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CPT code 66682: Iris repair, with intraocular lens fixation2026 Medicare rate & RVUs

Reports surgical repair of the iris or ciliary body that includes suture fixation of an intraocular lens, such as after structural disruption.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.3K Medicare services in 2024

Medicare pays $566.48 for 66682 nationally in a facility.

Medicare rate · 66682

Iris repair, with intraocular lens fixation

Office or facility?

Work RVUs
8.52
Total RVUs
16.96
Global days
090

National rate · 2026

$566.48

Facility setting, before claim adjustments.

See every locality for 66682 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 66682 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 66682 covers

An ophthalmologist uses this service to repair damaged or detached iris or ciliary body tissue while securing an intraocular lens with sutures. A typical setting is the operating room, where the surgeon addresses structural disruption such as an iris root separation and stabilizes the lens as part of the repair. The code distinguishes this work from iris repair without suture fixation of an intraocular lens and from implantation of an iris prosthesis.

Report the service when the operative note supports repair of the iris or ciliary body and suture fixation of the lens. The note should describe the damaged structures, the repair performed, and the lens fixation. 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 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.

Where 66682 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

66682 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$524.33
AlaskaUnavailable$715.59
ArizonaUnavailable$555.21
ArkansasUnavailable$519.03
Atlanta, GAUnavailable$575.98
Austin, TXUnavailable$579.55
Bakersfield, CAUnavailable$588.05
Baltimore area, MDUnavailable$595.28
Beaumont, TXUnavailable$541.53
Brazoria, TXUnavailable$561.50

66682 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.

View every state and territory as a table
66682 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

How the 66682 rate is calculated

Each of 66682’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 · 66682

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.52

8.52 RVUs× 1.000 GPCI

Practice expense7.77

7.77 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

16.9600

Conversion factor

$33.4009

Medicare rate

$566.48

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

Payment rules and modifiers for 66682

66682 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66682

Iris repair, with intraocular lens fixation

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 · 66682

Iris repair, with intraocular lens fixation

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

66682 without 50 · national facility

$566.48

Iris repair, with intraocular lens fixation

66682-50 · Bilateral: 150%

$849.72

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

66682 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 66682

    Iris repair, with intraocular lens fixation8.52 wRVU

    Not priced

  • 66680

    Iris repair, iris or ciliary body7.77 wRVU

    Not priced

  • 66683

    Iris prosthesis, prosthetic iris implantation10.4 wRVU

    Not priced

  • 66600

    Iris surgery, lesion removal9.87 wRVU

    Not priced

How to choose

66680Iris repairIris or ciliary body
Choose 66682 when the repair includes suture fixation of an intraocular lens. Code 66680 describes iris or ciliary body repair without that distinguishing lens-fixation element.
66683Iris prosthesisProsthetic iris implantation
66683 is for implantation of an iris prosthesis. Use 66682 for repair of iris or ciliary body tissue with suture fixation of an intraocular lens.
66600Iris surgeryLesion removal
66600 addresses removal of an iris lesion. It does not describe repair of iris or ciliary body disruption with lens fixation.

Codes related to 66682

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 66682
CodeHow it relatesNational office range
Same family
66680Iris repair, iris or ciliary bodyIris or ciliary body repair without the suture-fixation distinction for an intraocular lens.No office rate
Used instead
66683Iris prosthesis, prosthetic iris implantationImplants an iris prosthesis when reconstruction with native iris tissue is not the service performed.No office rate
66600Iris surgery, lesion removalRemoves an iris lesion rather than repairing iris or ciliary body disruption with lens fixation.No office rate

66682 billing questions

How does 66682 differ from 66680?

Use 66682 when the iris or ciliary body repair includes suture fixation of an intraocular lens. Code 66680 describes repair without that lens-fixation distinction.

Is intraocular lens suture fixation included in 66682?

Yes. Suture fixation of the intraocular lens is part of the service described by 66682; document the fixation in the operative report.

What documentation supports reporting 66682?

Document the iris or ciliary body disruption, the repair performed, and the suture fixation of the intraocular lens.

What is included in the 90-day global period?

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

How is 66682 paid when other procedures occur in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported for 66682?

CMS 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 66682PPRRVU2026_Oct_nonQPP.csv, line 7,385 (RVU26D)

Open CMS sourceHow we calculate rates

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