CPT code 66635: Iris removal, complete iridectomy2026 Medicare rate & RVUs in New Mexico
Report total iridectomy when an ophthalmic surgeon removes the iris throughout its extent rather than excising only a peripheral or sector portion.
In New Mexico, Medicare pays $475.27 for 66635 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 66635 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 66635 covers
This operation removes the iris throughout its extent through a corneal or corneoscleral surgical approach. An ophthalmic surgeon performs it in an operating room, typically in a hospital or ambulatory surgery center, when the clinical plan calls for complete iris excision rather than removal of only a localized portion. The operative report should identify the indication and document that the excision was total; a peripheral or sector iridectomy is a different extent of surgery.
Choose this code based on the extent and purpose of the iris procedure, not simply because iris tissue was removed. Document the operative approach and the tissue removed so the record supports complete excision rather than a glaucoma-related peripheral iridectomy, sector iridectomy, or lesion-focused procedure. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. 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 New Mexico compares for 66635
Across 109 of 109 payment localities, the facility rate for 66635 runs from $448.79 in Arkansas to $617.23 in Alaska. New Mexico pays $475.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$475.27
- Los Angeles, CA · California$536.47+$61.20
- Washington, DC area · District of Columbia$546.98+$71.71
- Miami, FL · Florida$529.26+$53.99
- Chicago, IL · Illinois$518.15+$42.88
- Manhattan, NY · New York$554.68+$79.41
- Alaska · Alaska$617.23+$141.96
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $453.46 |
| ArkansasArkansas | — | $448.79 |
| ArizonaArizona | — | $480.74 |
| Bakersfield, CACalifornia | — | $510.00 |
| Chico, CACalifornia | — | $508.13 |
| El Centro, CACalifornia | — | $508.22 |
| Fresno, CACalifornia | — | $508.13 |
| Hanford, CACalifornia | — | $508.13 |
| Madera, CACalifornia | — | $508.13 |
| Merced, CACalifornia | — | $508.13 |
| Modesto, CACalifornia | — | $508.13 |
| Napa, CACalifornia | — | $570.03 |
| Oxnard, CACalifornia | — | $532.33 |
| Redding, CACalifornia | — | $508.13 |
| Rest of CaliforniaCalifornia | — | $508.13 |
| Riverside, CACalifornia | — | $514.40 |
| Sacramento, CACalifornia | — | $528.20 |
| Salinas, CACalifornia | — | $526.07 |
| San Diego, CACalifornia | — | $534.51 |
| Marin County, CACalifornia | — | $598.08 |
| San Francisco, CACalifornia | — | $597.43 |
| San Benito County, CACalifornia | — | $610.55 |
| Santa Clara County, CACalifornia | — | $607.90 |
| San Luis Obispo, CACalifornia | — | $518.08 |
| Santa Cruz, CACalifornia | — | $536.63 |
| Santa Maria, CACalifornia | — | $526.97 |
| Santa Rosa, CACalifornia | — | $541.80 |
| Stockton, CACalifornia | — | $508.13 |
| Vallejo, CACalifornia | — | $569.10 |
| Visalia, CACalifornia | — | $508.13 |
| Yuba City, CACalifornia | — | $508.13 |
| ColoradoColorado | — | $504.19 |
| ConnecticutConnecticut | — | $517.28 |
| DelawareDelaware | — | $487.16 |
| Fort Lauderdale, FLFlorida | — | $509.05 |
| Rest of FloridaFlorida | — | $490.05 |
| Atlanta, GAGeorgia | — | $498.91 |
| Rest of GeorgiaGeorgia | — | $469.32 |
| Hawaii, Guam, HIHawaii | — | $514.36 |
| IowaIowa | — | $459.50 |
| IdahoIdaho | — | $462.11 |
| East St. Louis, ILIllinois | — | $491.45 |
| Rest of IllinoisIllinois | — | $481.24 |
| Suburban Chicago, ILIllinois | — | $513.29 |
| IndianaIndiana | — | $463.98 |
| KansasKansas | — | $459.00 |
| KentuckyKentucky | — | $463.35 |
| New Orleans, LALouisiana | — | $479.59 |
| Rest of LouisianaLouisiana | — | $463.24 |
| Metropolitan Boston, MAMassachusetts | — | $543.32 |
| Rest of MassachusettsMassachusetts | — | $502.90 |
| Baltimore area, MDMaryland | — | $515.91 |
| Rest of MarylandMaryland | — | $494.28 |
| Rest of MaineMaine | — | $464.95 |
| Southern Maine, MEMaine | — | $481.55 |
| Detroit, MIMichigan | — | $495.62 |
| Rest of MichiganMichigan | — | $472.98 |
| MinnesotaMinnesota | — | $483.97 |
| Metropolitan Kansas City, MOMissouri | — | $476.10 |
| Metropolitan St. Louis, MOMissouri | — | $479.59 |
| Rest of MissouriMissouri | — | $458.22 |
| MississippiMississippi | — | $453.52 |
| MontanaMontana | — | $490.62 |
| North CarolinaNorth Carolina | — | $468.28 |
| North DakotaNorth Dakota | — | $479.35 |
| NebraskaNebraska | — | $460.99 |
| New HampshireNew Hampshire | — | $497.77 |
| Northern New JerseyNew Jersey | — | $544.12 |
| Rest of New JerseyNew Jersey | — | $523.41 |
| NevadaNevada | — | $487.71 |
| NYC suburbs and Long Island, NYNew York | — | $566.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $527.45 |
| Queens, NYNew York | — | $556.57 |
| Rest of New YorkNew York | — | $473.43 |
| OhioOhio | — | $470.67 |
| OklahomaOklahoma | — | $461.65 |
| Portland, OROregon | — | $515.32 |
| Rest of OregonOregon | — | $484.08 |
| Metropolitan Philadelphia, PAPennsylvania | — | $508.15 |
| Rest of PennsylvaniaPennsylvania | — | $470.63 |
| Puerto RicoPuerto Rico | — | $492.92 |
| Rhode IslandRhode Island | — | $500.80 |
| South CarolinaSouth Carolina | — | $470.21 |
| South DakotaSouth Dakota | — | $478.02 |
| TennesseeTennessee | — | $460.78 |
| Austin, TXTexas | — | $502.39 |
| Beaumont, TXTexas | — | $468.48 |
| Brazoria, TXTexas | — | $486.31 |
| Dallas, TXTexas | — | $489.19 |
| Fort Worth, TXTexas | — | $487.12 |
| Galveston, TXTexas | — | $487.69 |
| Houston, TXTexas | — | $498.12 |
| Rest of TexasTexas | — | $477.01 |
| UtahUtah | — | $474.83 |
| VirginiaVirginia | — | $481.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $492.92 |
| VermontVermont | — | $478.94 |
| Rest of WashingtonWashington | — | $501.50 |
| King County, WAWashington | — | $551.73 |
| WisconsinWisconsin | — | $467.76 |
| West VirginiaWest Virginia | — | $468.54 |
| WyomingWyoming | — | $485.71 |
66635 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 66635 rate is calculated
Each of 66635’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 · 66635
RVUs × geographic indexes × conversion factor
Work7.19
7.19 RVUs× 1.000 GPCI
Practice expense6.93
6.93 RVUs× 1.000 GPCI
Malpractice0.57
0.57 RVUs× 1.000 GPCI
Adjusted RVUs
14.6900
Conversion factor
$33.4009
Medicare rate
$490.66
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
7,383
- Code
- 66635
- Physician work
- 7.19
- Practice expense
- 6.93
- Malpractice
- 0.57
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.19 | × 1.000 | 7.1900 |
| Practice expense | 6.93 | × 0.917 | 6.3548 |
| Malpractice | 0.57 | × 1.201 | 0.6846 |
| Total RVUs | 14.2294 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$475.27
Facility: (7.19 × 1 + 6.93 × 0.917 + 0.57 × 1.201) × $33.4009 = $475.27
Payment rules and modifiers for 66635
66635 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66635
Iris removal, complete iridectomy
| 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 · 66635
Iris removal, complete iridectomy
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
66635 without 50 · national facility
$490.66
Iris removal, complete iridectomy
66635-50 · Bilateral: 150%
$735.99
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 66635 has changed in New Mexico
66635 · 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 | $475.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $475.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $475.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $475.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $526.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $526.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $526.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $526.19 | RVU25A |
| 2024-10-01 | Not available in this setting | $542.01 | RVU24D |
| 2024-07-01 | Not available in this setting | $542.01 | RVU24C |
| 2024-04-01 | Not available in this setting | $542.01 | RVU24B |
| 2024-03-09 | Not available in this setting | $542.01 | RVU24AR |
| 2024-01-01 | Not available in this setting | $533.16 | RVU24A |
| 2023-10-01 | Not available in this setting | $543.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $543.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $543.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $543.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $545.33 | RVU22D |
| 2022-07-01 | Not available in this setting | $545.33 | RVU22C |
| 2022-04-01 | Not available in this setting | $545.33 | RVU22B |
| 2022-01-01 | Not available in this setting | $545.33 | RVU22A |
| 2021-10-01 | Not available in this setting | $548.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $548.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $548.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $548.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $561.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $561.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $561.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $561.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $569.24 | RVU19D |
| 2019-07-01 | Not available in this setting | $569.24 | RVU19C |
| 2019-04-01 | Not available in this setting | $569.24 | RVU19B |
| 2019-01-01 | Not available in this setting | $569.24 | RVU19A |
| 2018-10-01 | Not available in this setting | $570.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $570.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $570.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $570.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $564.19 | RVU17D |
| 2017-07-01 | Not available in this setting | $564.19 | RVU17C |
| 2017-04-01 | Not available in this setting | $564.19 | RVU17B |
| 2017-01-01 | Not available in this setting | $564.19 | RVU17A |
| 2016-10-01 | Not available in this setting | $561.73 | RVU16D |
| 2016-07-01 | Not available in this setting | $561.73 | RVU16C |
| 2016-04-01 | Not available in this setting | $561.73 | RVU16B |
| 2016-01-01 | Not available in this setting | $561.73 | RVU16A |
| 2015-10-01 | Not available in this setting | $563.01 | RVU15D |
| 2015-07-01 | Not available in this setting | $563.01 | RVU15C |
| 2015-04-01 | Not available in this setting | $560.21 | RVU15B |
| 2015-01-01 | Not available in this setting | $560.21 | RVU15A |
| 2014-10-01 | Not available in this setting | $558.92 | RVU14D |
| 2014-07-01 | Not available in this setting | $558.92 | RVU14C |
| 2014-04-01 | Not available in this setting | $558.92 | RVU14B |
| 2014-01-01 | Not available in this setting | $558.92 | RVU14A |
| 2013-10-01 | Not available in this setting | $552.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $552.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $552.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $552.30 | RVU13AR |
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
66635 billing questions
How does this differ from a sector iridectomy?
This code is for removal throughout the iris. A sector iridectomy removes only a portion and is reported with 66630.
When is 66625 more appropriate?
Use 66625 for a peripheral iridectomy performed for glaucoma. This code describes complete iris excision.
Does the 90-day global period include postoperative care?
Yes. Related postoperative care for 90 days and the day-before preoperative visit are included in the global period.
How is bilateral surgery reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted for this code.
What documentation supports choosing this code?
The operative report should establish the indication and that the surgeon removed the iris throughout its extent, rather than performing a partial or lesion-focused excision.
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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