CPT code 66625: Iridectomy, peripheral, for glaucoma2026 Medicare rate & RVUs in Montana
Reports surgical removal of peripheral iris for glaucoma, creating an alternate route for aqueous flow when an excisional iridectomy is performed.
In Montana, Medicare pays $370.72 for 66625 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 66625 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 66625 covers
An ophthalmologist performs this surgical peripheral iridectomy to remove a portion of iris and create an alternate pathway for aqueous flow, commonly in treating angle-closure glaucoma. The procedure is performed in an operating room through a corneoscleral incision; it is distinct from creating an opening with a laser. The operative report should establish the glaucoma indication and document the iris tissue removed and surgical approach.
Report the code for the documented surgical iridectomy rather than a laser procedure or an iris excision that includes removal of a lesion. 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. For bilateral reporting with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery; 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 Montana compares for 66625
Across 109 of 109 payment localities, the facility rate for 66625 runs from $338.11 in Arkansas to $464.88 in San Benito County, CA. Montana pays $370.72. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$370.72
- Los Angeles, CA · California$406.97+$36.25
- Washington, DC area · District of Columbia$414.44+$43.72
- Miami, FL · Florida$399.25+$28.53
- Chicago, IL · Illinois$390.61+$19.89
- Manhattan, NY · New York$419.70+$48.98
- Alaska · Alaska$462.93+$92.21
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $341.76 |
| ArkansasArkansas | — | $338.11 |
| ArizonaArizona | — | $363.06 |
| Bakersfield, CACalifornia | — | $386.38 |
| Chico, CACalifornia | — | $385.03 |
| El Centro, CACalifornia | — | $385.10 |
| Fresno, CACalifornia | — | $385.03 |
| Hanford, CACalifornia | — | $385.03 |
| Madera, CACalifornia | — | $385.03 |
| Merced, CACalifornia | — | $385.03 |
| Modesto, CACalifornia | — | $385.03 |
| Napa, CACalifornia | — | $433.52 |
| Oxnard, CACalifornia | — | $403.98 |
| Redding, CACalifornia | — | $385.03 |
| Rest of CaliforniaCalifornia | — | $385.03 |
| Riverside, CACalifornia | — | $389.55 |
| Sacramento, CACalifornia | — | $400.67 |
| Salinas, CACalifornia | — | $399.06 |
| San Diego, CACalifornia | — | $405.80 |
| Marin County, CACalifornia | — | $455.34 |
| San Francisco, CACalifornia | — | $454.87 |
| San Benito County, CACalifornia | — | $464.88 |
| Santa Clara County, CACalifornia | — | $462.98 |
| San Luis Obispo, CACalifornia | — | $392.96 |
| Santa Cruz, CACalifornia | — | $407.66 |
| Santa Maria, CACalifornia | — | $399.84 |
| Santa Rosa, CACalifornia | — | $411.61 |
| Stockton, CACalifornia | — | $385.03 |
| Vallejo, CACalifornia | — | $432.85 |
| Visalia, CACalifornia | — | $385.03 |
| Yuba City, CACalifornia | — | $385.03 |
| ColoradoColorado | — | $381.62 |
| ConnecticutConnecticut | — | $391.28 |
| DelawareDelaware | — | $368.02 |
| Fort Lauderdale, FLFlorida | — | $384.21 |
| Rest of FloridaFlorida | — | $369.53 |
| Atlanta, GAGeorgia | — | $376.97 |
| Rest of GeorgiaGeorgia | — | $353.47 |
| Hawaii, Guam, HIHawaii | — | $390.24 |
| IowaIowa | — | $346.82 |
| IdahoIdaho | — | $348.78 |
| East St. Louis, ILIllinois | — | $369.89 |
| Rest of IllinoisIllinois | — | $362.42 |
| Suburban Chicago, ILIllinois | — | $387.51 |
| IndianaIndiana | — | $350.25 |
| KansasKansas | — | $346.26 |
| KentuckyKentucky | — | $349.12 |
| New Orleans, LALouisiana | — | $361.73 |
| Rest of LouisianaLouisiana | — | $348.97 |
| Metropolitan Boston, MAMassachusetts | — | $412.09 |
| Rest of MassachusettsMassachusetts | — | $380.50 |
| Baltimore area, MDMaryland | — | $390.22 |
| Rest of MarylandMaryland | — | $373.57 |
| Rest of MaineMaine | — | $350.82 |
| Southern Maine, MEMaine | — | $364.04 |
| Detroit, MIMichigan | — | $373.69 |
| Rest of MichiganMichigan | — | $356.48 |
| MinnesotaMinnesota | — | $366.46 |
| Metropolitan Kansas City, MOMissouri | — | $359.19 |
| Metropolitan St. Louis, MOMissouri | — | $361.93 |
| Rest of MissouriMissouri | — | $344.95 |
| MississippiMississippi | — | $341.55 |
| North CarolinaNorth Carolina | — | $353.45 |
| North DakotaNorth Dakota | — | $362.62 |
| NebraskaNebraska | — | $348.04 |
| New HampshireNew Hampshire | — | $376.60 |
| Northern New JerseyNew Jersey | — | $412.06 |
| Rest of New JerseyNew Jersey | — | $395.95 |
| New MexicoNew Mexico | — | $358.20 |
| NevadaNevada | — | $368.65 |
| NYC suburbs and Long Island, NYNew York | — | $428.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $398.91 |
| Queens, NYNew York | — | $421.41 |
| Rest of New YorkNew York | — | $357.46 |
| OhioOhio | — | $354.82 |
| OklahomaOklahoma | — | $347.97 |
| Portland, OROregon | — | $390.47 |
| Rest of OregonOregon | — | $365.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $384.06 |
| Rest of PennsylvaniaPennsylvania | — | $354.88 |
| Puerto RicoPuerto Rico | — | $372.57 |
| Rhode IslandRhode Island | — | $378.64 |
| South CarolinaSouth Carolina | — | $354.68 |
| South DakotaSouth Dakota | — | $361.66 |
| TennesseeTennessee | — | $347.63 |
| Austin, TXTexas | — | $380.23 |
| Beaumont, TXTexas | — | $353.18 |
| Brazoria, TXTexas | — | $367.46 |
| Dallas, TXTexas | — | $369.62 |
| Fort Worth, TXTexas | — | $367.96 |
| Galveston, TXTexas | — | $368.49 |
| Houston, TXTexas | — | $375.99 |
| Rest of TexasTexas | — | $360.02 |
| UtahUtah | — | $358.29 |
| VirginiaVirginia | — | $363.59 |
| Virgin Islands, VIUnited States Virgin Islands | — | $372.57 |
| VermontVermont | — | $362.14 |
| Rest of WashingtonWashington | — | $379.49 |
| King County, WAWashington | — | $418.73 |
| WisconsinWisconsin | — | $353.53 |
| West VirginiaWest Virginia | — | $352.50 |
| WyomingWyoming | — | $367.19 |
66625 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 66625 rate is calculated
Each of 66625’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 · 66625
RVUs × geographic indexes × conversion factor
Work5.17
5.17 RVUs× 1.000 GPCI
Practice expense5.52
5.52 RVUs× 1.000 GPCI
Malpractice0.41
0.41 RVUs× 1.000 GPCI
Adjusted RVUs
11.1000
Conversion factor
$33.4009
Medicare rate
$370.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,381
- Code
- 66625
- Physician work
- 5.17
- Practice expense
- 5.52
- Malpractice
- 0.41
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.17 | × 1.000 | 5.1700 |
| Practice expense | 5.52 | × 1.000 | 5.5200 |
| Malpractice | 0.41 | × 0.998 | 0.4092 |
| Total RVUs | 11.0992 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$370.72
Facility: (5.17 × 1 + 5.52 × 1 + 0.41 × 0.998) × $33.4009 = $370.72
Payment rules and modifiers for 66625
66625 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66625
Iridectomy, peripheral, for glaucoma
| 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 · 66625
Iridectomy, peripheral, for glaucoma
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
66625 without 50 · national facility
$370.75
Iridectomy, peripheral, for glaucoma
66625-50 · Bilateral: 150%
$556.13
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 66625 has changed in Montana
66625 · 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 | $370.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $370.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $370.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $370.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $412.12 | RVU25D |
| 2025-07-01 | Not available in this setting | $412.12 | RVU25C |
| 2025-04-01 | Not available in this setting | $412.12 | RVU25B |
| 2025-01-01 | Not available in this setting | $412.12 | RVU25A |
| 2024-10-01 | Not available in this setting | $424.78 | RVU24D |
| 2024-07-01 | Not available in this setting | $424.78 | RVU24C |
| 2024-04-01 | Not available in this setting | $424.78 | RVU24B |
| 2024-03-09 | Not available in this setting | $424.78 | RVU24AR |
| 2024-01-01 | Not available in this setting | $417.85 | RVU24A |
| 2023-10-01 | Not available in this setting | $427.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $427.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $427.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $427.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $429.14 | RVU22D |
| 2022-07-01 | Not available in this setting | $429.14 | RVU22C |
| 2022-04-01 | Not available in this setting | $429.14 | RVU22B |
| 2022-01-01 | Not available in this setting | $429.14 | RVU22A |
| 2021-10-01 | Not available in this setting | $432.35 | RVU21D |
| 2021-07-01 | Not available in this setting | $432.35 | RVU21C |
| 2021-04-01 | Not available in this setting | $432.35 | RVU21B |
| 2021-01-01 | Not available in this setting | $432.35 | RVU21A |
| 2020-10-01 | Not available in this setting | $442.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $442.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $442.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $442.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $448.55 | RVU19D |
| 2019-07-01 | Not available in this setting | $448.55 | RVU19C |
| 2019-04-01 | Not available in this setting | $448.55 | RVU19B |
| 2019-01-01 | Not available in this setting | $448.55 | RVU19A |
| 2018-10-01 | Not available in this setting | $449.27 | RVU18D |
| 2018-07-01 | Not available in this setting | $449.27 | RVU18C |
| 2018-04-01 | Not available in this setting | $449.27 | RVU18B |
| 2018-01-01 | Not available in this setting | $449.27 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $442.41 | RVU17D |
| 2017-07-01 | Not available in this setting | $442.41 | RVU17C |
| 2017-04-01 | Not available in this setting | $442.41 | RVU17B |
| 2017-01-01 | Not available in this setting | $442.41 | RVU17A |
| 2016-10-01 | Not available in this setting | $438.54 | RVU16D |
| 2016-07-01 | Not available in this setting | $438.54 | RVU16C |
| 2016-04-01 | Not available in this setting | $438.54 | RVU16B |
| 2016-01-01 | Not available in this setting | $438.54 | RVU16A |
| 2015-10-01 | Not available in this setting | $438.96 | RVU15D |
| 2015-07-01 | Not available in this setting | $438.96 | RVU15C |
| 2015-04-01 | Not available in this setting | $436.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $436.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $450.43 | RVU14D |
| 2014-07-01 | Not available in this setting | $450.43 | RVU14C |
| 2014-04-01 | Not available in this setting | $450.43 | RVU14B |
| 2014-01-01 | Not available in this setting | $450.43 | RVU14A |
| 2013-10-01 | Not available in this setting | $447.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $447.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $447.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $447.20 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
66625 billing questions
How does this differ from a laser peripheral iridotomy?
This code describes surgical excision of peripheral iris through an incision. A laser-created opening is reported with the laser iridotomy code, 66761.
When should 66600 be considered instead?
Use 66600 when the surgical iris excision includes removal of a lesion. This code describes a peripheral iridectomy for glaucoma.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
How is bilateral surgery reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. 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
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