01Not available in this setting$1,053.60RVU24C
2024-04-01Not available in this setting$1,053.60RVU24B
2024-03-09Not available in this setting$1,053.60RVU24AR
2024-01-01Not available in this setting$1,036.41RVU24A
2023-10-01Not available in this setting$1,065.43RVU23D
2023-07-01Not available in this setting$1,065.43RVU23C
2023-04-01Not available in this setting$1,065.43RVU23B
2023-01-01Not available in this setting$1,065.43RVU23A
2022-10-01Not available in this setting$1,074.81RVU22D
2022-07-01Not available in this setting$1,074.81RVU22C
2022-04-01Not available in this setting$1,074.81RVU22B
2022-01-01Not available in this setting$1,074.81RVU22A
2021-10-01Not available in this setting$1,075.80RVU21D
2021-07-01Not available in this setting$1,075.80RVU21C
2021-04-01Not available in this setting$1,075.80RVU21B
2021-01-01Not available in this setting$1,075.80RVU21A
2020-10-01Not available in this setting$1,078.23RVU20D
2020-07-01Not available in this setting$1,078.23RVU20C
2020-04-01Not available in this setting$1,078.23RVU20B
2020-01-01Not available in this setting$1,078.23RVU20A
2019-10-01Not available in this setting$1,070.75RVU19D
2019-07-01Not available in this setting$1,070.75RVU19C
2019-04-01Not available in this setting$1,070.75RVU19B
2019-01-01Not available in this setting$1,070.75RVU19A
2018-10-01Not available in this setting$1,060.79RVU18D
2018-07-01Not available in this setting$1,060.79RVU18C
2018-04-01Not available in this setting$1,060.79RVU18B
2018-01-01Not available in this setting$1,060.79RVU18AR1
2017-10-01Not available in this setting$1,052.14RVU17D
2017-07-01Not available in this setting$1,052.14RVU17C
2017-04-01Not available in this setting$1,052.14RVU17B
2017-01-01Not available in this setting$1,052.14RVU17A
2016-10-01Not available in this setting$1,048.92RVU16D
2016-07-01Not available in this setting$1,048.92RVU16C
2016-04-01Not available in this setting$1,048.92RVU16B
2016-01-01Not available in this setting$1,048.92RVU16A
2015-10-01Not available in this setting$1,051.27RVU15D
2015-07-01Not available in this setting$1,051.27RVU15C
2015-04-01Not available in this setting$1,046.04RVU15B
2015-01-01Not available in this setting$1,046.04RVU15A
2014-10-01Not available in this setting$1,049.88RVU14D
2014-07-01Not available in this setting$1,049.88RVU14C
2014-04-01Not available in this setting$1,049.88RVU14B
2014-01-01Not available in this setting$1,049.88RVU14A
2013-10-01Not available in this setting$1,040.45RVU13D
2013-07-01Not available in this setting$1,040.45RVU13C
2013-04-01Not available in this setting$1,040.45RVU13B
2013-01-01Not available in this setting$1,040.45RVU13AR

Price 66605 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

66605 billing questions

How is 66605 distinguished from 66600?

66605 describes iris removal through a corneoscleral section. Use 66600 when the operation includes removal of an iris lesion.

How does 66605 differ from 66625, 66630, and 66635?

Those codes describe glaucoma-related peripheral, sector, or total iridectomy procedures. Select among them based on the documented glaucoma procedure and extent rather than using 66605 for those services.

What documentation supports 66605?

The operative report should identify the iris tissue removed and document the corneoscleral-section approach. It should also distinguish the service from lesion removal or a glaucoma-specific iridectomy.

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

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

How is bilateral 66605 reported for Medicare?

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

Can an assistant or co-surgeon be paid for 66605?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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 66605PPRRVU2026_Oct_nonQPP.csv, line 7,380 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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