CPT code 66682: Iris repair, with intraocular lens fixation2026 Medicare rate & RVUs in Texas
Reports surgical repair of the iris or ciliary body that includes suture fixation of an intraocular lens, such as after structural disruption.
CMS doesn’t publish an office rate for 66682 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $579.55 |
| Beaumont, TX | Unavailable | $541.53 |
| Brazoria, TX | Unavailable | $561.50 |
| Dallas, TX | Unavailable | $564.82 |
| Fort Worth, TX | Unavailable | $562.52 |
| Galveston, TX | Unavailable | $563.09 |
| Houston, TX | Unavailable | $575.35 |
| Rest of Texas | Unavailable | $551.07 |
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
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
| 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 · 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.
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).
66682 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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